Cementless THA for the Treatment of Osteonecrosis at 10-Year Follow-Up: Have We Improved Compared to Cemented THA?
| Autor: | Alison L. Klaassen, Steve S. Liu, Richard C. Johnston, Justin J. Greiner, Nicholas A. Bedard, John J. Callaghan |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Reoperation musculoskeletal diseases medicine.medical_specialty Osteolysis WOMAC Arthroplasty Replacement Hip Prosthesis Design Activity monitoring Femur Head Necrosis Risk Factors Bearing surface medicine Humans Orthopedics and Sports Medicine business.industry 10 year follow up Bone Cements Follow up studies Cementless fixation Middle Aged musculoskeletal system equipment and supplies medicine.disease Prosthesis Failure Surgery Radiography Treatment Outcome surgical procedures operative Female Hip Prosthesis Historical control business Follow-Up Studies |
| Zdroj: | The Journal of Arthroplasty. 28:1192-1199 |
| ISSN: | 0883-5403 |
| DOI: | 10.1016/j.arth.2012.09.008 |
| Popis: | Results of cementless THA for osteonecrosis were evaluated at a minimum of 10-year follow-up and compared to our previous report of cemented THA for osteonecrosis. Eighty cementless THAs in 66 patients with osteonecrosis were followed for a minimum of 10 years. Evaluation consisted of need for revision; radiographic evidence of loosening, wear and osteolysis; activity monitoring with an accelerometer; UCLA, Tegner, WOMAC, and Harris hip scores. Results were compared to 48 cemented THAs performed for osteonecrosis with comparable follow-up. At a minimum of 10 years, 10 hips required reoperation. Loosening and revision for loosening were significantly lower in the cementless group compared to the cemented historical control. Cementless fixation in THAs for osteonecrosis demonstrated durable results with bearing surface wear being the major long-term problem. |
| Databáze: | OpenAIRE |
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