comparative analysis of long-term results of cemented stems cpt and libinus classic plus use in primary total hip arthroplasty



Cite item

Full Text

Abstract

Comparative analysis of the results of cemented stems use of two different designs - calcarless polished tapered stem (CPT) and anatomical mat stem with calcar Lubinus Classic Plus was performed. From April 1997 to December 2004 106 CPT (Zimmer) stems implanted to 96 patients and 72 stems Lubinus Clаssic Plus (W.Link) to 64 patients. The mean follow-up period for CPT stems in 70 patients (81 hips) was from 5 to 12 years (8,0±2,2) and for Lubinus Clаssic Plus stems in 44 patients (48 hips) was 6-12 years 99,8±1,4). Multifactoral study proved the high clinical efficiency of both stems use. But the detailed study of the radiological and clinical characteristics allowed to reveal the structural features of devices, typical changes of cement mantle and variants of bone stock adaptive reaction.

About the authors

R M Tikhilov

ФГУ «Российский научно-исследовательский институт травматологии и ортопедии им. Р.Р. Вредена Росмедтехнологий»

ФГУ «Российский научно-исследовательский институт травматологии и ортопедии им. Р.Р. Вредена Росмедтехнологий»

V M Shapovalov

Военно-медицинская Академия им. С.М. Кирова

Военно-медицинская Академия им. С.М. Кирова

I I Shubnyakov

ФГУ «Российский научно-исследовательский институт травматологии и ортопедии им. Р.Р. Вредена Росмедтехнологий»

ФГУ «Российский научно-исследовательский институт травматологии и ортопедии им. Р.Р. Вредена Росмедтехнологий»

