Bilateral total hip arthroplasty comparing hydroxyapatite coating to porous-coated fixation
Fifteen patients had bilateral hip replacement with a porous-coated hip replacement in one hip and in the contralateral hip the same design, which had adjunctive hydroxyapatite coating on the porous coating. These patients were followed for an average of 6.5 years (range, 5–7.9 years). There was no...
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| Veröffentlicht in: | The Journal of arthroplasty 1998-10, Vol.13 (7), p.729-736 |
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| creator | Dorr, Lawrence D. Wan, Zhinian Song, Michael Ranawat, Anil |
| description | Fifteen patients had bilateral hip replacement with a porous-coated hip replacement in one hip and in the contralateral hip the same design, which had adjunctive hydroxyapatite coating on the porous coating. These patients were followed for an average of 6.5 years (range, 5–7.9 years). There was no difference in the clinical Harris Hip Scores between the two hips in these patients. The radiographic measurements did show improved bone remodeling in hips with adjunctive hydroxyapatite coating as measured by proximal cancellous hypertrophy and evidence of a buttress sign. The fixation of stems with hydroxyapatite coating showed fewer radiolucent lines (
P = .013). The improved bone remodeling, which we had previously reported, has been maintained in these hips at intermediate-term follow-up and the fixation of the hydroxyapatite-coated stems is also now better. The results in these patients with bilateral hips, which allows complete control of the bone type, immunology, weight, activity, and age of the patient, suggests that the use of hydroxyapatite coating does provide improved fixation and the possibility of improved durability. |
| doi_str_mv | 10.1016/S0883-5403(98)90023-7 |
| format | Article |
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P = .013). The improved bone remodeling, which we had previously reported, has been maintained in these hips at intermediate-term follow-up and the fixation of the hydroxyapatite-coated stems is also now better. The results in these patients with bilateral hips, which allows complete control of the bone type, immunology, weight, activity, and age of the patient, suggests that the use of hydroxyapatite coating does provide improved fixation and the possibility of improved durability.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/S0883-5403(98)90023-7</identifier><identifier>PMID: 9802657</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Alloys ; Arthroplasty, Replacement, Hip - instrumentation ; bilateral total hip arthroplasty ; Bone Remodeling ; Coated Materials, Biocompatible ; Durapatite ; Female ; fixation of stem ; Follow-Up Studies ; Hip - diagnostic imaging ; Hip - pathology ; Hip - surgery ; Hip Prosthesis ; Humans ; hydroxyapatite ; Male ; Middle Aged ; noncemented stem ; Porosity ; Prosthesis Design ; Radiography ; Retrospective Studies ; Titanium</subject><ispartof>The Journal of arthroplasty, 1998-10, Vol.13 (7), p.729-736</ispartof><rights>1998</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c455t-214c5b71df0e07ce261831851dc943d26df6f7433d1a75ec33740f800cb5b5373</citedby><cites>FETCH-LOGICAL-c455t-214c5b71df0e07ce261831851dc943d26df6f7433d1a75ec33740f800cb5b5373</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0883540398900237$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9802657$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dorr, Lawrence D.</creatorcontrib><creatorcontrib>Wan, Zhinian</creatorcontrib><creatorcontrib>Song, Michael</creatorcontrib><creatorcontrib>Ranawat, Anil</creatorcontrib><title>Bilateral total hip arthroplasty comparing hydroxyapatite coating to porous-coated fixation</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><description>Fifteen patients had bilateral hip replacement with a porous-coated hip replacement in one hip and in the contralateral hip the same design, which had adjunctive hydroxyapatite coating on the porous coating. These patients were followed for an average of 6.5 years (range, 5–7.9 years). There was no difference in the clinical Harris Hip Scores between the two hips in these patients. The radiographic measurements did show improved bone remodeling in hips with adjunctive hydroxyapatite coating as measured by proximal cancellous hypertrophy and evidence of a buttress sign. The fixation of stems with hydroxyapatite coating showed fewer radiolucent lines (
