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Open Access 01-12-2016 | Research article

19 years outcome after cementless total hip arthroplasty with spongy metal structured implants in patients younger than 65 years

Authors: Ludger Gerdesmeyer, Munjed Al Muderis, Hans Gollwitzer, Norbert Harrasser, Martin Stukenberg, Maria-Angela Clifford, Andreas Toepfer

Published in: BMC Musculoskeletal Disorders | Issue 1/2016

Abstract

Background

Cementless fixation of total hip arthroplasties (THAs) is often favored in young, high-demanding patients due to the conservation of valuable bone-stock and easier revision if loosening has occurred. Long-term outcome data of the spongy metal structured implant used in the present study in patients younger than 65 years are still lacking.

Methods

We conducted a retrospective chart review and functional investigation (Merle d’Aubigné score, SF-12) of patients younger than 65 years at implantation treated with a spongy metal structured THA (n = 79) from one orthopedic university center from 1985 to 1989.

Results

At a 19-year mean follow-up (range: 15.3 – 21.3 years), the overall stem survival rate was 93.7 %, and the overall cup survival rate was 82.3 %. Revision surgeries of the stem were performed in all cases for aseptic loosening at an average of 15.3 ± 3.5 years after implantation. Acetabular components were revised for aseptic loosening and recurrent dislocation after inlay revision on an average of 11.8 ± 4.7 years after implantation. No other device related complications occurred within the 19-year follow-up period. No correlation was found between time of revision and gender or age. Clinical outcome scores (Merle d’Aubigné score, SF-12) revealed excellent to good results of the implanted THAs in 87 % of patients.

Conclusions

We conclude that spongy metal structured cementless THAs implanted in young patients have an excellent survival and provide trustworthy clinical results at 19 years of follow-up.

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Title: 19 years outcome after cementless total hip arthroplasty with spongy metal structured implants in patients younger than 65 years
Authors: Ludger Gerdesmeyer
Munjed Al Muderis
Hans Gollwitzer
Norbert Harrasser
Martin Stukenberg
Maria-Angela Clifford
Andreas Toepfer
Publication date: 01-12-2016
Publisher: BioMed Central
Published in: BMC Musculoskeletal Disorders / Issue 1/2016
Electronic ISSN: 1471-2474
DOI: https://doi.org/10.1186/s12891-016-1285-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

19 years outcome after cementless total hip arthroplasty with spongy metal structured implants in patients younger than 65 years

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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