Skip to main content
Top
Published in: International Orthopaedics 4/2009

01-08-2009 | Original Paper

Progressive subsidence of a tapered, proximally coated femoral stem in total hip arthroplasty

Authors: Cale A. Jacobs, Christian P. Christensen

Published in: International Orthopaedics | Issue 4/2009

Login to get access

Abstract

The purpose of this study was to determine if subsidence of a tapered, proximally porous- and hydroxyapatite-coated femoral implant with immediate postoperative weight-bearing differed between men and women. Modified Harris Hip Pain and Function Scores were collected preoperatively, and six weeks and one year postoperatively. Femoral subsidence was determined at six weeks and one year after surgery. Men demonstrated significantly increased Harris Hip Function Scores at six weeks, with slightly inferior Harris Hip Pain Scores at one year. Regardless of sex, subsidence was greater at one year than at six weeks; however, men subsided significantly more at one year than women (1.7 ± 2.0 mm vs 1.0 ± 1.4 mm, p = 0.03). While it appears that this stem provided excellent early fixation in women, it is unclear if the increased subsidence in men was more related to patient-related factors of age, weight and activity level or with specific implant characteristics.
Literature
1.
go back to reference Adeoye S, Bozic K (2007) Direct to consumer advertising in healthcare. History, benefits, and concerns. Clin Orthop Relat Res 457:96–104PubMed Adeoye S, Bozic K (2007) Direct to consumer advertising in healthcare. History, benefits, and concerns. Clin Orthop Relat Res 457:96–104PubMed
2.
go back to reference Bottner F, Zawadsky M, Su EP, Bostrom M, Palm L, Ryd L, Sculco TP (2005) Implant migration after early weightbearing in cementless hip replacement. Clin Orthop Relat Res 436:132–137PubMedCrossRef Bottner F, Zawadsky M, Su EP, Bostrom M, Palm L, Ryd L, Sculco TP (2005) Implant migration after early weightbearing in cementless hip replacement. Clin Orthop Relat Res 436:132–137PubMedCrossRef
3.
go back to reference Chan Y, Chiu K, Yip D, Ng T, Tang W (2003) Full weight bearing after non-cemented total hip replacement is compatible with satisfactory results. Int Orthop 27:94–97PubMed Chan Y, Chiu K, Yip D, Ng T, Tang W (2003) Full weight bearing after non-cemented total hip replacement is compatible with satisfactory results. Int Orthop 27:94–97PubMed
4.
go back to reference Chandler R, Dorr L, Perry J (1982) The functional cost of dislocation following total hip arthroplasty. Clin Orthop Relat Res 168:168–172PubMed Chandler R, Dorr L, Perry J (1982) The functional cost of dislocation following total hip arthroplasty. Clin Orthop Relat Res 168:168–172PubMed
5.
go back to reference Kaptoge S, Dalzell N, Loveridge N, Beck T, Khaw K-T, Reeve J (2003) Effects of gender, anthropometric variables, and aging on the evolution of hip strength in men and women aged over 65. Bone 32:561–570PubMedCrossRef Kaptoge S, Dalzell N, Loveridge N, Beck T, Khaw K-T, Reeve J (2003) Effects of gender, anthropometric variables, and aging on the evolution of hip strength in men and women aged over 65. Bone 32:561–570PubMedCrossRef
6.
go back to reference McLaughlin J, Lee K (2000) Total hip arthroplasty in young patients. 8- to 13-year results using an uncemented stem. Clin Orthop Relat Res 373:153–163PubMedCrossRef McLaughlin J, Lee K (2000) Total hip arthroplasty in young patients. 8- to 13-year results using an uncemented stem. Clin Orthop Relat Res 373:153–163PubMedCrossRef
7.
go back to reference Nieves J, Formica C, Ruffing J, Zion M, Garrett P, Lindsay R, Cosman F (2005) Males have larger skeletal size and bone mass than females, despite comparable body size. J Bone Miner Res 20:529–535PubMedCrossRef Nieves J, Formica C, Ruffing J, Zion M, Garrett P, Lindsay R, Cosman F (2005) Males have larger skeletal size and bone mass than females, despite comparable body size. J Bone Miner Res 20:529–535PubMedCrossRef
8.
go back to reference Parvizi J, Keisu K, Hozack W, Sharkey P, Rothman R (2004) Primary total hip arthroplasty with an uncemented femoral component. A long-term study of the Taperloc stem. J Arthroplasty 19:151–156PubMedCrossRef Parvizi J, Keisu K, Hozack W, Sharkey P, Rothman R (2004) Primary total hip arthroplasty with an uncemented femoral component. A long-term study of the Taperloc stem. J Arthroplasty 19:151–156PubMedCrossRef
9.
