Cementless Total Hip Arthroplasty Using a Spongy Metal Surface Hip Prosthesis With a Collarless, Proximally Porous-Coated Stem
Abstract A collarless, proximally porous-coated type of Spongiosa Metal II hip prosthesis was used for cementless total hip arthroplasty in 52 hips, and 48 hips were followed and assessed during a mean follow-up period of 6.3 years (minimum 5 years). There were 8 hips (16.7%) that had stress shieldi...
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Veröffentlicht in: | The Journal of arthroplasty 2010-04, Vol.25 (3), p.375-380 |
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creator | Ogawa, Hiroyasu, MD Ito, Yoshiki, MD, PhD Itokazu, Mansho, MD, PhD Mori, Nobuyuki, MD Terabayashi, Nobuo, MD Shimizu, Katsuji, MD, DMSc |
description | Abstract A collarless, proximally porous-coated type of Spongiosa Metal II hip prosthesis was used for cementless total hip arthroplasty in 52 hips, and 48 hips were followed and assessed during a mean follow-up period of 6.3 years (minimum 5 years). There were 8 hips (16.7%) that had stress shielding, and 2 hips (4.2%) that had thigh pain. In terms of stability, the stem was bony stable in 39 hips, fibrous stable in 6, and unstable in 3. The stability of the stem was significantly correlated with the stem canal filling ratio. It was suggested that the much more proximal transfer of loading stress by a collarless, proximally porous-coated stem is not suitable for the Spongiosa Metal II series because it may unacceptably reduce the stability of the stem. |
doi_str_mv | 10.1016/j.arth.2009.01.012 |
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There were 8 hips (16.7%) that had stress shielding, and 2 hips (4.2%) that had thigh pain. In terms of stability, the stem was bony stable in 39 hips, fibrous stable in 6, and unstable in 3. The stability of the stem was significantly correlated with the stem canal filling ratio. It was suggested that the much more proximal transfer of loading stress by a collarless, proximally porous-coated stem is not suitable for the Spongiosa Metal II series because it may unacceptably reduce the stability of the stem.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2009.01.012</identifier><identifier>PMID: 19195831</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aluminum Oxide ; Arthritis, Rheumatoid - surgery ; Arthroplasty, Replacement, Hip - adverse effects ; Arthroplasty, Replacement, Hip - instrumentation ; Arthroplasty, Replacement, Hip - methods ; Biomechanical Phenomena ; Bone Diseases, Developmental - surgery ; cementless total hip arthroplasty ; Female ; Follow-Up Studies ; Hip Joint - surgery ; Hip Prosthesis - adverse effects ; Humans ; Japan ; Japanese Orthopaedic Association (JOA) score ; Male ; Middle Aged ; Orthopedics ; Osteonecrosis - surgery ; Pain - etiology ; Retrospective Studies ; spongy metal surface ; stability ; stem canal filling ratio ; Treatment Outcome</subject><ispartof>The Journal of arthroplasty, 2010-04, Vol.25 (3), p.375-380</ispartof><rights>Elsevier Inc.</rights><rights>2010 Elsevier Inc.</rights><rights>(c) 2010 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c410t-3bbe36010194cbcc8076d105b71e90666cf950662a163ec0314fcf5b32b018b33</citedby><cites>FETCH-LOGICAL-c410t-3bbe36010194cbcc8076d105b71e90666cf950662a163ec0314fcf5b32b018b33</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.2009.01.012$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19195831$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ogawa, Hiroyasu, MD</creatorcontrib><creatorcontrib>Ito, Yoshiki, MD, PhD</creatorcontrib><creatorcontrib>Itokazu, Mansho, MD, PhD</creatorcontrib><creatorcontrib>Mori, Nobuyuki, MD</creatorcontrib><creatorcontrib>Terabayashi, Nobuo, MD</creatorcontrib><creatorcontrib>Shimizu, Katsuji, MD, DMSc</creatorcontrib><title>Cementless Total Hip Arthroplasty Using a Spongy Metal Surface Hip Prosthesis With a Collarless, Proximally Porous-Coated Stem</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><description>Abstract A collarless, proximally porous-coated type of Spongiosa Metal II hip prosthesis was used for cementless total hip arthroplasty in 52 hips, and 48 hips were followed and assessed during a mean follow-up period of 6.3 years (minimum 5 years). There were 8 hips (16.7%) that had stress shielding, and 2 hips (4.2%) that had thigh pain. In terms of stability, the stem was bony stable in 39 hips, fibrous stable in 6, and unstable in 3. The stability of the stem was significantly correlated with the stem canal filling ratio. It was suggested that the much more proximal transfer of loading stress by a collarless, proximally porous-coated stem is not suitable for the Spongiosa Metal II series because it may unacceptably reduce the stability of the stem.