A 28-year clinical and radiological follow-up of alumina ceramic-on-crosslinked polyethylene total hip arthroplasty
Autor: | A. Rajpura, L. Dabbs, B. M. Wroblewski, Paul D. Siney, Tim N. Board, Samantha P. Williams, H. Wynn Jones |
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Rok vydání: | 2017 |
Předmět: |
Adult
Male musculoskeletal diseases medicine.medical_specialty Osteolysis Arthroplasty Replacement Hip Radiography medicine.medical_treatment Dentistry Prosthesis Design 03 medical and health sciences Femoral head chemistry.chemical_compound Postoperative Complications 0302 clinical medicine Aluminum Oxide medicine Humans Orthopedics and Sports Medicine Prospective Studies 030212 general & internal medicine 030222 orthopedics business.industry Acetabulum Middle Aged Polyethylene equipment and supplies medicine.disease Arthroplasty Prosthesis Failure Surgery medicine.anatomical_structure Acetabular component chemistry Radiological weapon Alumina ceramic Female Hip Prosthesis business Follow-Up Studies Forecasting |
Zdroj: | The Bone & Joint Journal. :1286-1289 |
ISSN: | 2049-4408 2049-4394 |
Popis: | AimsOur aim in this study was to describe a continuing review of 11 total hip arthroplasties using 22.225 mm Alumina ceramic femoral heads on a Charnley flanged femoral component, articulating against a silane crosslinked polyethylene.Patients and MethodsNine patients (11 THAs) were reviewed at a mean of 27.5 years (26 to 28) post-operatively. Outcome was assessed using the d’Aubigne and Postel, and Charnley scores and penetration was recorded on radiographs. In addition, the oxidation of a 29-year-old shelf-aged acetabular component was analysed.ResultsThe mean clinical outcome scores remained excellent at final follow-up. The mean total penetration remained 0.41 mm (0.40 to 0.41). There was no radiographic evidence of acetabular or femoral loosening or osteolysis. There was negligible oxidation in the shelf-aged sample despite gamma irradiation and storage in air.ConclusionThese results highlight the long-term stability and durability of this type of crosslinked, antioxidant containing polyethylene when used in combination with a small diameter alumina ceramic femoral head. Cite this article: Bone Joint J 2017;99-B:1286–9. |
Databáze: | OpenAIRE |
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