17-year follow-up of the rough-blasted threaded Weill cup in uncemented total hip arthroplasty
Introduction For uncemented hip arthroplasty, various cup designs are available. The threaded Weill acetabular component (Weill cup; Zimmer, Winterthur, Switzerland) has been used for more than 20 years, with poor results of the smooth threaded design. Our study was intended to assess the 17-year ou...
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| Veröffentlicht in: | Archives of orthopaedic and trauma surgery 2011-04, Vol.131 (4), p.557-561 |
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| creator | Müller, L. A. Wenger, N. Schramm, M. Hohmann, D. Forst, R. Carl, Hans-Dieter |
| description | Introduction
For uncemented hip arthroplasty, various cup designs are available. The threaded Weill acetabular component (Weill cup; Zimmer, Winterthur, Switzerland) has been used for more than 20 years, with poor results of the smooth threaded design. Our study was intended to assess the 17-year outcome of the rough-blasted option of the threaded Weill cup.
Materials and methods
Between 1987 and 1988, a series of 86 rough-blasted threaded Weill cups were implanted in combination with the CLS
®
Spotorno stem (Zimmer Ltd, Germany) The patients’ mean age at the time of surgery was 50 years (range 19–67 years). 67 out of 86 hips (78%) were available for a follow-up at a mean of 17 years (range 16–18 years). Radiographs were available from 55 out of 63 unrevised hips (87%) and analyzed for radiolucency and PE wear.
Results
Two out of 86 cups (3%) were revised due to aseptic loosening and another two cups (3%) were awaiting revision for the same reason. Ten patients (10 cups, 12%) were lost to follow-up, and nine patients with nine cups (11%) had deceased without radiographic signs of cup failure. Cup survival with “revision or awaiting revision” as endpoint was 86% (95% CI 75–92%). No deep infections occurred, and no polyethylene insert was exchanged. The Harris hip score was excellent in 37 out of 67 clinically examined hips (55%), good in 18 hips (26%), satisfactory in 5 hips (8%) and moderate or poor in 5 hips (8%) and 2 hips (3%), respectively.
Conclusion
The rough-blasted threaded Weill cup provides a good long-term performance in cementless total hip arthroplasty. The results compare favourably to the smooth threaded cup design. |
| doi_str_mv | 10.1007/s00402-010-1215-z |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_857482901</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2261987256</sourcerecordid><originalsourceid>FETCH-LOGICAL-c371t-9bb33dc24949798a03b304e1a54b4d8e53fc860d811b364541314b8daedfcf03</originalsourceid><addsrcrecordid>eNp1kEFP3DAQha0KVBbaH9ALisSBk9sZ20nsI0LQIiH1gsStlpNM2CBvHOxEaPn19XYpSJV6mhnP995Yj7EvCF8RoP6WABQIDggcBZb85QNboZKKS4PVAVuBkRXXUOIRO07pEQCFNvCRHQnECkWJK_YLa74lF4s-eB-e-TIVoS_mNRUxLA9r3niXZurySyTX5eaeBu-LNnPDWCxjSxsa_wBhdr5YD1PhYobDtBNuP7HD3vlEn1_rCbu7vrq7_MFvf36_uby45a2sceamaaTsWqGMMrXRDmQjQRG6UjWq01TKvtUVdBqxkZUqFUpUje4cdX3bgzxh53vbKYanhdJsN0NqyXs3UliS1WWttDCAmTz7h3wMSxzz36wQFRpdi7LKFO6pNoaUIvV2isPGxa1FsLvo7T56C7s5R29fsub01XlpNtS9Kf5mnQGxB1JejQ8U30__3_U3GTuORA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2261987256</pqid></control><display><type>article</type><title>17-year follow-up of the rough-blasted threaded Weill cup in uncemented total hip arthroplasty</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Müller, L. A. ; Wenger, N. ; Schramm, M. ; Hohmann, D. ; Forst, R. ; Carl, Hans-Dieter</creator><creatorcontrib>Müller, L. A. ; Wenger, N. ; Schramm, M. ; Hohmann, D. ; Forst, R. ; Carl, Hans-Dieter</creatorcontrib><description>Introduction
For uncemented hip arthroplasty, various cup designs are available. The threaded Weill acetabular component (Weill cup; Zimmer, Winterthur, Switzerland) has been used for more than 20 years, with poor results of the smooth threaded design. Our study was intended to assess the 17-year outcome of the rough-blasted option of the threaded Weill cup.
