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A cementless hip system with a new surface for osseous integration

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Abstract

Purpose

The failure of total hip systems caused by wear-particle-induced loosening has focused interest on factors potentially affecting wear rate. Remnants of the blasting material were reported on grit-blasted surfaces for cementless fixation. These particles are believed to cause third-body wear and implant loosening. The purpose of this study was to evaluate the early clinical and radiological outcomes of a cementless hip system with a new, contamination-free, roughened surface with regard to prosthesis-related failures.

Methods

Between May 2004 and March 2009, 202 consecutive primary total hip arthroplasties (THAs) (192 patients with a mean age of 62.6 years) were performed using a cementless stem (Hipstar®) and a hemispherical acetabular cup (Trident®).

Results

At a minimum follow-up of two years, five revisions (2.5 %) due to aseptic loosening of the stem and three (1.5 %) of the cup were necessary. The cumulative rate of prostheses survival, counting revision of both components and with aseptic failure as end point, was 92.9 % at 8.8 years. Radiolucent lines up to three millimetres were evaluated in the proximal part of the femur in 61 % of cases.

Conclusions

Although the incidence of radiolucent lines was decreased, the revision rate was considerably increased compared to other uncemented hip implants with grit-blasted surfaces in the short- to mid-term follow-up of our study. Subsequent studies are needed to confirm whether these changes in implant material and surface affect the radiological and clinical outcome in the long term.

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Conflict of interest

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Authors and Affiliations

  1. Department of Orthopaedics and Orthopaedic Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria

    Richard Lass, Alexander Kolb, Gobert Skrbensky, Bernd Kubista, Alexander Giurea, Reinhard Windhager & Rainer Kotz

  2. Department of Micro-Technique and Precision Engineering, Vienna University of Technology, Floragasse 7, 1040, Vienna, Austria

    Georg Reinisch

Authors
  1. Richard Lass
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  2. Alexander Kolb
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  3. Gobert Skrbensky
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  4. Georg Reinisch
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  5. Bernd Kubista
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  6. Alexander Giurea
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  7. Reinhard Windhager
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  8. Rainer Kotz
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Correspondence to Richard Lass.

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Lass, R., Kolb, A., Skrbensky, G. et al. A cementless hip system with a new surface for osseous integration. International Orthopaedics (SICOT) 38, 703–709 (2014). https://doi.org/10.1007/s00264-013-2135-7

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  • DOI: https://doi.org/10.1007/s00264-013-2135-7

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