Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2020

Open Access 01-12-2020 | Arthritis | Research article

Results of 198 primary total hip arthroplasties using the Delta PF-FIT system with ceramic-on-ceramic articulating surfaces with average seven years follow up

Authors: Petr Fulin, David Pokorny, Jan Hert, Antonin Sosna

Published in: BMC Musculoskeletal Disorders | Issue 1/2020

Login to get access

Abstract

Background

The lifetime implants is a key parameter that the surgeon should take into account at the time of the primary total hip arthroplasty (THA). The aim of this study was a clinical and radiographical evaluation of the Delta PF-FIT (LimaCorporate, Italy) THA system with ceramic-on-ceramic articulations. We have not found a clinical or radiographical assessment of this implant in available published literature.

Methods

A total of 197 (F = 94, M = 103) primary THAs were evaluated in 163 patients with a mean follow-up of 7.7 years (range 5.1–11.2 years (SD ± 1.5)) Harris hip Score (HHS) and the Western Ontario and McMaster Universities Arthritis index (WOMAC) were used for the clinical evaluation. The statistical evaluation was processed by standard statistical methods. The study was approved by Ethic Committee of the University Hospital Motol (Reference No. EK-73/19).

Results

The mean HHS score was found to be 97.59 points (61–100 range with a ± 5.13 SD, preoperative HSS was 51.21, range 28–73 with a ± 4,77 SD). 186 THAs were evaluated as excellent (90–100 points), 9 THAs rated as good (80–89 points), 1 THA was rated as fair (70–79) points and 1 THA rated as poor (less than 70 points). The mean WOMAC score was 97.38 points (65–100 range with a ± 5.18 SD, preoperative was 50,12, range 27–69 with a ± 4.85 SD). We documented an overall 99.49% Kaplan-Meier survival with a mean follow-up of 7.7 years with the FIT (LimaCorporate) stem revision and any component revision as the endpoint. With the Delta PF (LimaCorporate) cup revision as the endpoint, the survival was 100%. We have not found a previously published clinical or radiographical review of this THA system, the study shows a comparison with other THA implants.

