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International Orthopaedics
Published in: International Orthopaedics 5/2009

01-10-2009 | Original Paper

Clinical and biological assessment of cemented titanium femoral stems: an 11-year experience

Authors: Patrick Boyer, Jean-Yves Lazennec, Joel Poupon, Marc-Antoine Rousseau, Philippe Ravaud, Yves Catonné

Published in: International Orthopaedics | Issue 5/2009

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Abstract

This study prospectively assessed the outcome of 134 cemented titanium stems and serum ion levels. The stems were polished (0.1 μm Ra) with circular cross section. At the end point, only one stem revision was performed for aseptic loosening, and two were planned due to subsidence greater than 5 mm. Non-progressive radiolucencies in zones 1 and 7 were observed in 16 hips at the cement-bone interface without osteolysis. Median serum titanium concentrations were below the detection limit (30 nmol/l) except in patients with failed stems. The overall stem survival rate was 97.7% at nine years, which is comparable to other series of cemented stems. The protective layer of titanium oxide coating the stem and a thick cement mantle may help resist aseptic loosening. In addition, satisfactory monitoring of the stem was reached using titanium serum level determination.
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Metadata
Title
Clinical and biological assessment of cemented titanium femoral stems: an 11-year experience
Authors
Patrick Boyer
Jean-Yves Lazennec
Joel Poupon
Marc-Antoine Rousseau
Philippe Ravaud
Yves Catonné
Publication date
01-10-2009
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 5/2009
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-008-0678-9

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