The Morscher Press Fit acetabular component: a nine- to 13-year review
| Autor: | John A. Matheson, C. Wainwright, R. King, N. Garneti, David P. Gwynne-Jones |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
Male Reoperation medicine.medical_specialty Prosthesis-Related Infections medicine.medical_treatment Arthroplasty Replacement Hip Aseptic loosening Kaplan-Meier Estimate Bone grafting Prosthesis Design Medicine Humans Orthopedics and Sports Medicine Aged business.industry Acetabulum Middle Aged Confidence interval Surgery Equipment Failure Analysis Radiography Acetabular component Radiological weapon Orthopedic surgery Female Hip Joint Implant Hip Prosthesis business Follow-Up Studies |
| Zdroj: | The Journal of bone and joint surgery. British volume. 91(7) |
| ISSN: | 2044-5377 |
| Popis: | We reviewed the results at nine to 13 years of 125 total hip replacements in 113 patients using the monoblock uncemented Morscher press-fit acetabular component. The mean age at the time of operation was 56.9 years (36 to 74). The mean clinical follow-up was 11 years (9.7 to 13.5) and the mean radiological follow-up was 9.4 years (7.7 to 13.1). Three hips were revised, one immediately for instability, one for excessive wear and one for deep infection. No revisions were required for aseptic loosening. A total of eight hips (7.0%) had osteolytic lesions greater than 1 cm, in four around the acetabular component (3.5%). One required bone grafting behind a well-fixed implant. The mean wear rate was 0.11 mm/year (0.06 to 0.78) and was significantly higher in components with a steeper abduction angle. Kaplan-Meier survival curves at 13 years showed survival of 96.8% (95% confidence interval 90.2 to 99.0) for revision for any cause and of 95.7% (95% confidence interval 88.6 to 98.4) for any acetabular re-operation. |
| Databáze: | OpenAIRE |
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