High failure rate of a modern, proximally roughened, cemented stem for total hip arthroplasty

Autor: Paul M. Pellicci, P. Bullough, A. Grose, I. Tomek, Stephen Lyman, A. Gonziilez Della Valle
Rok vydání: 2006
Předmět:
Zdroj: International Orthopaedics. 30:243-247
ISSN: 1432-5195
0341-2695
DOI: 10.1007/s00264-005-0066-7
Popis: The role of surface finish on the survivorship of cemented femoral stems continues to be debated. A total of 34 proximally roughened cemented stems were implanted in 33 consecutive patients undergoing total hip arthroplasty by a single surgeon. An alarmingly high failure rate was observed, prompting a retrospective chart review, analysis of radiographs, and evaluation of retrieved stems and pathological specimens. Nineteen patients were available with more than two years follow-up. Of these 19 patients, nine stems had failed (47%) due to severe osteolysis and stem loosening. Failures were significantly more common in the male gender (p
Databáze: OpenAIRE