</description><subject>Aluminum Oxide</subject><subject>Arthritis, Rheumatoid - surgery</subject><subject>Arthroplasty, Replacement, Hip - adverse effects</subject><subject>Arthroplasty, Replacement, Hip - instrumentation</subject><subject>Arthroplasty, Replacement, Hip - methods</subject><subject>Biomechanical Phenomena</subject><subject>Bone Diseases, Developmental - surgery</subject><subject>cementless total hip arthroplasty</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hip Joint - surgery</subject><subject>Hip Prosthesis - adverse effects</subject><subject>Humans</subject><subject>Japan</subject><subject>Japanese Orthopaedic Association (JOA) score</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Osteonecrosis - surgery</subject><subject>Pain - etiology</subject><subject>Retrospective Studies</subject><subject>spongy metal surface</subject><subject>stability</subject><subject>stem canal filling ratio</subject><subject>Treatment Outcome</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU-LFDEQxYMo7uzqF_AguXmxx0qn_4IIS-O6wooLs4vHkE5X72RMd3qTtNgXP7tpZ0DwIBTUoX71qPeKkFcMtgxY8e6wlS7stylAvQUWK31CNiznaVJlUDwlG6gqnuQZ8DNy7v0BgLE8z56TM1azOq8425BfDQ44BoPe0zsbpKHXeqKXUdfZyUgfFnrv9fhAJd1NdnxY6Bdcqd3seqnwD33rrA979NrTbzrsI9pYY6RbRd-u0596kMYs9NY6O_uksTJgR3cBhxfkWS-Nx5enfkHurz7eNdfJzddPn5vLm0RlDELC2xZ5AdF1nalWqQrKomOQtyXDGoqiUH2dx55KVnBUwFnWqz5vedoCq1rOL8ibo-7k7OOMPohBe4XxyhHjSaLkvOJVCWkk0yOpoivvsBeTi-e7RTAQa-ziINbYxRq7ABZrXXp9kp_bAbu_K6ecI_D-CGA0-UOjE15pHBV22qEKorP6__of_llXRo9aSfMdF_QHO7sxxieY8KkAsVsfv_4daohPr0r-G2XDqO0</recordid><startdate>20100401</startdate><enddate>20100401</enddate><creator>Ogawa, Hiroyasu, MD</creator><creator>Ito, Yoshiki, MD, PhD</creator><creator>Itokazu, Mansho, MD, PhD</creator><creator>Mori, Nobuyuki, MD</creator><creator>Terabayashi, Nobuo, MD</creator><creator>Shimizu, Katsuji, MD, DMSc</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>20100401</creationdate><title>Cementless Total Hip Arthroplasty Using a Spongy Metal Surface Hip Prosthesis With a Collarless, Proximally Porous-Coated Stem</title><author>Ogawa, Hiroyasu, MD ; Ito, Yoshiki, MD, PhD ; Itokazu, Mansho, MD, PhD ; Mori, Nobuyuki, MD ; Terabayashi, Nobuo, MD ; Shimizu, Katsuji, MD, DMSc</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c410t-3bbe36010194cbcc8076d105b71e90666cf950662a163ec0314fcf5b32b018b33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Aluminum Oxide</topic><topic>Arthritis, Rheumatoid - surgery</topic><topic>Arthroplasty, Replacement, Hip - adverse effects</topic><topic>Arthroplasty, Replacement, Hip - instrumentation</topic><topic>Arthroplasty, Replacement, Hip - methods</topic><topic>Biomechanical Phenomena</topic><topic>Bone Diseases, Developmental - surgery</topic><topic>cementless total hip arthroplasty</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hip Joint - surgery</topic><topic>Hip Prosthesis - adverse effects</topic><topic>Humans</topic><topic>Japan</topic><topic>Japanese Orthopaedic Association (JOA) score</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Osteonecrosis - surgery</topic><topic>Pain - etiology</topic><topic>Retrospective Studies</topic><topic>spongy metal surface</topic><topic>stability</topic><topic>stem canal filling ratio</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ogawa, Hiroyasu, MD</creatorcontrib><creatorcontrib>Ito, Yoshiki, MD, PhD</creatorcontrib><creatorcontrib>Itokazu, Mansho, MD, PhD</creatorcontrib><creatorcontrib>Mori, Nobuyuki, MD</creatorcontrib><creatorcontrib>Terabayashi, Nobuo, MD</creatorcontrib><creatorcontrib>Shimizu, Katsuji, MD, DMSc</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>Ogawa, Hiroyasu, MD</au><au>Ito, Yoshiki, MD, PhD</au><au>Itokazu, Mansho, MD, PhD</au><au>Mori, Nobuyuki, MD</au><au>Terabayashi, Nobuo, MD</au><au>Shimizu, Katsuji, MD, DMSc</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cementless Total Hip Arthroplasty Using a Spongy Metal Surface Hip Prosthesis With a Collarless, Proximally Porous-Coated Stem</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2010-04-01</date><risdate>2010</risdate><volume>25</volume><issue>3</issue><spage>375</spage><epage>380</epage><pages>375-380</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Abstract A collarless, proximally porous-coated type of Spongiosa Metal II hip prosthesis was used for cementless total hip arthroplasty in 52 hips, and 48 hips were followed and assessed during a mean follow-up period of 6.3 years (minimum 5 years). There were 8 hips (16.7%) that had stress shielding, and 2 hips (4.2%) that had thigh pain. In terms of stability, the stem was bony stable in 39 hips, fibrous stable in 6, and unstable in 3. The stability of the stem was significantly correlated with the stem canal filling ratio. It was suggested that the much more proximal transfer of loading stress by a collarless, proximally porous-coated stem is not suitable for the Spongiosa Metal II series because it may unacceptably reduce the stability of the stem.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>19195831</pmid><doi>10.1016/j.arth.2009.01.012</doi><tpages>6</tpages></addata></record> |
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subjects | Aluminum Oxide Arthritis, Rheumatoid - surgery Arthroplasty, Replacement, Hip - adverse effects Arthroplasty, Replacement, Hip - instrumentation Arthroplasty, Replacement, Hip - methods Biomechanical Phenomena Bone Diseases, Developmental - surgery cementless total hip arthroplasty Female Follow-Up Studies Hip Joint - surgery Hip Prosthesis - adverse effects Humans Japan Japanese Orthopaedic Association (JOA) score Male Middle Aged Orthopedics Osteonecrosis - surgery Pain - etiology Retrospective Studies spongy metal surface stability stem canal filling ratio Treatment Outcome |
title | Cementless Total Hip Arthroplasty Using a Spongy Metal Surface Hip Prosthesis With a Collarless, Proximally Porous-Coated Stem |
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