nach oben

MUSCULOSKELETAL SURGERY

Erschienen in:

01.04.2015 | Original Article

Mechanical and biological results of short-stem hip implants: consideration on a series of 74 cases

verfasst von: S. Barreca, L. Ciriaco, M. Ferlazzo, M. A. Rosa

Erschienen in: MUSCULOSKELETAL SURGERY | Ausgabe 1/2015

Einloggen, um Zugang zu erhalten

Abstract

Background

The aim of this survey was to show mid-term outcomes of a short-stem cementless hip prosthesis with metaphyseal fit and fill.

Methods

Case series is on 74 implants in 67 patients, implanted from June 2006 to December 2010 with an average follow-up of 48 months (range 36–90 months).

Results

In their case series, authors found some pitfalls as varus or valgus alignment, heterotopic ossification, aseptic mobilization with subsidency, and malpositioning. According to Harris Hip Score, postoperative clinical outcomes were excellent–good (84 %) and fair–poor (16 %).

Conclusions

At a mid-term follow-up, the investigated implant showed a strong stability and some well-tolerated mechanical and biological pitfalls.

Walker PS, Culligan S, Hua J et al (1999) The effect of a lateral flare feature on uncemented hip stems. Hip Int 9:71–80

Rometsch E, Bos PK, Koes Bw (2012) Survival of short hip stems with a “modern”, trochanter-sparing design: a systematic literature review. Hip Int 22(4):344–354CrossRefPubMed

Vresilovic EJ, Hozack WJ, Rothman RH (1994) Radiographic assessment of cementless femoral components: correlation with intraoperative mechanical stability. J Arthroplast 9:137–141CrossRef

Mollan RA, Watters PH, Steele R, McClelland CJ (1984) Failure of the femoral component in the Howse total hip arthroplasty. Clin Orthop Relat Res 190:142–147PubMed

Gill TJ, Sledge JB, Orler R, Ganz R (1999) Lateral insufficiency fractures of the femur caused by osteopenia and varus angulation: a complication of total hip arthroplasty. J Arthroplast 14:982–987CrossRef

Khalily C, Lester DK (2002) Results of a tapered cementless femoral stem implanted in varus. J Arthroplast 17:463–466CrossRef

Min BW, Song KS, Bae KC, Cho CH, Kang CH, Kim SY (2008) The effect of stem alignment on results of total hip arthroplasty with a cementless tapered-wedge femoral component. J Arthroplast 23:418–423CrossRef

Sodermann B, Persson PE, Nilson DS (1988) Prevention of periarticular heterotopic ossification following total hip arthroplasty. Arch Orthop Trauma Surg 107:329–333CrossRef

Cella JP, Salvati EA, Sculco TP (1988) Indomethacin for the prevention of heterotopic ossification following total hip arthroplasty. Effectiveness, contraindications, and adverse effects. J Arthroplasty 3:229–234CrossRefPubMed

10.

Koch JC (1917) The laws of bone architecture. Am J Anat 21:177–298CrossRef

11.

Fetto JF, Bettinger P, Austin KS (1995) Re-examination of hip biomechanics during unilateral stance. Am J Orthop 8:605–612

12.

Franchin F (2003) La protesi d’anca di primo impianto—Pag. 21: Principi di Biomeccanica dell’anca protesizzata. Springer, Berlin

13.

Walker PS, Culligan S, Hua J et al (1999) The effect of a lateral flare feature on uncemented hip stems. Hip Int 9:71–80

14.

Epasto G, Foti A, Guglielmino E, Rosa MA (2013) Total hip arthroplasty by using a cementless ultrashort stem: a subject-specific finite element analysis for a young patient clinical case. Proc Inst Mech Eng H 227:757–766CrossRefPubMed

15.

Leali A, Fetto J, Insler H, Elfenbein D (2002) The effect of a lateral flare feature on implant stability. Int Orthop 26:166–169CrossRefPubMedCentralPubMed

Titel: Mechanical and biological results of short-stem hip implants: consideration on a series of 74 cases
verfasst von: S. Barreca
L. Ciriaco
M. Ferlazzo
M. A. Rosa
Publikationsdatum: 01.04.2015
Verlag: Springer Milan
Erschienen in: MUSCULOSKELETAL SURGERY / Ausgabe 1/2015
Print ISSN: 2035-5106
Elektronische ISSN: 2035-5114
DOI: https://doi.org/10.1007/s12306-014-0334-z

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

16.04.2024 | Spondylitis ankylosans | Nachrichten

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Mechanical and biological results of short-stem hip implants: consideration on a series of 74 cases

Abstract

Background

Methods

Results

Conclusions

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Brustkrebs in der Vorgeschichte macht Gelenkersatz komplikationsträchtiger

Zwei neue Alternativen zu TNF-Inhibitoren bei axSpA

Diclofenac-Gel versus Ibuprofen bei akuten Rückenschmerzen

Update Orthopädie und Unfallchirurgie

Springer Medizin

Abstract

Background

Methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 1/2015

Clinical and radiological short-term complications after single-stage bilateral uncemented total hip arthroplasty

Repair of distal biceps tendon acute ruptures with two suture anchors and anterior mini-open single incision technique: clinical follow-up and isokinetic evaluation

Platelet-rich plasma: evidence for the treatment of patellar and Achilles tendinopathy—a systematic review

Metal-on-metal hip resurfacing: correlation between clinical and radiological assessment, metal ions and ultrasound findings

Sliding external fixator “a product design and cadaveric experiment”

Evaluation of anterior knee pain in a PS total knee arthroplasty: the role of patella-friendly femoral component and patellar size

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Brustkrebs in der Vorgeschichte macht Gelenkersatz komplikationsträchtiger

Zwei neue Alternativen zu TNF-Inhibitoren bei axSpA

Diclofenac-Gel versus Ibuprofen bei akuten Rückenschmerzen

Update Orthopädie und Unfallchirurgie