Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 박장원 | * |
dc.date.accessioned | 2023-04-14T16:31:19Z | - |
dc.date.available | 2023-04-14T16:31:19Z | - |
dc.date.issued | 2023 | * |
dc.identifier.issn | 0883-5403 | * |
dc.identifier.other | OAK-33079 | * |
dc.identifier.uri | https://dspace.ewha.ac.kr/handle/2015.oak/264925 | - |
dc.description.abstract | Background: There are no reported results for more than 20 years of a pure proximal-loading anatomic cementless femoral stem without diaphyseal stem fixation. The purpose of this study was to evaluate the long-term (minimum 20 years) clinical results, bone remodeling, revision rate, and survivorship of these implants in patients aged less than 60 years. Methods: We included 523 patients (657 hips), including 319 men and 204 women. The mean body mass index was 26.7 (range, 23-29 kg/m2). The mean age of patients at index surgery was 55 years (range, 20-59 years). The Harris Hip Score, the Western Ontario and McMaster Universities Osteoarthritis Index, and the University of California, Los Angeles activity score were recorded preoperatively and at each follow-up. Mean follow-up was 23.5 years (range, 20-27 years). Results: The Harris Hip Score at the final follow-up was a mean 93 points (range, 70-100 points). The Western Ontario and McMaster Universities Osteoarthritis Index and University of California, Los Angeles activity scores at the final follow-up were 16 and 7.6 points, respectively. Five femoral components (0.8%) and 13 acetabular components (2.0%) were revised. All cases in the current series had grade 2 stress shielding; no hips had grade 3 or 4 stress shielding. Kaplan-Meier survivorship of the implants at 23.5 years was 98.0% (95% confidence interval 92%-100%) for the acetabular component and 99.2% (95% confidence interval 93%-100%) for the femoral component. Conclusion: A pure proximal-loading metaphyseal-fitting anatomic cementless stem with alumina-on-alumina ceramic bearing couples functioned well, with no osteolysis or mild stress-shielding at an average 23.5-year follow-up. © 2022 Elsevier Inc. | * |
dc.language | English | * |
dc.publisher | Elsevier B.V. | * |
dc.subject | anatomic cementless stem | * |
dc.subject | long-term results | * |
dc.subject | metaphyseal-fitting | * |
dc.subject | pure-proximal loading | * |
dc.subject | total hip arthroplasty | * |
dc.title | Long-Term Results (Minimum of 20 Years) of a Pure Proximal-Loading Metaphyseal-Fitting Anatomic Cementless Stem Without Distal Stem Fixation in Hip Arthroplasty | * |
dc.type | Article | * |
dc.relation.issue | 4 | * |
dc.relation.volume | 38 | * |
dc.relation.index | SCIE | * |
dc.relation.index | SCOPUS | * |
dc.relation.startpage | 743 | * |
dc.relation.lastpage | 750 | * |
dc.relation.journaltitle | Journal of Arthroplasty | * |
dc.identifier.doi | 10.1016/j.arth.2022.10.034 | * |
dc.identifier.wosid | WOS:000962381900001 | * |
dc.identifier.scopusid | 2-s2.0-85142003449 | * |
dc.author.google | Kim Y.-H. | * |
dc.author.google | Park J.-W. | * |
dc.author.google | Jang Y.-S. | * |
dc.author.google | Kim E.-J. | * |
dc.contributor.scopusid | 박장원(55645949000) | * |
dc.date.modifydate | 20240220120149 | * |