Second-Generation Cementless Total Hip Arthroplasty

Archibeck, Michael J.; Berger, Richard A.; Jacobs, Joshua J.; Quigley, Laura; Gitelis, Steven; Rosenberg, Aaron G.; Galante, Jorge O.

doi:10.2106/00004623-200111000-00008

Cited by 165 publications

(77 citation statements)

References 21 publications

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“…Our results are similar to Kim et al [15][16][17][18] Our results are different from those of Archibeck et al and Hailer et al, which may reflect a different epidemiological pattern of disease in the Asian population as compared to the Caucasian population. [16][17][18] The Harris hip score was graded into excellent, good, fair or poor, as described by Marcheti et al 19 In our study, excellent or good results were obtained in 83.33% of the patients. Our results are consistent with those of Archibeck et al, who reported an excellent or good result in 86% of their subjects.…”

Section: Present Studysupporting

confidence: 59%

“…Our results are consistent with those of Archibeck et al, who reported an excellent or good result in 86% of their subjects. 16 The Harris hip score in our study had improved from a mean of 32.93 pre-operatively to a mean post-operative score of 88.967, at a minimum one year follow up. Pain and function account for a majority of the Harris hip score.…”

Section: Present Studymentioning

confidence: 42%

“…Kim et al 15 Archibeck et al 16 Mont et al 17 Kim et al 18 In our study of 30 patients with Osteoarthritis of hip, osteoarthritis secondary to avascular necrosis of the femoral head was the most common cause (56.67%) followed by primary osteoarthritis (33.33%).…”

Section: Studymentioning

confidence: 71%

“…Our study is compatible with the study of Archibeck et al and Kim et al in showing a male preponderance. [15][16][17][18] …”

Section: Discussionmentioning

confidence: 99%

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Evaluation of results of primary cementless total hip arthroplasty in osteoarthritis

et al. 2017

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Background: Total hip arthroplasty involves removal of diseased bone and soft tissue from both femoral and acetabular side and replacing it with mechanical components. It is one of the most successful surgical procedures. It relieves pain and functional disability experienced by patients with moderate to severe osteoarthritis of the hip, improving their quality of life. The success of THA is its ability to relieve the pain, while maintaining both mobility and stability of the joint. The purpose of this study was to evaluate the results of primary cementless total hip arthroplasty in patients with hip osteoarthritis.Methods: This study was done in a tertiary care teaching hospital. Thirty patients with hip osteoarthritis who were treated with cementless total hip arthroplasty were included in the study. This was a prospective study with a minimum of 12 months follow up (maximum of 25 months). The patients’ pre-operative and post-operative pain and functional status was compared using Harris hip score.Results: Excellent or good pain relief and function was obtained in 83.33% of cases. The mean total pre-operative Harris Hip Score was 32.93 which improved to 88.967 post-operatively. There was a statistically significant improvement in all parameters except absence of deformity. The most common complication was persistent anterior thigh pain that occurred in two patients.Conclusions: Our study suggests that the current generation of cementless implants provide satisfactory clinical and radiographic outcomes. Though the study was not free of complications, the overall clinical and radiological outcome showed encouraging results.

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Section: Present Studysupporting

confidence: 59%

Section: Present Studymentioning

confidence: 42%

Section: Studymentioning

confidence: 71%

“…Our study is compatible with the study of Archibeck et al and Kim et al in showing a male preponderance. [15][16][17][18] …”

Section: Discussionmentioning

confidence: 99%

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Evaluation of results of primary cementless total hip arthroplasty in osteoarthritis

et al. 2017

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“…Second-generation cementless femoral components were designed to provide more reliable in-growth and to limit distal osteolysis by incorporating circumferential proximal in-growth surfaces. The use of second-generation cementless femoral components has shown excellent results at both short-and intermediate-term follow-up intervals [1]. To our knowledge, there has been only one other report in the literature concerning the outcome of cementless THA in patients No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.…”

Section: Introductionmentioning

confidence: 98%

Survival of Bi-Metric femoral stems in 77 total hip arthroplasties for juvenile chronic arthritis

Lybäck¹,

Lybäck²,

Kyrö³

et al. 2004

International Orthopaedics (SICOT)

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The survival of 77 cementless total hip arthroplasties using a Bi-Metric femoral stem and two types of acetabular components was analysed in 55 patients with juvenile chronic arthritis. The patients were treated between 1986 and 1996. Their mean age was 8.0 years at the onset of the disease and 28.1 years at the time of surgery. The mean follow-up period was 9.6 years. Follow-up evaluations were conducted 3 months and 1, 4, 8, 12 and 16 years post-operatively. The endpoints of survival analysis were revision surgery, death of the patient or the end of the year 2002. The 10-year survival was 77.6% for the Romanus cup and 49.1% for the TTAP-ST cup. In contrast to these inadequate outcomes, the cementless Bi-Metric stem yielded excellent results with a survival rate of 100% for aseptic loosening during a mean follow-up period of 10 years.Résumé La survie de 77 arthroplasties de la hanche totale non cimentée qui utilise un tige fémorale Bi-Métrique et deux types de composants acétabulaires a été analysé chez 55 malades avec une arthrite chronique juvénile. Les malades ont été opérés entre 1986 et 1996. Leur âge moyen était 8.0 années au début de la maladie et 28

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Risk Factors for Early Revision After Total Hip Arthroplasty

Bozic²,

Pan

et al. 2014

Arthritis Care & Research

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Objective Revision total hip arthroplasty (THA) is associated with increased cost, morbidity, and technical challenge compared to primary THA. A better understanding of the risk factors for early revision is needed to inform strategies to optimize patient outcomes. Methods 207,256 patients who underwent primary THA between 1997–2005 in California and New York were identified from statewide databases. Unique patient identifiers were used to identify early revision THA (<10 years from index procedure). Patient characteristics (demographics, comorbidities, insurance type, preoperative diagnosis), community characteristics (education level, poverty, population density), and hospital characteristics (annual THA volume, bed size, teaching status) were evaluated using multivariable regression to determine risk factors for early revision. Results The probabilities of undergoing early aseptic revision and early septic revision were 4% and less than 1% at 5 years, respectively. Women were 29% less likely than men to undergo early septic revision (p<0.001). Patients with Medicaid and Medicare were 91% and 24%, respectively, more likely to undergo early septic revision than privately-insured patients (p=0.01; p<0.001). Hospitals performing <200 THA annually had a 34% increased risk of early aseptic revision compared to hospitals performing >400 THA annually (p<0.001). Conclusion A number of identifiable factors, including younger age, Medicaid, and low hospital volume increase the risk of undergoing early revision THA. Patient-level characteristics distinctly affect the risk of revision within 10 years, particularly if due to infection. Our findings reinforce the need for continued investigation of the predictors of early failure following THA.

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Second-Generation Cementless Total Hip Arthroplasty

Cited by 165 publications

References 21 publications

Evaluation of results of primary cementless total hip arthroplasty in osteoarthritis

Evaluation of results of primary cementless total hip arthroplasty in osteoarthritis

Survival of Bi-Metric femoral stems in 77 total hip arthroplasties for juvenile chronic arthritis

Risk Factors for Early Revision After Total Hip Arthroplasty

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