View : 269 Download: 0

Does an Ultra-Short Anatomic Cementless Femoral Stem Improve Long-Term (Up to 17 Years) Results in Patients Younger Than 30 Years?

Title
Does an Ultra-Short Anatomic Cementless Femoral Stem Improve Long-Term (Up to 17 Years) Results in Patients Younger Than 30 Years?
Authors
Kim, Young-HooPark, Jang-WonJang, Young -SooKim, Eun-Jung
Ewha Authors
박장원
SCOPUS Author ID
박장원scopus
Issue Date
2022
Journal Title
JOURNAL OF ARTHROPLASTY
ISSN
0883-5403JCR Link

1532-8406JCR Link
Citation
JOURNAL OF ARTHROPLASTY vol. 37, no. 11, pp. 2225 - 2232
Keywords
ultra -shortanatomiccementlessfemoral stemyounger than 30 year old
Publisher
CHURCHILL LIVINGSTONE INC MEDICAL PUBLISHERS
Indexed
SCIE; SCOPUS WOS scopus
Document Type
Article
Abstract
Background: The purpose of this long-term (up to 17 years) follow-up study was to determine: (1) clinical results and evidence of clicking or squeaking sounds; (2) radiographic results, including rates of osseointegration, bone remodeling, and osteolysis; (3) rates of complications including thigh pain, periprosthetic fracture, and ceramic fracture; (4) rates of revision; and (5) survival rates of implants in patients younger than 30 years.Methods: We analyzed the results of 240 consecutive primary total hip arthroplasty in 180 patients (118 men and 62 women who had a mean age of 27 years (range, 21 to 30 years)). The mean follow-up was 16 years (range, 14 to 17 years).Results: Mean Harris hip score, Western Ontario and McMaster Universities score, and University of California, Los Angeles activity score were 93 points, 18 points, and 7 points, respectively, at final followup. Radiographically, all of the acetabular components and all but two femoral components were wellfixed at the final follow-up. No hip had osteolysis or exhibited Grade 3 stress shielding. All but two patients had no groin or thigh pain. No hip had a periprosthetic or ceramic fracture. Eight hips (3%) exhibited squeaking sounds. Two acetabular components and two femoral stems were revised. The survival of the acetabular and femoral component was 99.2% (95% confidence interval, 94 to 100%).Conclusion: The results of the present long-term study of ultra-short anatomic cementless femoral stems suggest excellent clinical and radiographic results in patients younger than 30 years. (c) 2022 Elsevier Inc. All rights reserved.
DOI
10.1016/j.arth.2022.06.003
Appears in Collections:
의과대학 > 의학과 > Journal papers
Files in This Item:
There are no files associated with this item.
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

BROWSE