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
Hauptverfasser: Ogawa, Hiroyasu, MD, Ito, Yoshiki, MD, PhD, Itokazu, Mansho, MD, PhD, Mori, Nobuyuki, MD, Terabayashi, Nobuo, MD, Shimizu, Katsuji, MD, DMSc
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container_end_page 380
container_issue 3
container_start_page 375
container_title The Journal of arthroplasty
container_volume 25
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. 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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 ; 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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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