Conclusion

Evaluation of the Delta-PF-FIT (LimaCorporate, Italy) THA system with the use of ceramic-on-ceramic BIOLOX®Delta articulation surfaces shows very good outcomes.
Literature
1.
2.
3.
Harris WH. 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 Joint Surg Am. 1969;51(4):737–55.CrossRef
4.
Klassbo M, Larsson E, Mannevik E. Hip disability and osteoarthritis outcome score. An extension of the Western Ontario and McMaster universities osteoarthritis index. Scand J Rheumatol. 2003;32(1):46–51.CrossRef
5.
Brooker AF, Bowerman JW, Robinson RA, Riley LH Jr. Ectopic ossification following total hip replacement. Incidence and a method of classification. J Bone Joint Surg Am. 1973;55:1629–32.CrossRef
6.
Haverkamp D, Westerbos S, Campo MM, Boonstra RH, Rob Albers GH, van der Vis HM. Early loosening of a press-fit cup with ceramic-on-ceramic articulation: our early results. Arch Orthop Trauma Surg. 2013;133(12):1757–62.CrossRef
7.
Ilchmann T, Pannhorst C, Abächerli C, Clauss M. Early failure of a spherical pressfit cup. Annual meeting of the Swiss Society of Orthopaedics and Traumatology. 2010, St Gallen.
8.
Benazzo F, Rossi SM, Cecconi D, Piovani L, Ravasi F. Mid-term results of an uncemented femoral stem with modular neck options. Hip Int. 2010;20(4):427–33.CrossRef
9.
Acklin YP, Jenni R, Bereiter H, Thalmann C, Stoffel K. Prospective clinical and radiostereometric analysis of the Fitmore short-stem total hip arthroplasty. Arch Orthop Trauma Surg. 2016;136(2):277–84.CrossRef
10.
Iori S, Viganò R. Good mid- to long-term THA outcomes with a modified cementless rectangular biconical stem design. Hip Int. 2016;26(4):380–5.CrossRef
11.
Zweymüller KA, Steindl M, Schwarzinger U. Good stability and minimal osteolysis with a biconical threaded cup at 10 years. Clin Orthop Relat Res. 2007;463(463):128–37.PubMed
12.
Delaunay C, Kapandji AI. Survival analysis of cementless gritblasted titanium total hip arthroplasties. J Bone Joint Surg Br. 2001;83(3):408–13.CrossRef
13.
Suckel A, Geiger F, Kinzl L, Wulker N, Garbrecht M. Long-term results for the uncemented Zweymuller/Alloclassic hip endoprosthesis. A 15-year minimum follow-up of 320 hip operations. J Arthroplast. 2009;24(6):846–53.CrossRef
14.
Grübl A, Chiari C, Giurea A, et al. Cementless total hip arthroplasty with the rectangular titanium Zweymuller stem. A concise follow-up, at a minimum of fifteen years, of a previous report. J Bone Joint Surg Am. 2006;88(10):2210–5.PubMed
15.
Vervest TM, Anderson PG, Van Hout F, Wapstra FH, Louwerse RT, Koetsier JW. Ten to twelve-year results with the Zweymüller cementless total hip prosthesis. J Arthroplast. 2005;20(3):362–8.CrossRef
16.
Garcia-Cimbrelo E, Cruz-Pardos A, Madero R, Ortega-Andreu M. Total hip arthroplasty with use of the cementless Zweymuller Alloclassic system. A ten to thirteen-year follow-up study. J Bone Joint Surg Am. 2003;85-A(2):296–303.CrossRef
17.
Pieringer H, Auersperg V, Griessler W, Böhler N. Long-term results with the cementless Alloclassic brand hip arthroplasty system. J Arthroplast. 2003;18(3):321–8.CrossRef
18.
Perka C, Fischer U, Taylor WR, Matziolis G. Developmental hip dysplasia treated with total hip arthroplasty with a straight stem and a threaded cup. J Bone Joint Surg Am. 2004;86-A(2):312–9.CrossRef
19.
20.
Korovessis P, Repantis T, Zafiropoulos A. High medium-term survivorship and durability of Zweymüller-plus total hip arthroplasty. Arch Orthop Trauma Surg. 2011;131(5):603–11.CrossRef
21.
Vidalain JP. Twenty-year results of the cementless Corail stem. Int Orthop. 2011;35(2):189–94.CrossRef
22.
Wangen H, Nordsletten L, Boldt JG, Fenstad AM, Beverland DE. The Corail stem as a reverse hybrid - survivorship and x-ray analysis at 10 years. Hip Int. 2017;27(4):354–60.CrossRef
23.
Ottink K, Barnaart L, Westerbeek R, van Kampen K, Bulstra S, van Jonbergen HP. Survival, clinical and radiological outcome of the Zweymüller SL/Bicon-plus total hip arthroplasty: a 15-year follow-up study. Hip Int. 2015;25(3):204–8.CrossRef
24.
Choy WS, Cha YH, Jeon CY, Lee KS, Kim HY. A minimum ten years of follow-up of alumina head on Delta liner Total hip Arthroplasty. J Arthroplast. 2018;33(2):470–6.CrossRef
25.
White PB, Ramkumar PN, Meftah M, Ghazi N, Ranawat AS, Ranawat CS. Incidence of heterotopic ossification following a multinodal pain protocol in total hip arthroplasty with the posterior approach. Orthopaedics. 2018;41(1):92–7.CrossRef
26.
Kantak AP, Shah NN. Extensive surgical wound lavage reduces the incidence and severity of heterotopic ossification in primary total hip replacement: a study of 175 hip replacements. Hip and Pelvis. 2017;29(4):234–9.CrossRef
Metadata
Title
Results of 198 primary total hip arthroplasties using the Delta PF-FIT system with ceramic-on-ceramic articulating surfaces with average seven years follow up
Authors
Petr Fulin
David Pokorny
Jan Hert
Antonin Sosna
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2020
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-020-03253-x

Other articles of this Issue 1/2020

BMC Musculoskeletal Disorders 1/2020 Go to the issue

Research article

Carpal tunnel surgery: predictors of clinical outcomes and patients’ satisfaction

Research article

Comparison of radiological and clinical outcomes, complications, and implant removals in anatomically pre-contoured clavicle plates versus reconstruction plates – a propensity score matched retrospective cohort study of 106 patients

Research article

Musculoskeletal disorders and their associations with health- and work-related factors: a cross-sectional comparison between Swedish air force personnel and army soldiers

Research article

The Brazilian Portuguese version of the Exercise Adherence Rating Scale (EARS-Br) showed acceptable reliability, validity and responsiveness in chronic low back pain

Research article

Nobody says to you “come back in six months and we’ll see how you’re doing”: a qualitative interview study exploring young adults’ experiences of sport-related knee injury

Correction

Correction to: Effects of short- and long-term glucocorticoid-induced osteoporosis on plasma metabolome and lipidome of ovariectomized sheep