V A Artyukh

Военно-медицинская Академия им. С.М. Кирова

Email: artyukhva@mail.ru
Военно-медицинская Академия им. С.М. Кирова

References

  1. Тихилов, Р.М. Конструктивные особенности различных компонентов эндопротеза тазобедренного сустава / Р.М. Тихилов // Руководство по эндопротезированию тазобедренного сустава / под ред. Р.М. Тихилова, В.М. Шаповалова. - СПб., 2008. - Гл. 4. - С. 54-117.
  2. Alfaro-Adrian, J. Should total hip arthroplasty femoral components be designed to subside: a radiostereometric analysis study of the Charley Elite and Exeter stems / J. Alfaro-Adrian, H.S. Gill, D.W. Murray // J. Arthroplasty. - 2001. - Vol. 16. - Р. 598-606.
  3. Anthony, P. Localised endosteal bone lysis in relation to the femoral components of cemented total hip arthroplasties / P.P. A Anthony, G.A. Gie, C.R. Howie, R.S. Ling // J. Bone Joint Surg. - 1990. - Vol.72-B, N 5. - P. 971-979.
  4. Barnett, E. The radiological diagnosis of osteoporosis: a new approach / E. Barnett, B.E. Nordin // Clin. Radiol. - 1960. - Vol. 11. - P. 166-174.
  5. Barrack, R. Improved cementing techniques and femoral component loosening in young patients with hip arthroplasty / R.L. Barrack, R.D. Mulroy, W.H. Harris // J. Bone Joint Surg. - 1992. - Vol.74-B, N 3. - P. 385-389.
  6. Breusch, S. Dependency of cement mantle thickness on femoral stem design and centralizer / S.J. Breusch [et al.] // J. Arthroplasty. - 2001. - Vol. 16. - Р. 648-657.
  7. Brooker, A.F. Ectopic ossification following total hip replacement. Incidence and a method of classification / A.F. Brooker, J.W. Bowerman, R.A. Robinson, L.H. Riley // J. Bone Joint Surg. - 1973. - Vol.55-A, N 8. - P. 1629-1632.
  8. Carlsson, A. A large collar increases neck resorption in total hip replacement / A.S. Carlsson, J. Rydberg, R. Onnerfalt // Acta Orthop. Scand. - 1995. - Vol. 66. - Р. 339-343.
  9. Crawford, R. Fluid flow around model femoral components of differing surface finishes: in vitro investigations / R.W. Crawford, M. Evans, R.S. Ling, D.W.Murray // Acta Orthop. Scand. - 1999. - Vol. 70. - Р. 589-595.
  10. Crawford R. Cement fracture does not progress to osteolysis. / R.W. Crawford, R.S. Ling. // J. Bone Joint Surg. - 1999. - Vol.81-B, Suppl. II. - P. 163.
  11. Crowninshield R. An analysis of collar function and the use of titanium in femoral prostheses. / R.D. Crowninshield, R.A. Brand, R.C. Johnston, D.R. Pedersen // Clin. Orthop. - 1981. - N 158. - Р. 270.
  12. Crowninshield, R. An analysis of femoral prosthesis design: the effects on proximal femur loading. / R.D. Crowninshield, R.A. Brand, R.C. Johnston, D.R. Pedersen // Ninth Open Scientific Meeting of The Hip Society. - St. Louis, 1981. - Р.111.
  13. Dorr L. Structural and cellular assessment of bone quality of proximal femur / L.D. Dorr [et al.] // Bone. - 1993. - Vol.14, N 3. - Р. 231-242.
  14. Engh, C. Porous-coated hip replacement. The factors governing bone ingrowth, stress shielding and clinical results. / C.A. Engh, J.D. Bobyn, A.H. Glassman // J. Bone Joint Surg. - 1987. - Vol. 69-B, N 1. - P. 45-55.
  15. Froen, J. Ten years of the Lubinus interplanta hip prostheses / J.F. Froen, F. Lund-Larsen // Tidsskr. Nor. Laegeforen. - 1998. - Vol.118, N 18. - Р.2767-2771.
  16. Gruen, T. «Modes of failure» of cemented stem-type femoral components / T.A. Gruen, G.M. MvNaice, H.C. Amstutz // Clin. Orthop. - 1979. - N 141. - Р.17-27.
  17. Harris, W. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation / W.H. Harris // J. Bone Joint Surg. - 1969. - Vol. 51-А, N 2. - P. 737-755.
  18. Harris, W. Femoral component loosening using contemporary techniques of femoral cement fixation / W.H. Harris, J.C. McCarthy, D.A. O´Neill // J. Bone Joint Surg. - 1982. - Vol. 74-B, N 3. - P. 385-389.
  19. Hook, S. The Exeter universal stem / S. Hook [et al.] // J. Bone Joint Surg. - 2006. - Vol. 88-B, N 12. - P. 1584-1590.
  20. Huiskes, R. Migration stem shape and surface finish in cemented total hip arthroplasty. / R. Huiskes, N. Verdonschot, B. Nivbrant // Clin. Orthop. - 1998. - N 355. - Р.103-112.
  21. Johnston, R. Clinical and radiographic evaluation of total hip replacement / R.C. Johnston [et al.] // J. Bone Joint Surg. - 1990. - Vol. 72-A, N 28. - P. 161-168.
  22. Kärrholm, J. Improved analyses in the Swedish Hip Arthroplasty Register / J. Kärrholm, G. Garellick, H. Lindahl, P. Herberts // Scientific Exhibition presented at the Annual Meeting of the American Academy of Orthopaedic Surgeons, February 14-18, San Diego, California, USA. - California, 2007. - Р. 354.
  23. London J. Subsidence of the femoral prosthesis in total hip replacement in relation to the design of the stem / J.R. London, J. Charley // J. Bone Joint Surg. - 1980. - Vol. 62-В. - №4. - P. 450-453.
  24. Malchau, H. Prognosis of total hip replacement. Update of results and risk-ratio analysis for revision and re-revision from the Swedish National Hip Arthroplasty Register 1979-2000 / H. Malchau [et al.] // Scientific Exhibition presented at the 69th Annual Meeting of the American Academy of Orthopaedic Surgeons, February 13-17, Dallas, USA. - Dallas, 2002 - P. 325.
  25. Oishi, C. The femoral component in total hip arthroplasty / C.S. Oishi, R.H. Walker, C.W. Colwell // J. Bone Joint Surg. - 1994. - Vol. 76-A, N 11. - P. 1130-1135.
  26. Peters, C. The effect of femoral prosthesis design on cement strain in cemented total hip arthroplasty / C.L. Peters, K.N. Bachus, M.A. Craig, T.O. Higginbotham // J. Arthroplasty. - 2001. - Vol. 16. - Р. 216-224.
  27. Scheerlink, T. The design features of cemented femoral hip implants / T. Scheerlink, P.P. Casteleyn // J. Bone Joint Surg. - 2006. - Vol. 88-В, N 11. - P. 1409-1418.
  28. Sporer, S. The effects of surface roughness and polymythylmethacrylate precoating on the radiographic and clinical results of the Iowa hip prosthesis / S.M. Sporer [et al.] // J. Bone Joint Surg. - 1999. - Vol. 81-A, N 4. - P. 481-492.
  29. Williams, H. The Exeter universal cemented femoral component at 8 to 12 years. / H.D. Willisms [et al.] // J. Bone Joint Surg. - 2002. - Vol. 84-B, N 3. - P. 324-334. 30. Yates, P. Collarless polished tapered stem / P. Yates, D. Gobel, G. Bannister // J. Arthroplasty. - 2002. - Vol. 17, N 2. - Р. 189-195.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2009 Tikhilov R.M., Shapovalov V.M., Shubnyakov I.I., Artyukh V.A.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 82474 от 10.12.2021.


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies