Excellent mid-term results of a new polished tapered modular cemented stem : a study of 113 hip replacements with minimum 5-year follow-up

BACKGROUND: This prospective cohort study reports the medium-term clinical and radiographic results of 113 hips treated with a hybrid total hip replacement (THR) with a new cemented tapered cobalt-chrome (Co-Cr) stem with a titanium (Ti) modular neck (ProfemurXm®).

METHOD: Between October 2008 and December 2010 we performed 115 consecutive hybrid THR with the ProfemurXm® in 105 patients.

RESULTS: Survivorship of the implant (stem and modular neck) at a mean of 6.5 years (min 5-max 8) was 100% with the endpoint revision for any reason. No implant was at risk for revision or showed signs of loosening. The mean Harris Hip Score was 89/100, mean Oxford Hip Score was 43/48, mean WOMAC was 91/100. No patient had thigh pain, no patient reported squeaking. There were no dislocations in this cohort. No implant showed development of radiolucent lines (RLL), either at the stem-cement or cement-bone interface. No hip showed osteolysis or calcar resorption. The mean femoral subsidence of the stem within the cement mantel was 0.31 mm (range 0-0.6 mm) after 6.5 years. With the use of this modular stem, 93% of hips showed no measurable leg length difference after THR, and leg length could be restored within a 5-mm limit in 99% of hips.

CONCLUSIONS: The mid-term results of this new polished stem were excellent, without adverse effects from the use of modularity.

Medienart:

E-Artikel

Erscheinungsjahr:

2017

Erschienen:

2017

Enthalten in:

Zur Gesamtaufnahme - volume:27

Enthalten in:

Hip international : the journal of clinical and experimental research on hip pathology and therapy - 27(2017), 5 vom: 19. Sept., Seite 455-459

Sprache:

Englisch

Beteiligte Personen:

Vanbiervliet, Jens [VerfasserIn]
Somers, Jan F A [VerfasserIn]

Links:

Volltext

Themen:

Bone Cements
Journal Article

Anmerkungen:

Date Completed 19.08.2019

Date Revised 10.03.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.5301/hipint.5000486

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM269164871