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Archives of Orthopaedic and Trauma Surgery

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01-12-2013 | Hip Arthroplasty

Early loosening of a press-fit cup with ceramic-on-ceramic articulation: our early results

Authors: Daniël Haverkamp, Stijn Westerbos, Martin M. Campo, Ritsert H. Boonstra, G. H. Rob Albers, Harm M. van der Vis

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 12/2013

Abstract

Introduction

In this study, we present the short-term results of the Selexys TH+ cup with the Ceramys inlay which is a press-fit cup with a ceramic-on-ceramic articulation. (Mathys, Bettlach, Switzerland). We compared the results with a retrospective-matched control group with a Delta PF cup (Lima, Udine, Italy), which is also a press-fit cup with a ceramic-on-ceramic articulation.

Materials and methods

257 elective hip arthroplasties with the Selexys TH+ cup in 250 patients placed in 2009 and 2010 were analyzed and compared with a control group retrospective analysis of the uncemented Delta PF cup (Lima, Udine, Italy) placed in 2007 and 2008 in 208 patients (222 hips). Surgical technique and surgeons were identical in both groups.

Results

During a follow-up period of 3–21 months, 19 aseptic loosenings (7.4 %) were found for the Selexys TH+ cup. The survival plotted by a Kaplan–Meier curve shows a 1-year survival of 87.4 %. The Lima Delta PF cup showed a 1-year survival of 99.5 %. Failure analysis showed no clear explanation for this early loosening.

Conclusion

The Selexys TH+ cup combined with the Ceramys ceramic-on-ceramic inlay coupling show an unacceptable high early revision rate. Therefore, we advice against using this combination.

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Title: Early loosening of a press-fit cup with ceramic-on-ceramic articulation: our early results
Authors: Daniël Haverkamp
Stijn Westerbos
Martin M. Campo
Ritsert H. Boonstra
G. H. Rob Albers
Harm M. van der Vis
Publication date: 01-12-2013
Publisher: Springer Berlin Heidelberg
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 12/2013
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-013-1861-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Early loosening of a press-fit cup with ceramic-on-ceramic articulation: our early results

Abstract

Introduction

Materials and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Conclusion

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