Early loosening of a press-fit cup with ceramic-on-ceramic articulation: our early results
| Autor: | Daniel Haverkamp, Ritsert H. Boonstra, Harm M. van der Vis, G H Rob Albers, M. M. Campo, Stijn Westerbos |
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| Rok vydání: | 2013 |
| Předmět: |
Male
Ceramics medicine.medical_specialty genetic structures Arthroplasty Replacement Hip medicine.medical_treatment Treatment outcome Biocompatible Materials Prosthesis Design medicine Retrospective analysis Humans Prosthesis design Orthopedics and Sports Medicine Revision rate Aged Retrospective Studies Aged 80 and over Inlay business.industry Acetabulum General Medicine Middle Aged Arthroplasty Prosthesis Failure Surgery Equipment Failure Analysis Treatment Outcome Early results Orthopedic surgery Female Hip Joint Hip Prosthesis Joint Diseases business |
| Zdroj: | Archives of Orthopaedic and Trauma Surgery. 133:1757-1762 |
| ISSN: | 1434-3916 0936-8051 |
| DOI: | 10.1007/s00402-013-1861-z |
| Popis: | In this study, we present the short-term results of the Selexys TH+ cup with the Ceramys inlay which is a press-fit cup with a ceramic-on-ceramic articulation. (Mathys, Bettlach, Switzerland). We compared the results with a retrospective-matched control group with a Delta PF cup (Lima, Udine, Italy), which is also a press-fit cup with a ceramic-on-ceramic articulation. 257 elective hip arthroplasties with the Selexys TH+ cup in 250 patients placed in 2009 and 2010 were analyzed and compared with a control group retrospective analysis of the uncemented Delta PF cup (Lima, Udine, Italy) placed in 2007 and 2008 in 208 patients (222 hips). Surgical technique and surgeons were identical in both groups. During a follow-up period of 3–21 months, 19 aseptic loosenings (7.4 %) were found for the Selexys TH+ cup. The survival plotted by a Kaplan–Meier curve shows a 1-year survival of 87.4 %. The Lima Delta PF cup showed a 1-year survival of 99.5 %. Failure analysis showed no clear explanation for this early loosening. The Selexys TH+ cup combined with the Ceramys ceramic-on-ceramic inlay coupling show an unacceptable high early revision rate. Therefore, we advice against using this combination. |
| Databáze: | OpenAIRE |
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