| Autor: |
Traina F; 1st Department of Orthopaedic Surgery, Laboratory of Medical Technology (LTM), Istituti Ortopedici Rizzoli, Via G. Pupilli 1, 40136, Bologna, Italy. traina@tecno.ior.it, Tassinari E, Pilla F, De Fine M, Biondi F, Cristofolini L, Toni A |
| Jazyk: |
angličtina |
| Zdroj: |
International orthopaedics [Int Orthop] 2009 Dec; Vol. 33 (6), pp. 1489-94. Date of Electronic Publication: 2008 Aug 20. |
| DOI: |
10.1007/s00264-008-0645-5 |
| Abstrakt: |
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. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
|
Full text from SpringerLink