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Orthopädie 12. Juni 2015

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

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.

Martin Kaipel, Phillip Grabowiecki, Katrina Sinz, Sebastian Farr, Günter Sinz, Wiener klinische Wochenschrift 9/10/2015

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