Materials and methods
Between 1987 and 1988, a series of 86 rough-blasted threaded Weill cups were implanted in combination with the CLS
®
Spotorno stem (Zimmer Ltd, Germany) The patients’ mean age at the time of surgery was 50 years (range 19–67 years). 67 out of 86 hips (78%) were available for a follow-up at a mean of 17 years (range 16–18 years). Radiographs were available from 55 out of 63 unrevised hips (87%) and analyzed for radiolucency and PE wear.
Results
Two out of 86 cups (3%) were revised due to aseptic loosening and another two cups (3%) were awaiting revision for the same reason. Ten patients (10 cups, 12%) were lost to follow-up, and nine patients with nine cups (11%) had deceased without radiographic signs of cup failure. Cup survival with “revision or awaiting revision” as endpoint was 86% (95% CI 75–92%). No deep infections occurred, and no polyethylene insert was exchanged. The Harris hip score was excellent in 37 out of 67 clinically examined hips (55%), good in 18 hips (26%), satisfactory in 5 hips (8%) and moderate or poor in 5 hips (8%) and 2 hips (3%), respectively.
Conclusion
The rough-blasted threaded Weill cup provides a good long-term performance in cementless total hip arthroplasty. The results compare favourably to the smooth threaded cup design.</description><identifier>ISSN: 0936-8051</identifier><identifier>EISSN: 1434-3916</identifier><identifier>DOI: 10.1007/s00402-010-1215-z</identifier><identifier>PMID: 21161251</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adult ; Aged ; Arthroplasty, Replacement, Hip - methods ; Female ; Follow-Up Studies ; Hip Arthroplasty ; Hip Prosthesis ; Humans ; Joint surgery ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Orthopedics ; Prosthesis Design ; Prosthesis Failure ; Retrospective Studies ; Treatment Outcome ; Young Adult</subject><ispartof>Archives of orthopaedic and trauma surgery, 2011-04, Vol.131 (4), p.557-561</ispartof><rights>Springer-Verlag 2010</rights><rights>Archives of Orthopaedic and Trauma Surgery is a copyright of Springer, (2010). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c371t-9bb33dc24949798a03b304e1a54b4d8e53fc860d811b364541314b8daedfcf03</citedby><cites>FETCH-LOGICAL-c371t-9bb33dc24949798a03b304e1a54b4d8e53fc860d811b364541314b8daedfcf03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00402-010-1215-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00402-010-1215-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21161251$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Müller, L. A.</creatorcontrib><creatorcontrib>Wenger, N.</creatorcontrib><creatorcontrib>Schramm, M.</creatorcontrib><creatorcontrib>Hohmann, D.</creatorcontrib><creatorcontrib>Forst, R.</creatorcontrib><creatorcontrib>Carl, Hans-Dieter</creatorcontrib><title>17-year follow-up of the rough-blasted threaded Weill cup in uncemented total hip arthroplasty</title><title>Archives of orthopaedic and trauma surgery</title><addtitle>Arch Orthop Trauma Surg</addtitle><addtitle>Arch Orthop Trauma Surg</addtitle><description>Introduction
For uncemented hip arthroplasty, various cup designs are available. The threaded Weill acetabular component (Weill cup; Zimmer, Winterthur, Switzerland) has been used for more than 20 years, with poor results of the smooth threaded design. Our study was intended to assess the 17-year outcome of the rough-blasted option of the threaded Weill cup.
Materials and methods
Between 1987 and 1988, a series of 86 rough-blasted threaded Weill cups were implanted in combination with the CLS
®
Spotorno stem (Zimmer Ltd, Germany) The patients’ mean age at the time of surgery was 50 years (range 19–67 years). 67 out of 86 hips (78%) were available for a follow-up at a mean of 17 years (range 16–18 years). Radiographs were available from 55 out of 63 unrevised hips (87%) and analyzed for radiolucency and PE wear.
