Comparison Between Triple-Tapered and Double-Tapered Cemented Femoral Stems in Total Hip Arthroplasty

2005 ◽  
Vol 20 (1) ◽  
pp. 94-100 ◽  
Author(s):  
Eugene T. Ek ◽  
Peter F.M. Choong
2020 ◽  
Vol 4 (04) ◽  
pp. 155-157
Author(s):  
Michael Newman ◽  
David Hartwright

AbstractThe aim of this study was to assess a large, single-surgeon dataset of uncemented total hip arthroplasties that had been templated using software. This assessment compared preoperative templated predictions with what was implanted with regard to (1) femoral prosthesis size and (2) acetabular cup size. The operation notes for two types of uncemented total hip arthroplasty performed by a single surgeon between January 9, 2008, and March 21, 2019, were assessed. The data were refined so that only those that were fully templated on a correctly calibrated pelvic radiograph were included. This provided a total of 153 cases. The predicted software template was compared with actual implanted component sizes. With regard to the femoral stems, the templating software was exactly correct in 45.75% of cases and was accurate to within one size in 87.59% of cases. With regard to the acetabular component, the templating software was exactly correct in 52.94% of cases and was accurate to within one size (2 mm) in 86.94% of cases. Templating software offers an accurate prediction of the size of uncemented femoral and acetabular components. In addition, the benefits of templating include cognitive rehearsal, insight into potentially challenging aspects of surgery, and highlighting intraoperative issues where there is a large intraoperative deviation from what is templated. This study demonstrates the congruence and reproducibility of templating software when compared with other smaller studies performed in the literature.


2020 ◽  
Vol 16 (S2) ◽  
pp. 412-419
Author(s):  
Stephanie V. Kaszuba ◽  
Nancy Cipparrone ◽  
Alexander C. Gordon

2009 ◽  
Vol 80 (3) ◽  
pp. 291-297 ◽  
Author(s):  
Carlina V Albanese ◽  
Francesco S Santori ◽  
Laura Pavan ◽  
Ian D Learmonth ◽  
Roberto Passariello

2014 ◽  
Vol 29 (11) ◽  
pp. 2167-2170 ◽  
Author(s):  
Jeffrey D. Stimac ◽  
John Boles ◽  
Natalie Parkes ◽  
Alejandro Gonzalez Della Valle ◽  
Friedrich Boettner ◽  
...  

2013 ◽  
Vol 28 (4) ◽  
pp. 690-694 ◽  
Author(s):  
Brian T. Palumbo ◽  
Kurt L. Morrison ◽  
Adam S. Baumgarten ◽  
Mathew I. Stein ◽  
George J. Haidukewych ◽  
...  

2021 ◽  
Vol 64 (2) ◽  
pp. E205-E210
Author(s):  
Sebastian Heaven ◽  
Maxwell Perelgut ◽  
Edward Vasarhelyi ◽  
James Howard ◽  
Matthew Teeter ◽  
...  

Background: Total hip arthroplasty (THA) via the direct anterior approach has increased in popularity in the last decade, with research supporting enhanced early recovery; however, some investigators have reported increased early revision rates in direct anterior THA. We examined outcomes from a single institution’s experience with a fully hydroxyapatite-coated collared femoral stem implanted via the anterior or the lateral approach. Methods: Patients who had received fully hydroxyapatite-coated collared femoral stems as part of THA surgery performed by 1 of 3 surgeons between January 2012 and September 2017 were identified from our institutional database. We examined revision rates for the 2 approaches and compared them between the 2 groups. We also analyzed outcomes on plain film radiographs obtained immediately postoperatively and at 1 and 2 years. Results: A total of 695 patients received a fully hydroxyapatite-coated collared stem during the study period. Total hip arthroplasty was performed via the direct anterior approach in 281/778 hips (36.1%) and via the direct lateral approach in 497 (63.9%). Nineteen patients (2.5%) underwent subsequent revision surgery; there was no statistically significant difference in the revision rate between the anterior and lateral approaches (2.5% v. 2.4%, p = 0.95). The mean subsidence of the stem at 1 year was 1.68 mm (standard deviation 11.7 mm). No statistically significant differences were observed between the cohorts for any of the radiographic measurements at either follow-up time. Conclusion: We found no significant difference in revision rates between the direct anterior and direct lateral approach. Stem subsidence levels were in keeping with expected values, and no major changes in stem position occurred during the first postoperative year. Surgical approach did not appear to substantially affect biomechanical stem behaviour.


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