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International Orthopaedics
Published in: International Orthopaedics 5/2012

01-05-2012 | Original Paper

The Bicontact cementless primary total hip arthroplasty: long-term results

Authors: Girish Swamy, Alistair Pace, Conal Quah, Peter Howard

Published in: International Orthopaedics | Issue 5/2012

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Abstract

We report on a prospective series of 201 primary uncemented total hip arthroplasties with a Bicontact prosthesis at a mean follow-up of 12.9 years. The mean Harris hip score improved from 41 before surgery to 89 at final follow-up. Two femoral stems, one each for infection and fracture, and 12 cups were revised. The mean number of years to revision post-primary surgery was 8.7 years (six months to 16 years). The cumulative survival of the prosthesis was 95.42% for any cause at ten years and 93.57% at 12 years. Survivorship for aseptic loosening of the femoral stem was 100%. In our series, the Bicontact uncemented total hip arthroplasty stem without hydroxyapatite coating showed excellent survival and the cup survival was comparable to other leading series.
Literature
1.
Zwartele R, Peters A, Brouwers J, Olsthoorn P, Brand R, Doets C (2008) Long-term results of cementless primary total hip arthroplasty with a threaded cup and a tapered, rectangular titanium stem in rheumatoid arthritis and osteoarthritis. Int Orthop 32(5):581–587PubMedCrossRef
2.
Maheshwari AV, Ranawat AS, Ranawat CS (2008) The use of hydroxyapatite on press-fit tapered femoral stems. Orthopedics 31(9):882–884PubMedCrossRef
3.
McLaughlin JR, Lee KR (2008) Total hip arthroplasty with an uncemented tapered femoral component. J Bone Joint Surg Am 90(6):1290–1296PubMedCrossRef
4.
Badhe NP, Quinnell RC, Howard PW (2002) The uncemented Bi-Contact total hip arthroplasty. J Arthroplasty 17(7):896–901PubMedCrossRef
5.
Badhe S, Livesley P (2006) Early polyethylene wear and osteolysis with ABG acetabular cups (7- to 12-year follow-up). Int Orthop 30(1):31–34PubMedCrossRef
6.
Clarius M, Jung AW, Raiss P, Streit MR, Merle C, Aldinger PR (2009) Long-term results of the threaded Weill cup in primary total hip arthroplasty: a 15-20-year follow-up study. Int Orthop 2009 Jul 24. [Epub ahead of print]
7.
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 Joint Surg Am 51(4):737–755PubMed
8.
Gruen T, McNeice M, Amstutz H (1979) “Modes of failure” of cemented stem-type femoral components: a radiographic analysis of loosening. Clin Orthop Relat Res 141:17–27PubMed
9.
DeLee JG, Charnley J (1976) Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop Relat Res 121:20–32PubMed
10.
Brooker AF, Bowerman JW, Robinson RA, Riley LH (1973) Ectopic ossification following total hip replacement. Incidence and a method of classification. J Bone Joint Surg Am 55:1629–1632PubMed
11.
Altman DG (1991) Practical statistics for medical research. Chapman and Hall, London
12.
Engh CA Sr, Fenwick JA (2008) Extensively porous-coated stems: avoiding modularity. Orthopedics 31(9):911–912PubMedCrossRef
13.
Civinini R, D’Arienzo M, Innocenti M (2008) A ten-year follow-up of the Reflection cementless acetabular component. J Bone Joint Surg Br 90(5):570–573PubMedCrossRef
14.
Gabbar A, Rajan RA, Londhe S, Hyde ID (2008) Ten- to twelve-year follow-up of the Furlong hydroxyapatite-coated femoral stem and threaded acetabular cup in patients younger than 65 years. J Arthroplasty 23(3):413–417PubMedCrossRef
15.
Slack R, Tindall A, Shetty A, James KD, Rand C (2006) 15-year follow-up results of the hydroxyapatite ceramic-coated femoral stem. J Orthop Surg (Hong Kong) 14(2):151–154
16.
Kim YH, Kim JS, Cho SH (1999) Primary total hip arthroplasty with the AML total hip prosthesis. Clin Orthop Relat Res 360:147–158PubMedCrossRef
17.
Cruz-Pardos H, Garcia-Cimbreto E (2001) The Harris-Galante total hip arthroplasty: a minimum 8-year follow-up study. J Arthroplasty 16(5):586–597PubMedCrossRef
18.
Philippot R, Camilleri JP, Boyer B, Adam P, Farizon F (2009) The use of a dual-articulation acetabular cup system to prevent dislocation after primary total hip arthroplasty: analysis of 384 cases at a mean follow-up of 15 years. Int Orthop 33(4):927–932PubMedCrossRef
19.
Parvizi J, Keisu KS, Hozack WJ, Sharkey PF, Rothman RH (2004) Primary total hip arthroplasty with an uncemented femoral component: a long-term study of the Taperloc stem. J Arthroplasty 19(2):151–156PubMedCrossRef
20.
Bulow JU, Scheller G, Arnold P, Synatschke M, Jani L (1996) Follow-up (6-9 years) results of the uncemented CLS Spotorno stem. Arch Orthop Trauma Surg 115(3–4):190–194PubMedCrossRef
21.
Tonino AJ, van der Wal BC, Heyligers IC, Grimm B (2009) Bone remodeling and hydroxyapatite resorption in coated primary hip prostheses. Clin Orthop Relat Res 467(2):478–484PubMedCrossRef
22.
Lettich T, Tierney MG, Parvizi J, Sharkey PF, Rothman RH (2007) Primary total hip arthroplasty with an uncemented femoral component: two- to seven-year results. J Arthroplasty 22(7 Suppl 3):43–46PubMedCrossRef
23.
Thorey F, Lerch M, Kiel H, von Lewinski G, Stukenborg-Colsman C, Windhagen H (2007) The uncemented primary Bicontact stem in revision total hip arthroplasty in young patients. Z Orthop Unfall 145(Suppl 1):S40–S43PubMedCrossRef
24.
Nercessian OA, Wu WH, Sarkissian H (2001) Clinical and radiographic results of cementless AML total hip arthroplasty in young patients. J Arthroplasty 16(3):312–316PubMedCrossRef
25.
Kim WY, Muddu BN (2006) Eleven-year results of the ABG I hip replacement. Int Orthop 30(3):182–184PubMedCrossRef
26.
Hallan G, Lie SA, Furnes O et al (2007) Medium- and long-term performance of 11,516 uncemented primary femoral stems from the Norwegian arthroplasty register. J Bone Joint Surg Br 89:1574–1580PubMedCrossRef
Metadata
Title
The Bicontact cementless primary total hip arthroplasty: long-term results
Authors
Girish Swamy
Alistair Pace
Conal Quah
Peter Howard
Publication date
01-05-2012
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 5/2012
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-010-1123-4

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