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01-04-2014 | Original Paper

A cementless hip system with a new surface for osseous integration

Authors: Richard Lass, Alexander Kolb, Gobert Skrbensky, Georg Reinisch, Bernd Kubista, Alexander Giurea, Reinhard Windhager, Rainer Kotz

Published in: International Orthopaedics | Issue 4/2014

Abstract

Purpose

The failure of total hip systems caused by wear-particle-induced loosening has focused interest on factors potentially affecting wear rate. Remnants of the blasting material were reported on grit-blasted surfaces for cementless fixation. These particles are believed to cause third-body wear and implant loosening. The purpose of this study was to evaluate the early clinical and radiological outcomes of a cementless hip system with a new, contamination-free, roughened surface with regard to prosthesis-related failures.

Methods

Between May 2004 and March 2009, 202 consecutive primary total hip arthroplasties (THAs) (192 patients with a mean age of 62.6 years) were performed using a cementless stem (Hipstar®) and a hemispherical acetabular cup (Trident®).

Results

At a minimum follow-up of two years, five revisions (2.5 %) due to aseptic loosening of the stem and three (1.5 %) of the cup were necessary. The cumulative rate of prostheses survival, counting revision of both components and with aseptic failure as end point, was 92.9 % at 8.8 years. Radiolucent lines up to three millimetres were evaluated in the proximal part of the femur in 61 % of cases.

Conclusions

Although the incidence of radiolucent lines was decreased, the revision rate was considerably increased compared to other uncemented hip implants with grit-blasted surfaces in the short- to mid-term follow-up of our study. Subsequent studies are needed to confirm whether these changes in implant material and surface affect the radiological and clinical outcome in the long term.

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Title: A cementless hip system with a new surface for osseous integration
Authors: Richard Lass
Alexander Kolb
Gobert Skrbensky
Georg Reinisch
Bernd Kubista
Alexander Giurea
Reinhard Windhager
Rainer Kotz
Publication date: 01-04-2014
Publisher: Springer Berlin Heidelberg
Published in: International Orthopaedics / Issue 4/2014
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-013-2135-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

A cementless hip system with a new surface for osseous integration

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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