scholarly journals Comparative Analysis of Short and Mid-Term Results of Primary Total Hip Replacement by Serial Cemented and Uncemented Fixation Implants

2014 ◽  
Vol 21 (3) ◽  
pp. 21-26
Author(s):  
V. M Prokhorenko ◽  
A. B Slobodskoy ◽  
A. A Mamedov ◽  
A. G Dunaev ◽  
I. V Voronin ◽  
...  

Analysis of short-term (5 - 8 years) and mid-term (10 - 14 years) results of primary total hip replacement using cemented and uncemented fixation implants of foreign (Zimmer) and home (Endoservice) serial production. The study was based on the results of 2620 surgical interventions (2911 operations, out of them 1512 - with ESI, 1399 - with Zimmer implants) performed in two independent clinics. Revision intervention due to aseptic loosening of implant components was required in 62 (ESI) and 66 (Zimmer) cases and the terms of that complication development were practically the same. In 5 to 8 years after operation excellent, good and satisfactory results (70 - 100 points by Harris) were observed in 95.2% of patients operated on using ESI implants and in 94.8% of patients - with Zimmer implants. In 10 - 14 years the indices made up 89.2 and 88.2%, respectively. Thus, the results of different implants application were comparable

Author(s):  
V. M. Prokhorenko ◽  
A. B. Slobodskoy ◽  
A. A. Mamedov ◽  
A. G. Dunaev ◽  
I. V. Voronin ◽  
...  

Analysis of short-term (5 - 8 years) and mid-term (10 - 14 years) results of primary total hip replacement using cemented and uncemented fixation implants of foreign (Zimmer) and home (Endoservice) serial production. The study was based on the results of 2620 surgical interventions (2911 operations, out of them 1512 - with ESI, 1399 - with Zimmer implants) performed in two independent clinics. Revision intervention due to aseptic loosening of implant components was required in 62 (ESI) and 66 (Zimmer) cases and the terms of that complication development were practically the same. In 5 to 8 years after operation excellent, good and satisfactory results (70 - 100 points by Harris) were observed in 95.2% of patients operated on using ESI implants and in 94.8% of patients - with Zimmer implants. In 10 - 14 years the indices made up 89.2 and 88.2%, respectively. Thus, the results of different implants application were comparable


2005 ◽  
Vol 34 (4) ◽  
pp. 345-352 ◽  
Author(s):  
Juri Ota ◽  
James L. Cook ◽  
Daniel D. Lewis ◽  
James L. Tomlinson ◽  
Derek B. Fox ◽  
...  

2006 ◽  
Vol 19 (03) ◽  
pp. 172-179 ◽  
Author(s):  
R. S. Gilley ◽  
F. S. Shofer ◽  
A. S. Kapatkin ◽  
M. S. Bergh

SummaryCemented total hip replacement (cTHR) is commonly performed to treat intractable coxofemoral pain in dogs. While owners generally perceive a good outcome after the procedure, the longevity of the implant may be limited by complications such as infection and aseptic loosening. The objective of this retrospective study was to identify the prevalence of complications and radiographic changes following cTHR, and to identify factors that may predispose to a need for revision surgery. Medical records and radiographs from 97 dogs that underwent cTHR were evaluated for signalment, preoperative degree of osteoarthritis, technical errors, intra-operative culture results, and the post-operative radiographic appearance of the implant. The complications occurring in the intra-operative and short-term (<eight week) periods, and the radiographic appearance of the implant in the long-term (>eight week) time period were recorded. Mean (±SD) follow-up time was 1.1 ± 1.6 years (range: 0–7.7 years). Seven dogs had a short-term complication and a revision surgery was performed in eleven dogs. Osseous or cement changes were radiographically detectable in the majority of cTHR. Eccentric positioning of the femoral stem and the presence of radiolucent lines at the femoral cement-bone interface were positively associated with the occurrence of revision surgery. The clinical significance of the periprosthetic radiographic changes is unclear and further investigation is warranted.


Author(s):  
Renée Huggard ◽  
Grace Wicks ◽  
Gordon Corfield

Abstract Objective The aim of this study was to assess the short-term clinical outcome in dogs following a hip hemi-arthroplasty for the treatment of primary pathological disorders of the hip and as a salvage procedure following failure of the cup component of a total hip replacement. Materials and Methods Medical records of dogs that had a unilateral hip hemi-arthroplasty performed between 2015 and 2020 were reviewed. Data collected included follow-up orthopaedic examinations performed at 0, 2, 8 and 52 weeks postoperatively, pelvic radiography at 0, 8 and 52 weeks postoperatively and an owner questionnaire (Helsinki chronic pain index [HCPI]). Results Eleven unilateral hip hemi-arthroplasty procedures were identified. The median age at time of surgery was 3.6 years (8 months–10 years) and the median follow-up time was 13 months (range: 2 months–3 years). The HCPI for all dogs at follow-up was median 8 ± 7.30 (range: 5–25). Total HCPI was < 12 for 7/10 dogs and ≥ 12 for 3 dogs. Pelvic radiographs at 1 year confirmed osteointergration of the femoral stem implant and no evidence of implant subsidence or progression of osteoarthritis. However, there was some evidence of mild lucency of the acetabular bed around the prosthetic femoral head and mild peri-acetabular sclerosis in four cases. Conclusion Hip hemi-arthroplasty provides a clinically acceptable treatment for disabling disease of the coxofemoral joint with 10/11 patients achieving acceptable short-term clinical function. Long-term assessment of the hip hemi-arthroplasty and comparison with total hip replacement is indicated.


2011 ◽  
Vol 97 (3) ◽  
pp. 247-249 ◽  
Author(s):  
Ravindra Gudena ◽  
Suma Kuna ◽  
Nikhil Pradhan

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