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Archives of Orthopaedic and Trauma Surgery

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01-03-2017 | Orthopaedic Surgery

Survival of uncemented cups from a single manufacturer implanted from 1985 to 2013: Finnish Arthroplasty Register data

Authors: Antton Palomäki, Lasse Lempainen, Markus Matilainen, Antti Eskelinen, Ville Remes, Petri Virolainen, Keijo T. Mäkelä

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 3/2017

Abstract

Introduction

Total hip arthroplasty (THA) with uncemented implants has been a relatively common procedure in Finland during the recent decades. The most common brand of uncemented implants was chosen for further analysis to study the survivorship of this uncemented cup design in comparison to cemented references.

Patients, materials and methods

Since 1980, The Finnish Arthroplasty Register has collected information on THAs on a national level. This study was based on information of THAs recorded in the Finnish Arthroplasty Register from 1985 to 2013. If patient had undergone bilateral THA, only the first one was included. Altogether, 49,289 THAs were included.

Results

The overall 10-year implant survivorship of uncemented implants was 84.3% (95% CI 83.5–85.0%) and of cemented implants 90.6% (90.2–90.0%). The 10-year survival of the contemporary uncemented implants was 90.8% (94.0–95.5%) and 88.5% (84.2–91.7%). The most recently introduced uncemented cup designs had good survivorship rates at 5 years; 10-year survival data are not yet available.

Conclusions

We found that modern uncemented cup designs may provide good long-term survivorship rates comparable with the gold standard of cemented cups. However, polyethylene wear, liner problems and periosthetic osteolysis may still occur, also with modern uncemented acetabular components.

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Title: Survival of uncemented cups from a single manufacturer implanted from 1985 to 2013: Finnish Arthroplasty Register data
Authors: Antton Palomäki
Lasse Lempainen
Markus Matilainen
Antti Eskelinen
Ville Remes
Petri Virolainen
Keijo T. Mäkelä
Publication date: 01-03-2017
Publisher: Springer Berlin Heidelberg
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 3/2017
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-017-2624-z

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Survival of uncemented cups from a single manufacturer implanted from 1985 to 2013: Finnish Arthroplasty Register data

Abstract

Introduction

Patients, materials and methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction

Patients, materials and methods

Results

Conclusions

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