Femoral stem subsidence in cementless total hip arthroplasty: a retrospective single-centre study

2018 ◽  
Vol 43 (2) ◽  
pp. 307-314 ◽  
Author(s):  
Christian Ries ◽  
Christoph Kolja Boese ◽  
Florian Dietrich ◽  
Wolfgang Miehlke ◽  
Christian Heisel
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Femoral Stem ◽  
Single Centre ◽  
Centre Study ◽  
Total Hip ◽  
Stem Subsidence ◽  
Cementless Total Hip Arthroplasty ◽  
Single Centre Study

scholarly journals Results of Conversion from Failed Austin-Moore Hemiarthroplasty to Cementless Total Hip Arthroplasty in Octogenarian Patients with Advanced Acetabular Erosion: A Minimum of 5 Years of Follow-Up

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Tsan-Wen Huang ◽  
Chih-Hsiang Chang ◽  
Fu-Chun Chang ◽  
Chun-Chieh Chen ◽  
Kuo-Chin Huang ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Femoral Stem ◽  
Femoral Neck Fractures ◽  
Total Hip ◽  
Cementless Total Hip Arthroplasty ◽  
Mid Term Results ◽  
Acetabular Erosion ◽  
Austin Moore

Austin-Moore hemiarthroplasty (HA) had been selectively used for elderly patients with femoral neck fractures. With increasing life span and activity, the sequela of Austin-Moore HA make the implant no longer favorable. The treatment of failed Austin-Moore HA with advanced acetabular erosion is challenging; however, little has been published regarding this topic. The aim of this study was to evaluate the mid-term results of using cementless total hip arthroplasty (THA) in octogenarians. Between 2008 and 2011, 47 patients (32 women and 15 men) with an average age of 86 years (range 83-89 years) were enrolled in this retrospective study. After an average follow-up period of 6.2 years (range 5.0-7.8 years), no migration or loosening of the cup or femoral stem was found. Harris hip scores improved from 36 (range 15-42) preoperatively to 87 (range 80-90). There were no complications directly associated with the procedure except for superficial infections in two patients. Our results suggest that using cementless THA can result in favorable radiographic and clinical outcomes in octogenarian patients.

Useful Method for Neutral Positioning of the Femoral Stem in Cementless Total Hip Arthroplasty

Hip & Pelvis ◽  
2012 ◽  
Vol 24 (4) ◽  
pp. 288
Author(s):  
Woo-Jong Kim ◽  
Jong-Seok Park ◽  
Jae-Wan Soh ◽  
Jung-Woo Ji ◽  
Jae-Hwi Noh ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Femoral Stem ◽  
Total Hip ◽  
Cementless Total Hip Arthroplasty

Varus Positined Femoral Stem in Cementless Total Hip Arthroplasty

2007 ◽  
Vol 42 (5) ◽  
pp. 586 ◽  
Author(s):  
Sung Kon Kim ◽  
Jong Woong Park ◽  
Jun Ho Wang ◽  
Jeong Woo Han ◽  
Jun Yeop Song
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Femoral Stem ◽  
Total Hip ◽  
Cementless Total Hip Arthroplasty

Metaphyseal-Loading Anterolaterally-Flared Femoral Stem in Cementless Total Hip Arthroplasty: Five- to Eleven-Year Follow-Up Evaluation

2010 ◽  
Vol 34 (5) ◽  
pp. 377-383 ◽  
Author(s):  
Hideo Kawahara ◽  
Yasuo Kokubo ◽  
Takafumi Yayama ◽  
Kenzo Uchida ◽  
Shigeru Kobayashi ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Femoral Stem ◽  
Total Hip ◽  
Cementless Total Hip Arthroplasty

scholarly journals Predicting Cementless Stem Fixation in Total Hip Arthroplasty Using Radiodensity Mapping

10.29007/dv5n ◽  
2020 ◽  
Author(s):  
Teja Cherukuri ◽  
Chameka Madurawe ◽  
Jim Pierrepont ◽  
Jonathan Bare ◽  
Stephen McMahon ◽  
...  
Keyword(s):  
Bone Density ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Femoral Stem ◽  
X Rays ◽  
Implant Fixation ◽  
X Ray ◽  
Total Hip ◽  
Stem Subsidence

Femoral component loosening due to poor fixation is a common failure mode in cementless total hip arthroplasty (THA). We sought to develop a technique to predicted femoral stem fixation using pre-operative CT.Forty-nine patients requiring THA received pre-operative CTs as part of Corin OPSTM 3D dynamic planning. All patients received a taper wedged blade stem (TriFitTM TS, Corin UK) implanted through a posterior approach. Post-operatively, patients received an immediate CT and AP x-ray and a 1-year follow-up x-ray. The distance between the most superior point of the greater trochanter and the shoulder of the stem was measured and scaled using the known cup diameter on both the immediate and 1- year follow-up x-rays. The difference was recorded as stem subsidence. Subsidence greater than 4mm was deemed clinically relevant. The precise placement of the stem determined by registering the known 3D implant geometry to the post-op CT was virtually implanted back into the pre-operative OPSTM planning software. A colour map of the bone density at the stem/bone interface using the Hounsfield Units (HU) of each CT pixel was generated. Blue represents low density bone transitioning through to green and then red.Mean stem subsidence was 1.8mm (0 to 11.1mm). Five patients had clinically relevant subsidence. Significant areas of blue and green around the proximal portion of the stem was observed in high subsidence stems when compared to the stems with minimal subsidence.Using the HU of the CT scan as an indicator for bone density, we were able to predict poor implant fixation and subsequent subsidence in a taper wedge stem.

Cementless Total Hip Arthroplasty Using the Mutilock Femoral Stem

2006 ◽  
Vol 18 (5) ◽  
pp. 459
Author(s):  
Sang Hong Lee ◽  
Rong Zhen Li ◽  
Kwang Chul Lee ◽  
Sang Ho Ha
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Femoral Stem ◽  
Total Hip ◽  
Cementless Total Hip Arthroplasty
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