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Early stabilization of the uncemented Symax hip stem in a 2-year RSA study

Background and purpose — The uncemented Symax hip stem has shown early proximal ingrowth as result of the BONIT-hydroxyapatite (HA) coating and the distal DOTIZE surface treatment. We evaluated 2-year postoperative radiostereometric analysis (RSA) migration of the Symax hip stem in THA patients. We...

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Autores principales: Kruijntjens, Dennis S M G, Koster, Lennard, Kaptein, Bart L, Jutten, Liesbeth M C, Arts, Jacobus J, Ten Broeke, René H M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7144261/
https://www.ncbi.nlm.nih.gov/pubmed/31928120
http://dx.doi.org/10.1080/17453674.2019.1709956
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author Kruijntjens, Dennis S M G
Koster, Lennard
Kaptein, Bart L
Jutten, Liesbeth M C
Arts, Jacobus J
Ten Broeke, René H M
author_facet Kruijntjens, Dennis S M G
Koster, Lennard
Kaptein, Bart L
Jutten, Liesbeth M C
Arts, Jacobus J
Ten Broeke, René H M
author_sort Kruijntjens, Dennis S M G
collection PubMed
description Background and purpose — The uncemented Symax hip stem has shown early proximal ingrowth as result of the BONIT-hydroxyapatite (HA) coating and the distal DOTIZE surface treatment. We evaluated 2-year postoperative radiostereometric analysis (RSA) migration of the Symax hip stem in THA patients. We also investigated the correlation between migration at 4 weeks and clinical outcomes after 2 years. Patients and methods — Patients in a 2-year clinical follow-up single-centre RSA randomized controlled trial were randomized to 2 different cup designs. All 45 patients received a Symax hip stem. RSA migration patterns of the Symax hip stem is presented here as a single cohort. RSA examinations were performed postoperatively, but before weight-bearing, and subsequently after 1, 3, 6, 12, and 24 months. Clinical outcomes and radiographic evaluations were assessed 3, 6, 12, and 24 months postoperatively. Results — During the first 4 weeks, the Symax hip stem subsided, rotated into retroversion, and translated posteriorly, after which the migration ceased and the prosthesis stabilized. All clinical outcomes improved from preoperatively to 2 years. There was no clinically or statistically significant correlation between subsidence and retroversion at 4 weeks and clinical outcomes after 2 years. Interpretation — RSA evaluation of the uncemented Symax hip stem confirms that the design principles and coating properties lead to early stabilization of the stem, as early as 4 weeks postoperatively. There was no correlation between subsidence and retroversion at 4 weeks and clinical outcomes after 2 years. Based on the predictive potential of the RSA technique, we anticipate excellent long-term survival of this hip stem.
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spelling pubmed-71442612020-04-13 Early stabilization of the uncemented Symax hip stem in a 2-year RSA study Kruijntjens, Dennis S M G Koster, Lennard Kaptein, Bart L Jutten, Liesbeth M C Arts, Jacobus J Ten Broeke, René H M Acta Orthop Articles Background and purpose — The uncemented Symax hip stem has shown early proximal ingrowth as result of the BONIT-hydroxyapatite (HA) coating and the distal DOTIZE surface treatment. We evaluated 2-year postoperative radiostereometric analysis (RSA) migration of the Symax hip stem in THA patients. We also investigated the correlation between migration at 4 weeks and clinical outcomes after 2 years. Patients and methods — Patients in a 2-year clinical follow-up single-centre RSA randomized controlled trial were randomized to 2 different cup designs. All 45 patients received a Symax hip stem. RSA migration patterns of the Symax hip stem is presented here as a single cohort. RSA examinations were performed postoperatively, but before weight-bearing, and subsequently after 1, 3, 6, 12, and 24 months. Clinical outcomes and radiographic evaluations were assessed 3, 6, 12, and 24 months postoperatively. Results — During the first 4 weeks, the Symax hip stem subsided, rotated into retroversion, and translated posteriorly, after which the migration ceased and the prosthesis stabilized. All clinical outcomes improved from preoperatively to 2 years. There was no clinically or statistically significant correlation between subsidence and retroversion at 4 weeks and clinical outcomes after 2 years. Interpretation — RSA evaluation of the uncemented Symax hip stem confirms that the design principles and coating properties lead to early stabilization of the stem, as early as 4 weeks postoperatively. There was no correlation between subsidence and retroversion at 4 weeks and clinical outcomes after 2 years. Based on the predictive potential of the RSA technique, we anticipate excellent long-term survival of this hip stem. Taylor & Francis 2020-01-13 /pmc/articles/PMC7144261/ /pubmed/31928120 http://dx.doi.org/10.1080/17453674.2019.1709956 Text en © 2020 The Author(s). Published by Taylor & Francis on behalf of the Nordic Orthopedic Federation https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Articles
Kruijntjens, Dennis S M G
Koster, Lennard
Kaptein, Bart L
Jutten, Liesbeth M C
Arts, Jacobus J
Ten Broeke, René H M
Early stabilization of the uncemented Symax hip stem in a 2-year RSA study
title Early stabilization of the uncemented Symax hip stem in a 2-year RSA study
title_full Early stabilization of the uncemented Symax hip stem in a 2-year RSA study
title_fullStr Early stabilization of the uncemented Symax hip stem in a 2-year RSA study
title_full_unstemmed Early stabilization of the uncemented Symax hip stem in a 2-year RSA study
title_short Early stabilization of the uncemented Symax hip stem in a 2-year RSA study
title_sort early stabilization of the uncemented symax hip stem in a 2-year rsa study
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7144261/
https://www.ncbi.nlm.nih.gov/pubmed/31928120
http://dx.doi.org/10.1080/17453674.2019.1709956
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