Long-term Outcome of Polished Stems in Total Hip Arthroplasty
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: The purpose of this study was to evaluate the clinical outcomes and radiologic findings of primary total hip arthroplasty (THA) using cemented polished femoral stems. Materials and Methods: We retrospectively reviewed 91 hips (91 patients) that had undergone primary THA with cemented polished femoral stems who were followed for at least 10 years. The mean age at surgery was 57 years (47-75 years). Mean follow up period was 12.8 years (10.1-14.0 years). Harris Hip Score (HHS) was used for clinical evaluation. Radiologic evaluation was focused on cementing technique including subsidence within the cement mantle, radiolucent lines at the cement-bone or cement-stem interface, cortical hypertrophy, and calcar resorption. Results: The average HHS was 55.2 points before the surgery that improved to an average of 93.2 points at the final follow-up. According to Barrack classification, there were 50, 32, and 9 cases in A, B, and C grades, respectively. Subsidence of femoral stem was less than 2 mm except in one patient. There were no progressing radiolucent line or loosening of the femoral stem. Conclusion: In this study, THA using cemented polished femoral stems was found to have favorable outcomes in long term follow-up.
Abstract
Purpose: The purpose of this study was to evaluate the clinical outcomes and radiologic findings of primary total hip arthroplasty (THA) using cemented polished femoral stems. Materials and Methods: We retrospectively reviewed 91 hips (91 patients) that had undergone primary THA with cemented polished femoral stems who were followed for at least 10 years. The mean age at surgery was 57 years (47-75 years). Mean follow up period was 12.8 years (10.1-14.0 years). Harris Hip Score (HHS) was used for clinical evaluation. Radiologic evaluation was focused on cementing technique including subsidence within the cement mantle, radiolucent lines at the cement-bone or cement-stem interface, cortical hypertrophy, and calcar resorption. Results: The average HHS was 55.2 points before the surgery that improved to an average of 93.2 points at the final follow-up. According to Barrack classification, there were 50, 32, and 9 cases in A, B, and C grades, respectively. Subsidence of femoral stem was less than 2 mm except in one patient. There were no progressing radiolucent line or loosening of the femoral stem. Conclusion: In this study, THA using cemented polished femoral stems was found to have favorable outcomes in long term follow-up.
참고문헌 (26)
- Barrack RL, "Improved cementing techniques and femoral component loosening in young patients with hip arthroplasty. A 12-year radiographic review", J Bone Joint Surg Br, 74, pp.385~389 (1992)
- Sherfey JJ, "Mid-term results of Exeter vs Endurance cemented stems", J Arthroplasty, 21, pp.1118~1123 (2006)
- Mohler CG, "Early loosening of the femoral component at the cement-prosthesis interface after total hip replacement", J Bone Joint Surg Am, 77, pp.1315~1322 (1995)
- Mulroy WF, "Total hip arthroplasty with use of so-called second-generation cementing techniques. A fifteen-year-average follow-up study", J Bone Joint Surg Am, 77, pp.1845~1852 (1995)
- 김신윤, 백승훈박일형, 김풍택인주철, 김창윤김영모, "제 4세대 시멘트 기법을 이용한 Hybrid 인공 고관절 전치환술의 초기결과", Hip and Pelvis, 15(3), pp.209~216 (2003), 대한고관절학회
- Williams HD, "The Exeter universal cemented femoral component at 8 to 12 years. A study of the first 325 hips", J Bone Joint Surg Br, 84, pp.324~334 (2002)
- Harris WH, "Hybrid total hip arthroplasty", Clin Orthop Relat Res, 249, pp.21~29 (1989)
- Fowler JL, "Experience with the Exeter total hip replacement since 1970", Orthop Clin North Am, 19, pp.477~489 (1988)
- Gruen TA, ""Modes of failure"of cemented stem-type femoral components : a radiographic analysis of loosening", Clin Orthop Relat Res, 141, pp.17~27 (1979)
- Harris WH, "Femoral component loosening using contemporary techniques of femoral cement fixation", J Bone Joint Surg Am, 64, pp.1063~1067 (1982)
- DeLee JG, "Radiological demarcation of cemented sockets in total hip replacement", Clin Orthop Relat Res, 121, pp.20~32 (1976)
- Massin P, "Evaluation of cementless acetabular component migration. An experimental study", J Arthroplasty, 4, pp.245~251 (1989)
- Kaplan EL, "Nonparametric estimation from incomplete observations", J Am Stat Assoc, 53, pp.457~481 (1958)
- Beckenbaugh RD, "Total hip arthroplasty", J Bone Joint Surg Am, 60, pp.306~313 (1978)
- Stauffer RN, "Ten-year follow-up study of total hip replacement", J Bone Joint Surg Am, 64, pp.983~990 (1982)
- Sutherland CJ, "A tenyear follow-up of one hundred consecutive Mu¨ller curvedstem total hip-replacement arthroplasties", J Bone Joint Surg Am, 64, pp.970~982 (1982)
- Schulte KR, "The outcome of Charnley total hip arthroplasty with cement after a minimum twenty-year follow-up. The results of one surgeon", J Bone Joint Surg Am, 75, pp.961~975 (1993)
- Oh I, "The femoral cement compactor. An improvement in cementing technique in total hip replacement", J Bone Joint Surg Am, 65, pp.1335~1338 (1983)
- 손원용, "골시멘트를 사용한 Versys-TM 대퇴 스템의 3-5년 추시결과", Hip and Pelvis, 16(3), pp.317~323 (2004), 대한고관절학회
- 서동훈, "Fifteen-year Results of Precoated Femoral Stem in Primary Hybrid Total Hip Arthroplasty", Clinics in Orthopedic Surgery, 5(2), pp.110~117 (2013), 대한정형외과학회
- Harris WH, "Long-term results of cemented femoral stems with roughened precoated surfaces", Clin Orthop Relat Res, 355, pp.137~143 (1998)
- Sporer SM, "The effects of surface roughness and polymethylmethacrylate precoating on the radiographic and clinical results of the Iowa hip prosthesis. A study of patients less than fifty years old", J Bone Joint Surg Am, 81, pp.481~492 (1999)
- Collis DK, "Comparison of clinical outcomes in total hip arthroplasty using rough and polished cemented stems with essentially the same geometry", J Bone Joint Surg Am, 84(A), pp.586~592 (2002)
- 손원용, "시멘트형 Polished Versys HeritageⓇ 대퇴 스템의 2-5년 추시 결과", 대한정형외과학회지, 43(1), pp.9~16 (2008), 대한정형외과학회
- 서유성, "Exeter stem을 이용한 고관절 전치환술", Hip and Pelvis, 17(4), pp.195~200 (2005), 대한고관절학회
- Carrington NC, "The Exeter Universal cemented femoral component at 15 to 17 years : an update on the first 325hips", J Bone Joint Surg Br, 91, pp.730~737 (2009)