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01.04.2014 | original article | Ausgabe 7-8/2014

Wiener klinische Wochenschrift 7-8/2014

Migration characteristics and early clinical results of a novel-finned press-fit acetabular cup

Zeitschrift:
Wiener klinische Wochenschrift > Ausgabe 7-8/2014
Autoren:
MD Martin Kaipel, MD Anton Prenner, MD Sebastian Bachl, MD Sebastian Farr, MD Günter Sinz

Summary

Background

Ana Nova® is a novel-finned press-fit acetabular cup which showed superior biomechanical characteristics in an experimental set-up. Using Einzel Bild Röntgen Analyse (EBRA) measurements should offer the opportunity to predict implant survival at an early stage. The purpose of this study was to assess migration and clinical outcome 2 years after total hip replacement by a novel-finned press-fit acetabular cup.

Methods

In this study, migration and clinical results of the implant were prospectively assessed in 67 patients. Clinical outcome was assessed using the Harris hip score (HHS). Migration analyses were performed using the computer assisted EBRA system. Data were analyzed for normal distribution using the Kolmogorov–Smirnov test. Group comparisons were performed using the analysis of variance (ANOVA) test. P-values less than 0.05 were considered statistically significant.

Results

At 2 years after surgery, none of the implants needed revision and HHS increased from 39.7 up to 92.2. In contrast to the beneficial clinical outcome, 17 of 44 patients showed increased total migration ( 1 mm/2a).

Conclusions

Adverse migration data in this study might predict aseptic loosening and decreased survival of the implant. According to previous studies, it is possible that this effect occurred because of limited accuracy of the EBRA system. In our opinion, migration analyses may not be recommended as a screening tool in a 2 year follow-up.

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