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Published in: International Orthopaedics 6/2009

01-12-2009 | Original Paper

Outcome of hybrid stem fixation in osteoporotic female patients. A minimum five-year follow-up study

Authors: Francesco Traina, Enrico Tassinari, Federico Pilla, Marcello De Fine, Federico Biondi, Luca Cristofolini, Aldo Toni

Published in: International Orthopaedics | Issue 6/2009

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Abstract

In osteoporotic patients cemented stems are usually used to achieve a good primary stability. However, when patients are obese or active the long-term survival of cemented prostheses is questioned. In these patients, a partially-cemented stem with a hybrid fixation could be advantageous. A hybrid stem was retrospectively evaluated at a minimum follow-up of 60 months (mean, 75 months) in 58 osteoporotic women: seventeen with a body mass index (BMI) >30 (obese), 41 with a BMI between 25 and 29.9 (overweight), and an UCLA score for activity level >6. At the latest follow up, the Harris hip score improved from 33.5 points preoperatively to 81.6 points, and the WOMAC score improved significantly. Three stems (4.9%) had an asymptomatic subsidence of less than 2.5 mm; no stem was revised. These results support the use of partially-cemented stems in heavy or active osteoporotic women.
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Metadata
Title
Outcome of hybrid stem fixation in osteoporotic female patients. A minimum five-year follow-up study
Authors
Francesco Traina
Enrico Tassinari
Federico Pilla
Marcello De Fine
Federico Biondi
Luca Cristofolini
Aldo Toni
Publication date
01-12-2009
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 6/2009
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-008-0645-5

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