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Wiener klinische Wochenschrift

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01.05.2015 | original article

Migration characteristics and early clinical results of the NANOS^® short-stem hip arthroplasty

verfasst von: Martin Kaipel, MD, Phillip Grabowiecki, MD, Katrina Sinz, MSc, Sebastian Farr, MD, Günter Sinz, MD

Erschienen in: Wiener klinische Wochenschrift | Ausgabe 9-10/2015

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Summary

Background

Femoral short stems promise essential advantages in total hip arthroplasty. Up to now, only short- and midterm clinical studies exist. Data on early stem migration that could predict later aseptic loosening at an early stage are rare. The purpose of this study was to assess migration patterns and clinical outcome 2 years after hip replacement by a metaphyseal anchored cementless short stem.

Methods

Migration data and clinical results were prospectively assessed in 49 patients. Clinical outcome was measured using the Harris Hip Score (HHS). Migration analyses were performed using the computer-assisted Einzel-Bild-Roentgen-Analyse (EBRA) system.

Results

At 2 years after surgery, none of the implants needed revision, and HHS increased from 47.9 up to 98.1. Of 49 patients, 5 (10 %) showed increased vertical stem migration (1.5 mm/2a) that might predict late aseptic loosening. Of 49 stems, 44 (90 %) showed stable migration patterns indicating a beneficial long-term outcome.

Conclusions

Results of this study confirm the excellent clinical data of previous works. Migration patterns strongly suggest that short-stem arthroplasty is not only an innovative but also a reliable strategy in total hip replacement.

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Titel: Migration characteristics and early clinical results of the NANOS® short-stem hip arthroplasty
verfasst von: Martin Kaipel, MD
Phillip Grabowiecki, MD
Katrina Sinz, MSc
Sebastian Farr, MD
Günter Sinz, MD
Publikationsdatum: 01.05.2015
Verlag: Springer Vienna
Erschienen in: Wiener klinische Wochenschrift / Ausgabe 9-10/2015
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI: https://doi.org/10.1007/s00508-015-0756-0

Springer Medizin Österreich

Summary

Background

Methods

Results

Conclusions

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