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01-03-2011 | Original Article

Cementless total hip arthroplasty in patients with rheumatoid arthritis using a tapered designed titanium hip stem minimum: 10-year results

Authors: Hans D. Carl, Jan Ploetzner, Bernd Swoboda, Gerd Weseloh, Lutz Arne Mueller

Published in: Rheumatology International | Issue 3/2011

Abstract

The results of cementless tapered designed femoral stem were studied at a minimum 10-year follow-up in a non-selected, consecutive group of 27 patients (39 hips) with rheumatoid arthritis. Clinical and radiological analyses were performed in 27 hips, 17 patients (mean age at surgery 45 years) after a mean of 12 years. The postoperative Harris hip score was excellent for 14 hips, 9 hips were rated as good and 4 hips were fair or poor. No stem had to be revised for aseptic loosening. Proximal stress shielding was observed in 26 hips (96%); heterotopic ossification was present in 11 hips (41%). Six hips required revision of the acetabular component. With uncemented tapered femoral fixation excellent 12-year results are achieved in patients with rheumatoid arthritis.

Mahomed NN, Barrett JA, Katz JN (2003) Rates and outcomes of primary and revision total hip replacement in the United States Medicare Population. J Bone Jt Surg Am 85:27

Malchau H, Herberts P, Ahnfelt L (1993) Prognosis of total hip replacement in Sweden: follow-up of 92,675 operations performed 1978–1990. Acta Orthop Scand 64:497CrossRefPubMed

Nelissen RGHH (2003) The impact of total joint replacement in rheumatoid arthritis. Prac Res Clin Rheum 17(5):831CrossRef

Akesson K, Onsten I, Obrant KJ (1994) Periarticular bone in rheumatoid arthritis versus arthrosis. Histomorphometry in 103 hip biopsies. Acta Orthop Scand 65(2):135CrossRefPubMed

Chmell MJ, Scott RD, Thomas WH et al (1997) Total hip arthroplasty with cement for juvenile rheumatoid arthritis. Results at a minimum of ten years in patients less than thirty years old. J Bone Jt Surg Am 79(1):44

Dequeker J, Maenaut K, Verwilghen J et al (1995) Osteoporosis in rheumatoid arthritis. Clin Exp Rheumatol 13(Suppl 12):21

Eskelinen A, Paavolainen P, Helenius I et al (2006) Total hip arthroplasty for rheumatoid arthritis in younger patients: 2,557 replacements in the Finnish Arthroplasty Register followed for 0–24 years. Acta Orthop 77(6):853CrossRefPubMed

Garcia C, Fernandez J, Tonino A (1998) Rheumatoid arthritis and hydroxyapatite-coated hip prostheses: five-year results. International ABG Study Group. J Arthroplasty 13(6):660

Jana AK, Engh CA Jr, Lewandowski PJ et al (2001) Total hip arthroplasty using porous-coated femoral components in patients with rheumatoid arthritis. J Bone Jt Surg Br 83(5):686CrossRef

10.

Keisu KS, Orozco F, McCallum JD et al (2001) Cementless femoral fixation in the rheumatoid patient undergoing total hip arthroplasty: minimum 5-year results. J Arthroplasty 16(4):415CrossRefPubMed

11.

Lachiewicz PF (1994) Porous-coated total hip arthroplasty in rheumatoid arthritis. J Arthroplasty 9(1):9CrossRefPubMed

12.

Lachiewicz PF, McCaskill B, Inglis A et al (1986) Total hip arthroplasty in juvenile rheumatoid arthritis. Two to eleven-year results. J Bone Jt Surg Am 68(4):502

13.

Loehr JF, Munzinger U, Tibesku C (1999) Uncemented total hip arthroplasty in patients with rheumatoid arthritis. Clin Orthop Relat Res 366:31CrossRefPubMed

14.

Lybäck CC, Lybäck CO, Kyrö A et al (2004) Survival of Bi-Metric femoral stems in 77 total hip arthroplasties for juvenile chronic arthritis. Int Orthop 28(6):357PubMed

15.

Poss R, Maloney JP, Ewald FC et al (1984) Six- to 11-year results of total hip arthroplasty in rheumatoid arthritis. Clin Orthop Relat Res 182:109PubMed

16.

Ranawat CS, Dorr LD, Inglis AE (1980) Total hip arthroplasty in protrusio acetabuli of rheumatoid arthritis. J Bone Jt Surg Am 62(7):1059

17.

Severt R, Wood R, Cracchiolo A 3rd et al (1991) Long-term follow-up of cemented total hip arthroplasty in rheumatoid arthritis. Clin Orthop Relat Res 265:137PubMed

18.

Unger AS, Inglis AE, Ranawat CS et al (1987) Total hip arthroplasty in rheumatoid arthritis. A long-term follow-up study. J Arthroplasty 2(3):191CrossRefPubMed

19.