P = .013). The improved bone remodeling, which we had previously reported, has been maintained in these hips at intermediate-term follow-up and the fixation of the hydroxyapatite-coated stems is also now better. The results in these patients with bilateral hips, which allows complete control of the bone type, immunology, weight, activity, and age of the patient, suggests that the use of hydroxyapatite coating does provide improved fixation and the possibility of improved durability.</description><subject>Adult</subject><subject>Aged</subject><subject>Alloys</subject><subject>Arthroplasty, Replacement, Hip - instrumentation</subject><subject>bilateral total hip arthroplasty</subject><subject>Bone Remodeling</subject><subject>Coated Materials, Biocompatible</subject><subject>Durapatite</subject><subject>Female</subject><subject>fixation of stem</subject><subject>Follow-Up Studies</subject><subject>Hip - diagnostic imaging</subject><subject>Hip - pathology</subject><subject>Hip - surgery</subject><subject>Hip Prosthesis</subject><subject>Humans</subject><subject>hydroxyapatite</subject><subject>Male</subject><subject>Middle Aged</subject><subject>noncemented stem</subject><subject>Porosity</subject><subject>Prosthesis Design</subject><subject>Radiography</subject><subject>Retrospective Studies</subject><subject>Titanium</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEFPGzEQha2KCgL0JyDtqaKHpeO1vfaeEEQtVIrUQ-HUg-XYs43RJt7aTpX8e7wk4tqLR5r3xm_mI-SKwg0F2n79BUqxWnBg15360gE0rJYfyIwK1tSKQ3tCZu-WM3Ke0gsApULwU3LaKWhaIWfk970fTMZohiqHXN6VHysT8yqGcTAp7ysb1qOJfvOnWu1dDLu9GU32GYtQamnnUI0hhm2qpw66qve7ooTNJfnYmyHhp2O9IM_fvz3NH-vFz4cf87tFbbkQuW4ot2IpqesBQVpsWqoYVYI623Hmmtb1bS85Y44aKdAyJjn0CsAuxVIwyS7I58O_Ywx_t5iyXvtkcRjMBstaWgKwRilejOJgtDGkFLHXY_RrE_eagp6g6jeoeiKmO6XfoOop4OoYsF2u0b1PHSkW_fagY7nyn8eok_W4seh8RJu1C_4_Ca_yNogD</recordid><startdate>19981001</startdate><enddate>19981001</enddate><creator>Dorr, Lawrence D.</creator><creator>Wan, Zhinian</creator><creator>Song, Michael</creator><creator>Ranawat, Anil</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>19981001</creationdate><title>Bilateral total hip arthroplasty comparing hydroxyapatite coating to porous-coated fixation</title><author>Dorr, Lawrence D. ; Wan, Zhinian ; Song, Michael ; Ranawat, Anil</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c455t-214c5b71df0e07ce261831851dc943d26df6f7433d1a75ec33740f800cb5b5373</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Alloys</topic><topic>Arthroplasty, Replacement, Hip - instrumentation</topic><topic>bilateral total hip arthroplasty</topic><topic>Bone Remodeling</topic><topic>Coated Materials, Biocompatible</topic><topic>Durapatite</topic><topic>Female</topic><topic>fixation of stem</topic><topic>Follow-Up Studies</topic><topic>Hip - diagnostic imaging</topic><topic>Hip - pathology</topic><topic>Hip - surgery</topic><topic>Hip Prosthesis</topic><topic>Humans</topic><topic>hydroxyapatite</topic><topic>Male</topic><topic>Middle Aged</topic><topic>noncemented stem</topic><topic>Porosity</topic><topic>Prosthesis Design</topic><topic>Radiography</topic><topic>Retrospective Studies</topic><topic>Titanium</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dorr, Lawrence D.</creatorcontrib><creatorcontrib>Wan, Zhinian</creatorcontrib><creatorcontrib>Song, Michael</creatorcontrib><creatorcontrib>Ranawat, Anil</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>Dorr, Lawrence D.</au><au>Wan, Zhinian</au><au>Song, Michael</au><au>Ranawat, Anil</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bilateral total hip arthroplasty comparing hydroxyapatite coating to porous-coated fixation</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>1998-10-01</date><risdate>1998</risdate><volume>13</volume><issue>7</issue><spage>729</spage><epage>736</epage><pages>729-736</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Fifteen patients had bilateral hip replacement with a porous-coated hip replacement in one hip and in the contralateral hip the same design, which had adjunctive hydroxyapatite coating on the porous coating. These patients were followed for an average of 6.5 years (range, 5–7.9 years). There was no difference in the clinical Harris Hip Scores between the two hips in these patients. The radiographic measurements did show improved bone remodeling in hips with adjunctive hydroxyapatite coating as measured by proximal cancellous hypertrophy and evidence of a buttress sign. The fixation of stems with hydroxyapatite coating showed fewer radiolucent lines (
P = .013). The improved bone remodeling, which we had previously reported, has been maintained in these hips at intermediate-term follow-up and the fixation of the hydroxyapatite-coated stems is also now better. The results in these patients with bilateral hips, which allows complete control of the bone type, immunology, weight, activity, and age of the patient, suggests that the use of hydroxyapatite coating does provide improved fixation and the possibility of improved durability.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>9802657</pmid><doi>10.1016/S0883-5403(98)90023-7</doi><tpages>8</tpages></addata></record> |
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| subjects | Adult Aged Alloys Arthroplasty, Replacement, Hip - instrumentation bilateral total hip arthroplasty Bone Remodeling Coated Materials, Biocompatible Durapatite Female fixation of stem Follow-Up Studies Hip - diagnostic imaging Hip - pathology Hip - surgery Hip Prosthesis Humans hydroxyapatite Male Middle Aged noncemented stem Porosity Prosthesis Design Radiography Retrospective Studies Titanium |
| title | Bilateral total hip arthroplasty comparing hydroxyapatite coating to porous-coated fixation |
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