The Porous-Coated Anatomic Total Hip Prosthesis, Inserted without Cement. A Prospective Study with a Minimum Ten Years of Follow-up*

Xenos, John S.; Callaghan, John J.; Heekin, R. David; Hopkinson, William; Savory, Carlton G.; Moore, Milan S.

doi:10.2106/00004623-199901000-00011

Cited by 120 publications

(47 citation statements)

References 15 publications

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“…The prevalence of femoral osteolysis in uncemented prostheses has been reported to vary between 40% and 50% and even up to 60% in younger age groups (Engh et al 1997, Xenos et al 1999, Kawamura et al 2001, which is much higher than that found in our material.…”

Section: Discussioncontrasting

confidence: 77%

Excellent results of HA coating on a grit-blasted stem: 245 patients followed for 8-12 years

Reikerås¹,

Gunderson²

2003

Acta Orthopaedica Scandinavica

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Section: Discussioncontrasting

confidence: 77%

Excellent results of HA coating on a grit-blasted stem: 245 patients followed for 8-12 years

Reikerås¹,

Gunderson²

2003

Acta Orthopaedica Scandinavica

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“…We have not reported the revision rate for each prosthetic design. However, long-term survivorship at a minimum of 10 years has been reported for each prosthetic design selected in this study [8,10,17,22,38]. In addition, the meta-analysis of Morshed et al [27], which compared the implant survivorship between cemented and cementless fixation of the femoral component, showed no overall superiority in either mode of fixation as measured by a difference in survival rate.…”

Section: Discussionmentioning

confidence: 77%

Cementless Femoral Prostheses Cost More to Implant than Cemented Femoral Prostheses

Unnanuntana

Dimitroulias

Bolognesi

et al. 2008

Clin Orthop Relat Res

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Prosthetic cost contributes greatly to the overall expense of THA. A key question, therefore, in the selection of implant technique is whether any price difference exists between a cementless and a cemented femoral prosthesis. We evaluated the price difference between the most commonly used cemented and cementless femoral stems at three high-volume academic medical centers. Each hospital's costs for prostheses from the manufacturers were recorded. The average cost of implanting a cementless femoral prosthesis was $296 more than the average cost of implanting a cemented femoral stem, even with the additional expense of two batches of bone cement and the accessories commonly used to achieve a third-generation cementing technique. The price difference was less variable if the cost of the prostheses from only the primary implant supplier for each institution was considered. As the number of THAs performed per year continues to escalate, implantation of a cemented femoral component remains an attractive method of fixation from an economic standpoint.

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“…In other series of proximally coated femoral components, the prevalence of thigh pain has been variable [21,24]. Xenos et al, in a study of the porous-coated anatomic stem, found a peak prevalence of thigh pain, which decreased to 12% after 10 years [25]. Engh et al identified 8% thigh pain in a study of extensively coated femoral stems followed for a minimum of 10 years [7].…”

Section: Discussionmentioning

confidence: 99%

A long-term follow-up study of the cementless THA with anatomic stem/HGPII cup with 22-mm head

Nakoshi

Hasegawa

Sudo

et al. 2008

International Orthopaedics (SICOT)

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The anatomic femoral component and HarrisGalante porous II (HGPII) cup were developed to provide more reliable bone ingrowth. We performed 20 cementless total hip arthroplasties (THAs) with anatomic stem/HGPII cup with 22-mm head in 14 consecutive patients, and evaluated the clinical and radiological results for a mean follow-up of 12.8 years. The all-anatomically designed stem provided excellent clinical and radiographic results. Four acetabular components underwent revision: three for fracture of the locking mechanism and wear of the polyethylene liner and one for the locking mechanism failure with dislocation of the HGPII cup. The abduction angles of the four revised acetabular components were apparently higher. The survivorship 13 years after surgery was 78%. Our findings show good long-term results using the anatomic femoral component, while the HGPII cup combined with 22-mm head seems to have poor durability due to locking mechanism failure.

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The Porous-Coated Anatomic Total Hip Prosthesis, Inserted without Cement. A Prospective Study with a Minimum Ten Years of Follow-up*

Cited by 120 publications

References 15 publications

Excellent results of HA coating on a grit-blasted stem: 245 patients followed for 8-12 years

Excellent results of HA coating on a grit-blasted stem: 245 patients followed for 8-12 years

Cementless Femoral Prostheses Cost More to Implant than Cemented Femoral Prostheses

A long-term follow-up study of the cementless THA with anatomic stem/HGPII cup with 22-mm head

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