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 |
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Rok vydání: | 2006 |
Předmět: |
Adult
Male musculoskeletal diseases medicine.medical_specialty Osteolysis Arthroplasty Replacement Hip Prosthesis Design Cement mantle Chart review medicine Humans Metallosis Orthopedics and Sports Medicine Early failure Aged Retrospective Studies Aged 80 and over Original Paper business.industry Bone Cements Middle Aged medicine.disease Single surgeon Prosthesis Failure Surgery Orthopedic surgery Female Hip Prosthesis business Total hip arthroplasty |
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 |
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