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International Orthopaedics

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01-07-2018 | Original Paper

Bone-preserving total hip arthroplasty in avascular necrosis of the hip—a matched-pairs analysis

Authors: David Merschin, Richard Häne, Mersedeh Tohidnezhad, Thomas Pufe, Wolf Drescher

Published in: International Orthopaedics | Issue 7/2018

Abstract

Purpose

Short-stem hip arthroplasty has the potential advantage of femoral bone stock preservation, especially in view of the expected revisions in the often relatively young patients. Despite short-stem hip prosthesis are increasingly used for total hip arthroplasty, there are no sufficient mid- and long-term results especially for patients with avascular femoral head osteonecrosis. The present study investigates mid-term functional results as well as the revision rate following implantation of a short-stem prosthesis.

Methods

In the period 06/2005 until 12/2013, a total of 351 short-stem hip prostheses were implanted. The study included 331 complete data sets. A retrospective analysis was performed using the Oxford Hip Score. All revisions were registered.

Results

In a total of 331 prostheses, the Oxford Hip Score was “excellent” in 66.2%, “good” in 12.7%, “fair” in 13.0%, and “poor” in 8.2% with a mean follow-up of 57.4 months (SD ± 29.8; range 24–115). In 26 cases, aseptic osteonecrosis of the hip was the indication (7.9%). The Oxford Hip Score was “excellent” in 66.7%, “good” in 0.0%, “fair” in 20.8%, and “poor" in 12.5%. The cumulated five year survival rate was 96.7%.

Conclusion

In mid-term observation, the Metha® short-stem prosthesis shows no disadvantage in functional outcome and in survival time compared to a standard hip stem. Providing a correct indication, the Metha® short stem is a valuable option in total hip arthroplasty for younger patients with avascular osteonecrosis of the femoral head. Evaluation has shown no significant differences between aseptic osteonecrosis and other indications.

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Title: Bone-preserving total hip arthroplasty in avascular necrosis of the hip—a matched-pairs analysis
Authors: David Merschin
Richard Häne
Mersedeh Tohidnezhad
Thomas Pufe
Wolf Drescher
Publication date: 01-07-2018
Publisher: Springer Berlin Heidelberg
Published in: International Orthopaedics / Issue 7/2018
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-018-3896-9

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Bone-preserving total hip arthroplasty in avascular necrosis of the hip—a matched-pairs analysis

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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