go back to reference Potter B, Freedman B, Andersen R, Bojescul J, Kuklo T, Murphy K (2005) Correlation of Short-Form 36 and disability status with outcomes of arthroscopic acetabular labral debridement. Am J Sports Med 33:864–870PubMedCrossRef Potter B, Freedman B, Andersen R, Bojescul J, Kuklo T, Murphy K (2005) Correlation of Short-Form 36 and disability status with outcomes of arthroscopic acetabular labral debridement. Am J Sports Med 33:864–870PubMedCrossRef
10.
go back to reference Purtill J, Rothman R, Hozack W, Sharkey P (2001) Total hip arthroplasty using two different cementless tapered stems. Clin Orthop Relat Res 393:121–127PubMedCrossRef Purtill J, Rothman R, Hozack W, Sharkey P (2001) Total hip arthroplasty using two different cementless tapered stems. Clin Orthop Relat Res 393:121–127PubMedCrossRef
11.
go back to reference Rao R, Sharkey P, Hozack W, Eng K, Rothman R (1998) Immediate weightbearing after uncemented total hip arthroplasty. Clin Orthop Relat Res 349:156–162PubMedCrossRef Rao R, Sharkey P, Hozack W, Eng K, Rothman R (1998) Immediate weightbearing after uncemented total hip arthroplasty. Clin Orthop Relat Res 349:156–162PubMedCrossRef
12.
go back to reference Riggs B, Melton L III, Robb R, Camp J, Atkinson E, Peterson J, Rouleau P, McCollough C, Bouxsein M, Khosla S (2004) Population-based study of age and sex differences in bone volumetric density, size, geometry, and structure at different skeletal sites. J Bone Miner Res 19:1945–1954PubMedCrossRef Riggs B, Melton L III, Robb R, Camp J, Atkinson E, Peterson J, Rouleau P, McCollough C, Bouxsein M, Khosla S (2004) Population-based study of age and sex differences in bone volumetric density, size, geometry, and structure at different skeletal sites. J Bone Miner Res 19:1945–1954PubMedCrossRef
13.
go back to reference Sakalkale D, Eng K, Hozack W, Rothman R (1999) Minimum 10-year results of a tapered cementless hip replacement. Clin Orthop Relat Res 362:138–144PubMedCrossRef Sakalkale D, Eng K, Hozack W, Rothman R (1999) Minimum 10-year results of a tapered cementless hip replacement. Clin Orthop Relat Res 362:138–144PubMedCrossRef
14.
go back to reference Schramm M, Keck F, Hohmann D, Pitto R (2000) Total hip arthroplasty using an uncemented femoral component with taper design: outcome at 10-year follow-up. Acta Orthop Trauma Surg 120:407–412CrossRef Schramm M, Keck F, Hohmann D, Pitto R (2000) Total hip arthroplasty using an uncemented femoral component with taper design: outcome at 10-year follow-up. Acta Orthop Trauma Surg 120:407–412CrossRef
15.
go back to reference Sigurdsson G, Aspelund T, Chang M, Jonsdottir B, Sigurdsson S, Eiriksdottir G, Gudmundsson A, Harris T, Gudnason V, Lang T (2006) Increasing sex difference in bone strength in old age: The Age, Gene/Environment Susceptibility-Reykjavik study (AGES-REYKJAVIK). Bone 39:644–651PubMedCrossRef Sigurdsson G, Aspelund T, Chang M, Jonsdottir B, Sigurdsson S, Eiriksdottir G, Gudmundsson A, Harris T, Gudnason V, Lang T (2006) Increasing sex difference in bone strength in old age: The Age, Gene/Environment Susceptibility-Reykjavik study (AGES-REYKJAVIK). Bone 39:644–651PubMedCrossRef
16.
go back to reference Tanzer M, Kantor S, Rosenthal L, Bobyn J (2001) Femoral remodeling after a porous-coated total hip arthroplasty with and without hydroxyapatite-tricalcium phosphate coating: a prospective randomized trial. J Arthroplasty 16:552–558PubMedCrossRef Tanzer M, Kantor S, Rosenthal L, Bobyn J (2001) Femoral remodeling after a porous-coated total hip arthroplasty with and without hydroxyapatite-tricalcium phosphate coating: a prospective randomized trial. J Arthroplasty 16:552–558PubMedCrossRef
17.
go back to reference Woolson S, Adler N (2002) The effect of partial or full weight bearing ambulation after cementless total hip arthroplasty. J Arthroplasty 17:820–825PubMedCrossRef Woolson S, Adler N (2002) The effect of partial or full weight bearing ambulation after cementless total hip arthroplasty. J Arthroplasty 17:820–825PubMedCrossRef
Metadata
Title
Progressive subsidence of a tapered, proximally coated femoral stem in total hip arthroplasty
Authors
Cale A. Jacobs
Christian P. Christensen
Publication date
01-08-2009
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 4/2009
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-008-0583-2

Other articles of this Issue 4/2009

International Orthopaedics 4/2009 Go to the issue