Long-Term Durability of the CLS Femoral Prosthesis in Patients with Osteonecrosis of the Femoral Head
Abstract Ninety-five hips with cementless wedge-shaped tapered CLS stem were evaluated with a mean duration of 12.7 years (range, 10.7–17.3 years). All patients were young and diagnosed with osteonecrosis of the femoral head. The Harris hip score was 92 at the latest follow-up. A subsidence greater...
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| Veröffentlicht in: | The Journal of arthroplasty 2013-05, Vol.28 (5), p.828-831 |
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| creator | Han, Su-Il, MD Lee, Ji-Ho, MD Kim, Jun Woo, MD Oh, Chang Wug, MD Kim, Shin-Yoon, MD, PhD |
| description | Abstract Ninety-five hips with cementless wedge-shaped tapered CLS stem were evaluated with a mean duration of 12.7 years (range, 10.7–17.3 years). All patients were young and diagnosed with osteonecrosis of the femoral head. The Harris hip score was 92 at the latest follow-up. A subsidence greater than 3 mm was found in 3 hips (3.2%). Focal femoral osteolysis was found in 12 hips (12.6%). Endosteal bone formation and bony pedestal were observed in 94 hips (98.9%) and in 26 hips (27.4%), respectively. With revision for stem loosening as the end point, the survivorship showed 98.9% (95% CI, range 96.9%–100%) at 13 years. Stem alignment and proximal femur morphology did not influence loosening of the stem ( p > 0.05). |
| doi_str_mv | 10.1016/j.arth.2012.09.017 |
| format | Article |
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All patients were young and diagnosed with osteonecrosis of the femoral head. The Harris hip score was 92 at the latest follow-up. A subsidence greater than 3 mm was found in 3 hips (3.2%). Focal femoral osteolysis was found in 12 hips (12.6%). Endosteal bone formation and bony pedestal were observed in 94 hips (98.9%) and in 26 hips (27.4%), respectively. With revision for stem loosening as the end point, the survivorship showed 98.9% (95% CI, range 96.9%–100%) at 13 years. Stem alignment and proximal femur morphology did not influence loosening of the stem ( p > 0.05).</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2012.09.017</identifier><identifier>PMID: 23454105</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Arthroplasty, Replacement, Hip - instrumentation ; Arthroplasty, Replacement, Hip - methods ; CLS stem ; Female ; Femur Head Necrosis - pathology ; Femur Head Necrosis - surgery ; Hip Prosthesis ; Humans ; Male ; Middle Aged ; Orthopedics ; osteonecrosis stem alignment ; Prosthesis Design ; proximal femur morphology ; Reoperation ; total hip arthroplasty ; Young Adult</subject><ispartof>The Journal of arthroplasty, 2013-05, Vol.28 (5), p.828-831</ispartof><rights>Elsevier Inc.</rights><rights>2013 Elsevier Inc.</rights><rights>Copyright © 2013 Elsevier Inc. 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All patients were young and diagnosed with osteonecrosis of the femoral head. The Harris hip score was 92 at the latest follow-up. A subsidence greater than 3 mm was found in 3 hips (3.2%). Focal femoral osteolysis was found in 12 hips (12.6%). Endosteal bone formation and bony pedestal were observed in 94 hips (98.9%) and in 26 hips (27.4%), respectively. With revision for stem loosening as the end point, the survivorship showed 98.9% (95% CI, range 96.9%–100%) at 13 years. Stem alignment and proximal femur morphology did not influence loosening of the stem ( p > 0.05).