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Clinical Orthopaedics and Related Research®
Published in: Clinical Orthopaedics and Related Research® 3/2010

01-03-2010 | Clinical Research

Association of Osteonecrosis and Failure of Hip Resurfacing Arthroplasty

Authors: Jozef Zustin, MD, Guido Sauter, MD, M. Michael Morlock, MD, Wolfgang Rüther, MD, Michael Amling, MD

Published in: Clinical Orthopaedics and Related Research® | Issue 3/2010

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Abstract

Osteonecrosis (ON) has been reported in femoral remnants removed after failure of hip resurfacing arthroplasty. Experimental and clinical studies have further described thermal effects of the cementation technique, damage of extraosseous blood vessels, and intraoperative hypoxemia as possible causative factors. We analyzed histologically a series of 123 retrieved specimens with a preoperative diagnosis other than ON to investigate the incidence and extent of advanced ON. ON was found in 88% of cases and associated with 60% (51 of a total of 85) of periprosthetic fractures. The fracture incidence correlated with the extent of ON. Collapse of necrotic tissue in three (2%) cases resulted in disconnection of the bone stock-femoral component. We observed smaller regions of superficial ON in the majority of the remaining femoral remnants with periprosthetic fractures and in hips that failed for reasons other than fracture.
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Metadata
Title
Association of Osteonecrosis and Failure of Hip Resurfacing Arthroplasty
Authors
Jozef Zustin, MD
Guido Sauter, MD
M. Michael Morlock, MD
Wolfgang Rüther, MD
Michael Amling, MD
Publication date
01-03-2010
Publisher
Springer-Verlag
Published in
Clinical Orthopaedics and Related Research® / Issue 3/2010
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-009-0979-3

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