The Use of a Hydroxyapatite-Coated Primary Stem in Revision Total Hip Arthroplasty
Proximal ingrowth of femoral components in total hip arthroplasty (THA) is desirable because it minimizes proximal stress shielding associated with distal ingrowth stems and maximizes bone stock. This is a retrospective evaluation of initial results of revision THA using a proximally hydroxyapatite-...
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| Veröffentlicht in: | The Journal of arthroplasty 2006, Vol.21 (1), p.64-71 |
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| creator | Kelly, Stephen J. Incavo, Stephen J. Beynnon, Bruce |
| description | Proximal ingrowth of femoral components in total hip arthroplasty (THA) is desirable because it minimizes proximal stress shielding associated with distal ingrowth stems and maximizes bone stock. This is a retrospective evaluation of initial results of revision THA using a proximally hydroxyapatite-coated femoral stem nominally designed for primary use. Patients requiring femoral stem revision were included if they had sufficient femoral bone stock to support a proximally fixed prosthesis (n = 33). This represents 53% of the femoral revisions performed during the period of the study. The average follow-up was 5 years (range 48-88 months). The mean Harris hip and Oxford hip scores were 86.5 and 25.2, respectively. Radiographically, 100% of the stems demonstrated bone ingrowth fixation. These results are superior to previous reports of primary cementless stems for revision THA. The use of a cementless nonmodular implant provides a viable option in some patients undergoing revision THA. |
| doi_str_mv | 10.1016/j.arth.2004.11.013 |
| format | Article |
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This is a retrospective evaluation of initial results of revision THA using a proximally hydroxyapatite-coated femoral stem nominally designed for primary use. Patients requiring femoral stem revision were included if they had sufficient femoral bone stock to support a proximally fixed prosthesis (n = 33). This represents 53% of the femoral revisions performed during the period of the study. The average follow-up was 5 years (range 48-88 months). The mean Harris hip and Oxford hip scores were 86.5 and 25.2, respectively. Radiographically, 100% of the stems demonstrated bone ingrowth fixation. These results are superior to previous reports of primary cementless stems for revision THA. The use of a cementless nonmodular implant provides a viable option in some patients undergoing revision THA.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2004.11.013</identifier><identifier>PMID: 16446187</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Arthroplasty, Replacement, Hip - instrumentation ; cementless ; Coated Materials, Biocompatible ; Durapatite - therapeutic use ; Female ; Femur ; Hip Prosthesis ; Humans ; hydroxyapatite ; Male ; Middle Aged ; Osseointegration ; outcomes ; Prosthesis Design ; Prosthesis Failure ; Reoperation ; Retrospective Studies ; revision ; Surface Properties ; total hip arthroplasty</subject><ispartof>The Journal of arthroplasty, 2006, Vol.21 (1), p.64-71</ispartof><rights>2006 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c354t-13522e0deb3478f22f0c72c155f44be184f085a9c937921d63063622911c76593</citedby><cites>FETCH-LOGICAL-c354t-13522e0deb3478f22f0c72c155f44be184f085a9c937921d63063622911c76593</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.arth.2004.11.013$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,4024,27923,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16446187$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kelly, Stephen J.</creatorcontrib><creatorcontrib>Incavo, Stephen J.</creatorcontrib><creatorcontrib>Beynnon, Bruce</creatorcontrib><title>The Use of a Hydroxyapatite-Coated Primary Stem in Revision Total Hip Arthroplasty</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><description>Proximal ingrowth of femoral components in total hip arthroplasty (THA) is desirable because it minimizes proximal stress shielding associated with distal ingrowth stems and maximizes bone stock. This is a retrospective evaluation of initial results of revision THA using a proximally hydroxyapatite-coated femoral stem nominally designed for primary use. Patients requiring femoral stem revision were included if they had sufficient femoral bone stock to support a proximally fixed prosthesis (n = 33). This represents 53% of the femoral revisions performed during the period of the study. The average follow-up was 5 years (range 48-88 months). The mean Harris hip and Oxford hip scores were 86.5 and 25.2, respectively. Radiographically, 100% of the stems demonstrated bone ingrowth fixation. These results are superior to previous reports of primary cementless stems for revision THA. The use of a cementless nonmodular implant provides a viable option in some patients undergoing revision THA.