</description><subject>Adult</subject><subject>Arthroplasty, Replacement, Hip - instrumentation</subject><subject>Arthroplasty, Replacement, Hip - methods</subject><subject>CLS stem</subject><subject>Female</subject><subject>Femur Head Necrosis - pathology</subject><subject>Femur Head Necrosis - surgery</subject><subject>Hip Prosthesis</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>osteonecrosis stem alignment</subject><subject>Prosthesis Design</subject><subject>proximal femur morphology</subject><subject>Reoperation</subject><subject>total hip arthroplasty</subject><subject>Young Adult</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1q3DAURkVpaKZJX6CLomU3dnX147GhFMqkaQIDCSSB7IQs3-loalupJDfM21dmJl100ZVA-s6H7rmEvAdWAoPq0640IW1LzoCXrCkZLF-RBSjBi1qy6jVZsLoWhZJMnJK3Me4YA1BKviGnXEglgakFwbUffxT3GAZ6MQXTut6lPfUbmrZIV-s7eomDD6ant8HHfBddpG6ktyY5HFOkzy5t6U1M6Ee0OZKfj_ALeIWmOycnG9NHfHc8z8jD5bf71VWxvvl-vfq6LqwESAUK0bQKWlHbaqk2Dec1NwBNCwKNEV0L0ogGGTTzJGapVFPzyqLqjBJCteKMfDz0PgX_a8KY9OCixb43I_opahCyUstGMpmj_BCdfx0DbvRTcIMJew1Mz3r1Ts969axXs0ZnvRn6cOyf2gG7v8iLzxz4fAhgnvK3w6CjzaIsdi6gTbrz7v_9X_7Bbe9GZ03_E_cYd34KY_anQcfM6Lt5wfN-QTDGFDyKP3X7n20</recordid><startdate>20130501</startdate><enddate>20130501</enddate><creator>Han, Su-Il, MD</creator><creator>Lee, Ji-Ho, MD</creator><creator>Kim, Jun Woo, MD</creator><creator>Oh, Chang Wug, MD</creator><creator>Kim, Shin-Yoon, MD, PhD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20130501</creationdate><title>Long-Term Durability of the CLS Femoral Prosthesis in Patients with Osteonecrosis of the Femoral Head</title><author>Han, Su-Il, MD ; Lee, Ji-Ho, MD ; Kim, Jun Woo, MD ; Oh, Chang Wug, MD ; Kim, Shin-Yoon, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-e339b51b38c675f92282a119b13eaa3db14a39e0190115a7559826ce5da5335b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Arthroplasty, Replacement, Hip - instrumentation</topic><topic>Arthroplasty, Replacement, Hip - methods</topic><topic>CLS stem</topic><topic>Female</topic><topic>Femur Head Necrosis - pathology</topic><topic>Femur Head Necrosis - surgery</topic><topic>Hip Prosthesis</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>osteonecrosis stem alignment</topic><topic>Prosthesis Design</topic><topic>proximal femur morphology</topic><topic>Reoperation</topic><topic>total hip arthroplasty</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Han, Su-Il, MD</creatorcontrib><creatorcontrib>Lee, Ji-Ho, MD</creatorcontrib><creatorcontrib>Kim, Jun Woo, MD</creatorcontrib><creatorcontrib>Oh, Chang Wug, MD</creatorcontrib><creatorcontrib>Kim, Shin-Yoon, MD, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Han, Su-Il, MD</au><au>Lee, Ji-Ho, MD</au><au>Kim, Jun Woo, MD</au><au>Oh, Chang Wug, MD</au><au>Kim, Shin-Yoon, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long-Term Durability of the CLS Femoral Prosthesis in Patients with Osteonecrosis of the Femoral Head</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2013-05-01</date><risdate>2013</risdate><volume>28</volume><issue>5</issue><spage>828</spage><epage>831</epage><pages>828-831</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Abstract Ninety-five hips with cementless wedge-shaped tapered CLS stem were evaluated with a mean duration of 12.7 years (range, 10.7–17.3 years). All patients were young and diagnosed with osteonecrosis of the femoral head. The Harris hip score was 92 at the latest follow-up. A subsidence greater than 3 mm was found in 3 hips (3.2%). Focal femoral osteolysis was found in 12 hips (12.6%). Endosteal bone formation and bony pedestal were observed in 94 hips (98.9%) and in 26 hips (27.4%), respectively. With revision for stem loosening as the end point, the survivorship showed 98.9% (95% CI, range 96.9%–100%) at 13 years. Stem alignment and proximal femur morphology did not influence loosening of the stem ( p > 0.05).</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>23454105</pmid><doi>10.1016/j.arth.2012.09.017</doi><tpages>4</tpages></addata></record> |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Adult Arthroplasty, Replacement, Hip - instrumentation Arthroplasty, Replacement, Hip - methods CLS stem Female Femur Head Necrosis - pathology Femur Head Necrosis - surgery Hip Prosthesis Humans Male Middle Aged Orthopedics osteonecrosis stem alignment Prosthesis Design proximal femur morphology Reoperation total hip arthroplasty Young Adult |
| title | Long-Term Durability of the CLS Femoral Prosthesis in Patients with Osteonecrosis of the Femoral Head |
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