Hüftgelenkersatz mit der zementfreien Spiron-Schenkelhalsprothese

Lugeder, A.; Haring, Erik; Müller, A; Droste, P.; Zeichen, J.

doi:10.1007/s00064-012-0163-x

Cited by 6 publications

(7 citation statements)

References 16 publications

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“…Lugender A. (2012) [3] replaced 28 Spiron hips for 26 patients, Harris score was 55.4 before surgery, after 3 months of testing was 90.5 points.…”

Section: Surgical Resultsmentioning

confidence: 99%

“…1999, in Germany, Birkenhauer B. created a new type of short stem total hip replacement called the Spiron total hip replacement [2], which was fixed in femoral neck. In general, studies show that the introduction of the spiron short-stem has overcome difficulties and limit complications when revision hip replacement [2] [3]. However, there are some doubts about the immobilization ability and clinical outcome of short stem spiron.…”

Section: Introductionmentioning

confidence: 99%

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Studying the Initial Stability of a New Type of Hip Replacement- Spiron Short Stem

Thuan¹,

Dũng²

2021

VMJ

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Objective: we perform this study with the following objective: Studying the initial stability of a new type of hip replacement-spiron short stem. Subjects and methods: Experiments to determine the deformability, elasticity and force capacity of the femur were used for the short stem and the long stem replacement corresponds to the original femur without the prosthesis. Along with that, we were evaluated short-term results of treatment for 70 patients with 92 Spiron hips replacement in the Institute of Trauma and Orthopedic-108 Military Central Hospital, from 2012 to 2016. Results: The analysis results showed that the Spiron short stem prosthetic had a significantly smaller displacement in the mid-frost bond than the Zweymuller long stem prosthesis. Clinical research: Harris’s score was 45.2 (± 2.4) before surgery. At the final examination time Harris’s score was 91.4 (± 2.5). The rate: very good (75.0%), good (17.4%), average (3.3%), poor (4.3%). There are 02 cases early stem loosening had to stem revision surgery (2.2%). Conclusion: These results show the good initial fixed ability as well as stability when replaced by the Spiron stem.

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“…Lugender A. (2012) [3] replaced 28 Spiron hips for 26 patients, Harris score was 55.4 before surgery, after 3 months of testing was 90.5 points.…”

Section: Surgical Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Studying the Initial Stability of a New Type of Hip Replacement- Spiron Short Stem

Thuan¹,

Dũng²

2021

VMJ

View full text Add to dashboard Cite

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“…14,33-35,37 A CCD-angle less than 110° respectively 120° or greater than 150° as well as a BMI greater than 30 kg/m 2 , a manifest osteoporosis or patient´s biological age greater than 65 years are considered as contraindications for implantation. 34,37,42,50 Further parameters such as bone stock and BMD, learning curve of the surgeons and the influence of tribological bearing were not assessed in the available clinical studies.…”

Section: Discussionmentioning

confidence: 99%

Femoral neck prostheses: A systematic analysis of the literature

et al. 2019

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Primary total hip arthroplasty (THA) is one of the most successful surgical procedures. Considering the demographic change the use of new ultra-short femoral implants has gained importance especially when treating young patients. Main features are bone conservation, metaphyseal anchoring and thus reducing stress shielding by proximal load transferring. The objective of this study is to give an overview over the subject of femoral neck prostheses. A systematic review was conducted. A total number of 27 publications were taken into this systematic review. Over all, just a few follow-up, biomechanical and radiostereometric studies have been conducted in the past. Still no long-term results (>10 years of follow-up) are available. The available mid-term results indicate unsatisfactory survival rates. Aseptic loosening was the most common reason for revision. Valgus angle and good bone mineral density were considered to be crucial for primary stability of femoral neck prostheses. Register data report a very low percentage of femoral neck prostheses in THA with even more diminishing implantation rates. To conclude, further studies are necessary in order to provide evidence-based recommendations. Currently, due to the inhomogeneous and poor data a reasonable and legitimate recommendation cannot be given.

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“…We decided to use an ultra short-stem endoprosthesis in patients with a long life expectancy due to a lower probability of loosening compared to a classic endoprosthesis. SPIRON preserves Adams arch, more bone tissue and provides a lower risk of revision surgery therefore enhancing patients quality of life [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

Cementless femoral neck endoprosthesis SPIRON in men in aspects of clinical status and quality of life in an average 7-year follow-up

Stołtny

Dugiełło

Pyda

et al. 2022

BMC Musculoskelet Disord

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Background We report the clinical evaluation, quality of life and pain assessment in patients who had a femoral neck SPIRON endoprosthesis. Methods The study group consisted of 27 men in whom 35 femoral neck endoprosthesis were implanted (8 on the left side, 12 on the right side and 7 bilateral) due to idiopathic osteoarthritis of the hip (20 patients) or avascular femoral osteonecrosis (7 patients) in a mean 7-year follow-up. Results The median pre-operative Harris Hip score (HHS) was 35.5 and post-operative 98.5 (p < 0.001). The median WOMAC HIP score was pre-operatively 57 and post-operatively 0 (p < 0.001). The median SF-12 score was pre-operatively 4 and post-operatively 33 (p < 0.001). The median pain assessment in VAS scale was 7 pre-operatively and 0 post-operatively (p < 0.001). Conclusions The results of all examined patients have changed significantly in every category showing that SPIRON endoprosthesis improved their quality of life and statistically reduced pain ailments. Moreover we have proved that higher BMI (> 30) is associated with worse operation outcomes.

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Hüftgelenkersatz mit der zementfreien Spiron-Schenkelhalsprothese

Cited by 6 publications

References 16 publications

Studying the Initial Stability of a New Type of Hip Replacement- Spiron Short Stem

Studying the Initial Stability of a New Type of Hip Replacement- Spiron Short Stem

Femoral neck prostheses: A systematic analysis of the literature

Cementless femoral neck endoprosthesis SPIRON in men in aspects of clinical status and quality of life in an average 7-year follow-up

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