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Long-Term results of total Hip Arthroplasty performed using a cementless expansive Acetabular Cup and Spotorno Femoral Stem
OBJECTIVE: In this study we aimed to investigate the long-term clinical and radiological results, revision rates and causes, and the rate of implant survival in total hip arthroplasty performed using CLS(®) expansion cup and Spotorno(®) cementless femoral stem. METHODS: Clinical results of total hip...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Professional Medical Publications
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7794123/ https://www.ncbi.nlm.nih.gov/pubmed/33437250 http://dx.doi.org/10.12669/pjms.37.1.3089 |
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author | Carkci, Engin Polat, Ayse Esin Ozturkmen, Yusuf Tuzuner, Tolga |
author_facet | Carkci, Engin Polat, Ayse Esin Ozturkmen, Yusuf Tuzuner, Tolga |
author_sort | Carkci, Engin |
collection | PubMed |
description | OBJECTIVE: In this study we aimed to investigate the long-term clinical and radiological results, revision rates and causes, and the rate of implant survival in total hip arthroplasty performed using CLS(®) expansion cup and Spotorno(®) cementless femoral stem. METHODS: Clinical results of total hip arthroplasty performed on 131 hips of 114 patients in Istanbul Training and Research Hospital between 1993 and 2003 were retrospectively evaluated according to the Harris Hip Score. Revision rates were determined and implant survival rates were identified using the Kaplan-Meier estimator. RESULTS: Of the patients, 39 were males and 75 were females. The average age of the patients at surgery was 48.7±11.3 years. Patients were followed up for a mean period of 13.9±2.4 years. The mean Harris Hip Score was 34.35±6.09 preoperatively and 88.20±7.11 at the final follow-up (p<0.001). The Kaplan-Meier survivorship estimate for the cup at 13.9 years, taking revision for any reason as the end point was 95.6% (95% CI), while the 15(th) and 17(th) year survival rates were 90% and 85%, respectively. CONCLUSION: In total hip arthroplasty using a cementless expansive acetabular cup, a 95.6% survival rate is achieved after an average of 14 years, whereas the rate decreases to 85% after 17 years. Even if the incidence of cup breakage is reduced with proper implantation, particle disease and periacetabular osteolysis remains a problem for the long-term survival. |
format | Online Article Text |
id | pubmed-7794123 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Professional Medical Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-77941232021-01-11 Long-Term results of total Hip Arthroplasty performed using a cementless expansive Acetabular Cup and Spotorno Femoral Stem Carkci, Engin Polat, Ayse Esin Ozturkmen, Yusuf Tuzuner, Tolga Pak J Med Sci Original Article OBJECTIVE: In this study we aimed to investigate the long-term clinical and radiological results, revision rates and causes, and the rate of implant survival in total hip arthroplasty performed using CLS(®) expansion cup and Spotorno(®) cementless femoral stem. METHODS: Clinical results of total hip arthroplasty performed on 131 hips of 114 patients in Istanbul Training and Research Hospital between 1993 and 2003 were retrospectively evaluated according to the Harris Hip Score. Revision rates were determined and implant survival rates were identified using the Kaplan-Meier estimator. RESULTS: Of the patients, 39 were males and 75 were females. The average age of the patients at surgery was 48.7±11.3 years. Patients were followed up for a mean period of 13.9±2.4 years. The mean Harris Hip Score was 34.35±6.09 preoperatively and 88.20±7.11 at the final follow-up (p<0.001). The Kaplan-Meier survivorship estimate for the cup at 13.9 years, taking revision for any reason as the end point was 95.6% (95% CI), while the 15(th) and 17(th) year survival rates were 90% and 85%, respectively. CONCLUSION: In total hip arthroplasty using a cementless expansive acetabular cup, a 95.6% survival rate is achieved after an average of 14 years, whereas the rate decreases to 85% after 17 years. Even if the incidence of cup breakage is reduced with proper implantation, particle disease and periacetabular osteolysis remains a problem for the long-term survival. Professional Medical Publications 2021 /pmc/articles/PMC7794123/ /pubmed/33437250 http://dx.doi.org/10.12669/pjms.37.1.3089 Text en Copyright: © Pakistan Journal of Medical Sciences http://creativecommons.org/licenses/by/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Carkci, Engin Polat, Ayse Esin Ozturkmen, Yusuf Tuzuner, Tolga Long-Term results of total Hip Arthroplasty performed using a cementless expansive Acetabular Cup and Spotorno Femoral Stem |
title | Long-Term results of total Hip Arthroplasty performed using a cementless expansive Acetabular Cup and Spotorno Femoral Stem |
title_full | Long-Term results of total Hip Arthroplasty performed using a cementless expansive Acetabular Cup and Spotorno Femoral Stem |
title_fullStr | Long-Term results of total Hip Arthroplasty performed using a cementless expansive Acetabular Cup and Spotorno Femoral Stem |
title_full_unstemmed | Long-Term results of total Hip Arthroplasty performed using a cementless expansive Acetabular Cup and Spotorno Femoral Stem |
title_short | Long-Term results of total Hip Arthroplasty performed using a cementless expansive Acetabular Cup and Spotorno Femoral Stem |
title_sort | long-term results of total hip arthroplasty performed using a cementless expansive acetabular cup and spotorno femoral stem |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7794123/ https://www.ncbi.nlm.nih.gov/pubmed/33437250 http://dx.doi.org/10.12669/pjms.37.1.3089 |
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