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Published in: Journal of Orthopaedics and Traumatology 1/2012

Open Access 01-03-2012 | Original Article

Long-term results of 32-mm alumina-on-alumina THA for avascular necrosis of the femoral head

Authors: Giuseppe Solarino, Andrea Piazzolla, Angela Notarnicola, Lorenzo Moretti, Silvio Tafuri, Silvana De Giorgi, Biagio Moretti

Published in: Journal of Orthopaedics and Traumatology | Issue 1/2012

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Abstract

Background

Ceramic bearings in total hip arthroplasty (THA) have been introduced in clinical practice to minimize the problem of polyethylene particle–induced osteolysis. The aim of the study is to report the results of 68 consecutive alumina-on-alumina THAs done in 61 patients for avascular necrosis (AVN) of the femoral head.

Materials and methods

In all implants a press-fit cup was used; it was combined with a 32-mm alumina head and with titanium-alloy stems. The mean age at surgery was 50 years. At an average follow-up of 13 years two hips have been revised, one for periprosthetic infection and one for excessive abduction of the cup.

Results

No revision for aseptic loosening is recorded; one anatomical cementless femoral stem had radiological evidence of definite aseptic loosening. No dislocations occurred, and no osteolysis was observed.

Conclusions

The results support the application of alumina-alumina THA for long-lasting replacements.
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Metadata
Title
Long-term results of 32-mm alumina-on-alumina THA for avascular necrosis of the femoral head
Authors
Giuseppe Solarino
Andrea Piazzolla
Angela Notarnicola
Lorenzo Moretti
Silvio Tafuri
Silvana De Giorgi
Biagio Moretti
Publication date
01-03-2012
Publisher
Springer International Publishing
Published in
Journal of Orthopaedics and Traumatology / Issue 1/2012
Print ISSN: 1590-9921
Electronic ISSN: 1590-9999
DOI
https://doi.org/10.1007/s10195-011-0174-7

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Acknowledgement to Referees (Addendum)

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