Thomason HC, Lachiewicz PF (2001) The influence of technique on fixation of primary total hip arthroplasty in patients with rheumatoid arthritis. J Arthroplasty 16(5):628CrossRefPubMed

20.

Charnley J (1972) The long-term results of low-friction arthroplasty of the hip performed as a primary intervention. J Bone Jt Surg Br 54:61

21.

Spotorno L, Romagnoli S, Ivaldo N et al (1993) The CLS system. Theoretical concept and results. Acta Orthop Belg 59(Suppl 1):144PubMed

22.

Bauer R, Kerschbaumer F, Poisel S et al (1979) The transgluteal approach to the hip joint. Arch Orthop Trauma Surg 1–2:47CrossRef

23.

Harris WH (1969) Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Jt Surg Am 51(4):737–755

24.

Johnston RC, Fitzgerald RH Jr, Harris WH, Poss R, Muller ME, Sledge CB (1990) Clinical and radiographic evaluation of total hip replacement. A standard system of terminology for reporting results. J Bone Jt Surg Am 72(2):161–168

25.

Engh CA, Bobyn JD, Glassman AH (1987) Porous-coated hip replacement. The factors governing bone ingrowth, stress shielding, and clinical results. J Bone Jt Surg Br 69(1):45–55

26.

Gruen TA, McNiece GM, Amstutz HC (1979) Modes of failure of cemented stem-type femoral components: a radiographic analysis of loosening. Clin Orthop Relat Res 141:17PubMed

27.

Brooker AE, Bowermann JW, Robinson RA et al (1973) Ectopic ossification following total hip replacement. Incidence and a method of classification. J Bone Jt Surg Am 55:1629

28.

Engh CA, McGovern TF, Bobyn JD et al (1992) A quantitative evaluation of periprosthetic bone-remodeling after cementless total hip arthroplasty. J Bone Jt Surg Am 74(7):1009

29.

McLaughlin JR, Lee KR (1997) Total hip arthroplasty with an uncemented femoral component. Excellent results at ten-year follow-up. J Bone Jt Surg Br 79(6):900CrossRef

30.

Sarmiento A, Ebramzadeh E, Gogan WJ et al (1990) Total hip arthroplasty with cement. A long-term radiographic analysis in patients who are older than fifty and younger than fifty years. J Bone Jt Surg Am 72(10):1470

31.

Dequeker J, Geusens P (1990) Osteoporosis and arthritis. Ann Rheum Dis 49(5):276CrossRefPubMed

32.

Sambrook PN (2000) The skeleton in rheumatoid arthritis: common mechanisms for bone erosion and osteoporosis? J Rheumatol 27(11):2541PubMed

33.

Froimson MI, Garino J, Machenaud A et al (2007) Minimum 10-year results of a tapered, titanium hydroxyapatite-coated hip stem: an independent review. J Arthroplasty 22(1):1CrossRefPubMed

34.

Reikerås O, Gunderson RB (2003) Excellent results of HA coating on a grit-blasted stem: 245 patients followed for 8–12 years. Acta Orthop Scand 74(2):140CrossRefPubMed

35.

Schramm M, Keck F, Hohmann D et al (2000) Total hip arthroplasty using an uncemented femoral component with taper design: outcome at 10-year follow-up. Arch Orthop Trauma Surg 120(7–8):407CrossRefPubMed

36.

Engh CA, Massin P (1989) Cementless total hip arthroplasty using the anatomic medullary locking stem. Results using a survivorship analysis. Clin Orthop Relat Res 249:141PubMed

37.

de Nies F, Fidler MW (1996) The Harris–Galante cementless femoral component: poor results in 57 hips followed for 3 years. Acta Orthop Scand 67(2):122CrossRefPubMed

38.

Hozack W, Gardiner R, Hearn S et al (1994) Taperloc femoral component. A 2–6-year study of the first 100 consecutive cases. J Arthroplasty 9(5):489CrossRefPubMed

39.

Pieringer H, Stuby U, Biesenbach G (2008) The place of methotrexate perioperatively in elective orthopedic surgeries in patients with rheumatoid arthritis. Clin Rheumatol 27(10):1217CrossRefPubMed

Title: Cementless total hip arthroplasty in patients with rheumatoid arthritis using a tapered designed titanium hip stem minimum: 10-year results
Authors: Hans D. Carl
Jan Ploetzner
Bernd Swoboda
Gerd Weseloh
Lutz Arne Mueller
Publication date: 01-03-2011
Publisher: Springer-Verlag
Published in: Rheumatology International / Issue 3/2011
Print ISSN: 0172-8172
Electronic ISSN: 1437-160X
DOI: https://doi.org/10.1007/s00296-009-1300-1

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