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroplasty, Replacement, Hip - instrumentation</subject><subject>cementless</subject><subject>Coated Materials, Biocompatible</subject><subject>Durapatite - therapeutic use</subject><subject>Female</subject><subject>Femur</subject><subject>Hip Prosthesis</subject><subject>Humans</subject><subject>hydroxyapatite</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Osseointegration</subject><subject>outcomes</subject><subject>Prosthesis Design</subject><subject>Prosthesis Failure</subject><subject>Reoperation</subject><subject>Retrospective Studies</subject><subject>revision</subject><subject>Surface Properties</subject><subject>total hip arthroplasty</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtLAzEUhYMoWh9_wIVk5W7G3DzmAW6kqBUERes6pJk7mDJtxiQt9t87tQV3ru7mu4dzPkIugeXAoLiZ5yakz5wzJnOAnIE4ICNQgmeVZMUhGbGqEpmSTJyQ0xjnjAEoJY_JCRRSFlCVI_I2_UT6EZH6lho62TTBf29Mb5JLmI29SdjQ1-AWJmzoe8IFdUv6hmsXnV_SqU-moxPX07uhSPB9Z2LanJOj1nQRL_b3jHw83E_Hk-z55fFpfPecWaFkykAozpE1OBOyrFrOW2ZLboeGrZQzhEq2rFKmtrUoaw5NIVghCs5rAFsWqhZn5HqX2wf_tcKY9MJFi11nluhXUZeslKr8BfkOtMHHGLDV_W6RBqa3JvVcb03qrUkNoAeTw9PVPn01W2Dz97JXNwC3OwCHjWuHQUfrcGmxcQFt0o13_-X_AKVJguU</recordid><startdate>2006</startdate><enddate>2006</enddate><creator>Kelly, Stephen J.</creator><creator>Incavo, Stephen J.</creator><creator>Beynnon, Bruce</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>2006</creationdate><title>The Use of a Hydroxyapatite-Coated Primary Stem in Revision Total Hip Arthroplasty</title><author>Kelly, Stephen J. ; Incavo, Stephen J. ; Beynnon, Bruce</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c354t-13522e0deb3478f22f0c72c155f44be184f085a9c937921d63063622911c76593</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroplasty, Replacement, Hip - instrumentation</topic><topic>cementless</topic><topic>Coated Materials, Biocompatible</topic><topic>Durapatite - therapeutic use</topic><topic>Female</topic><topic>Femur</topic><topic>Hip Prosthesis</topic><topic>Humans</topic><topic>hydroxyapatite</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Osseointegration</topic><topic>outcomes</topic><topic>Prosthesis Design</topic><topic>Prosthesis Failure</topic><topic>Reoperation</topic><topic>Retrospective Studies</topic><topic>revision</topic><topic>Surface Properties</topic><topic>total hip arthroplasty</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kelly, Stephen J.</creatorcontrib><creatorcontrib>Incavo, Stephen J.</creatorcontrib><creatorcontrib>Beynnon, Bruce</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>Kelly, Stephen J.</au><au>Incavo, Stephen J.</au><au>Beynnon, Bruce</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Use of a Hydroxyapatite-Coated Primary Stem in Revision Total Hip Arthroplasty</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2006</date><risdate>2006</risdate><volume>21</volume><issue>1</issue><spage>64</spage><epage>71</epage><pages>64-71</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Proximal ingrowth of femoral components in total hip arthroplasty (THA) is desirable because it minimizes proximal stress shielding associated with distal ingrowth stems and maximizes bone stock. This is a retrospective evaluation of initial results of revision THA using a proximally hydroxyapatite-coated femoral stem nominally designed for primary use. Patients requiring femoral stem revision were included if they had sufficient femoral bone stock to support a proximally fixed prosthesis (n = 33). This represents 53% of the femoral revisions performed during the period of the study. The average follow-up was 5 years (range 48-88 months). The mean Harris hip and Oxford hip scores were 86.5 and 25.2, respectively. Radiographically, 100% of the stems demonstrated bone ingrowth fixation. These results are superior to previous reports of primary cementless stems for revision THA. The use of a cementless nonmodular implant provides a viable option in some patients undergoing revision THA.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>16446187</pmid><doi>10.1016/j.arth.2004.11.013</doi><tpages>8</tpages></addata></record> |
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| ispartof | The Journal of arthroplasty, 2006, Vol.21 (1), p.64-71 |
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| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Adult Aged Aged, 80 and over Arthroplasty, Replacement, Hip - instrumentation cementless Coated Materials, Biocompatible Durapatite - therapeutic use Female Femur Hip Prosthesis Humans hydroxyapatite Male Middle Aged Osseointegration outcomes Prosthesis Design Prosthesis Failure Reoperation Retrospective Studies revision Surface Properties total hip arthroplasty |
| title | The Use of a Hydroxyapatite-Coated Primary Stem in Revision Total Hip Arthroplasty |
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