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International Orthopaedics

Erschienen in:

01.01.2010 | Original Paper

Risk factors for accelerated polyethylene wear and osteolysis in ABG I total hip arthroplasty

verfasst von: Jiri Gallo, Vitezslav Havranek, Jana Zapletalova

Erschienen in: International Orthopaedics | Ausgabe 1/2010

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Abstract

We analysed data from 155 revisions of identical cementless hip prostheses to determine the influence of patient-, implant- and surgery-related factors on the polyethylene wear rate and size of periprosthetic osteolysis (OL). This was calculated by logistic regression analysis. Factors associated with an increased/decreased wear rate included position of the cup relative to Kohler’s line, increase in abduction angle of the cup, traumatic and inflammatory arthritis as a primary diagnosis, and patient height. Severe acetabular bone defects were predicted by an increased wear rate (odds ratio, OR = 5.782 for wear rate above 200 mm³/y), and increased height of the patient (OR = 0.905 per each centimetre). Predictors of severe bone defects in the femur were the increased wear rate (OR = 3.479 for wear rate above 200 mm³/y) and placement of the cup outside of the true acetabulum (OR = 3.292). Variables related to surgical technique were the most predictive of polyethylene wear rate.

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Titel: Risk factors for accelerated polyethylene wear and osteolysis in ABG I total hip arthroplasty
verfasst von: Jiri Gallo
Vitezslav Havranek
Jana Zapletalova
Publikationsdatum: 01.01.2010
Verlag: Springer-Verlag
Erschienen in: International Orthopaedics / Ausgabe 1/2010
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-009-0731-3

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