Results
Two out of 86 cups (3%) were revised due to aseptic loosening and another two cups (3%) were awaiting revision for the same reason. Ten patients (10 cups, 12%) were lost to follow-up, and nine patients with nine cups (11%) had deceased without radiographic signs of cup failure. Cup survival with “revision or awaiting revision” as endpoint was 86% (95% CI 75–92%). No deep infections occurred, and no polyethylene insert was exchanged. The Harris hip score was excellent in 37 out of 67 clinically examined hips (55%), good in 18 hips (26%), satisfactory in 5 hips (8%) and moderate or poor in 5 hips (8%) and 2 hips (3%), respectively.
Conclusion
The rough-blasted threaded Weill cup provides a good long-term performance in cementless total hip arthroplasty. The results compare favourably to the smooth threaded cup design.</description><subject>Adult</subject><subject>Aged</subject><subject>Arthroplasty, Replacement, Hip - methods</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hip Arthroplasty</subject><subject>Hip Prosthesis</subject><subject>Humans</subject><subject>Joint surgery</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Prosthesis Design</subject><subject>Prosthesis Failure</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0936-8051</issn><issn>1434-3916</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kEFP3DAQha0KVBbaH9ALisSBk9sZ20nsI0LQIiH1gsStlpNM2CBvHOxEaPn19XYpSJV6mhnP995Yj7EvCF8RoP6WABQIDggcBZb85QNboZKKS4PVAVuBkRXXUOIRO07pEQCFNvCRHQnECkWJK_YLa74lF4s-eB-e-TIVoS_mNRUxLA9r3niXZurySyTX5eaeBu-LNnPDWCxjSxsa_wBhdr5YD1PhYobDtBNuP7HD3vlEn1_rCbu7vrq7_MFvf36_uby45a2sceamaaTsWqGMMrXRDmQjQRG6UjWq01TKvtUVdBqxkZUqFUpUje4cdX3bgzxh53vbKYanhdJsN0NqyXs3UliS1WWttDCAmTz7h3wMSxzz36wQFRpdi7LKFO6pNoaUIvV2isPGxa1FsLvo7T56C7s5R29fsub01XlpNtS9Kf5mnQGxB1JejQ8U30__3_U3GTuORA</recordid><startdate>20110401</startdate><enddate>20110401</enddate><creator>Müller, L. A.</creator><creator>Wenger, N.</creator><creator>Schramm, M.</creator><creator>Hohmann, D.</creator><creator>Forst, R.</creator><creator>Carl, Hans-Dieter</creator><general>Springer-Verlag</general><general>Springer Nature B.V</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>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20110401</creationdate><title>17-year follow-up of the rough-blasted threaded Weill cup in uncemented total hip arthroplasty</title><author>Müller, L. A. ; Wenger, N. ; Schramm, M. ; Hohmann, D. ; Forst, R. ; Carl, Hans-Dieter</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c371t-9bb33dc24949798a03b304e1a54b4d8e53fc860d811b364541314b8daedfcf03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Arthroplasty, Replacement, Hip - methods</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hip Arthroplasty</topic><topic>Hip Prosthesis</topic><topic>Humans</topic><topic>Joint surgery</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Prosthesis Design</topic><topic>Prosthesis Failure</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Müller, L. A.</creatorcontrib><creatorcontrib>Wenger, N.</creatorcontrib><creatorcontrib>Schramm, M.</creatorcontrib><creatorcontrib>Hohmann, D.</creatorcontrib><creatorcontrib>Forst, R.</creatorcontrib><creatorcontrib>Carl, Hans-Dieter</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of orthopaedic and trauma surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Müller, L. A.</au><au>Wenger, N.</au><au>Schramm, M.</au><au>Hohmann, D.</au><au>Forst, R.</au><au>Carl, Hans-Dieter</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>17-year follow-up of the rough-blasted threaded Weill cup in uncemented total hip arthroplasty</atitle><jtitle>Archives of orthopaedic and trauma surgery</jtitle><stitle>Arch Orthop Trauma Surg</stitle><addtitle>Arch Orthop Trauma Surg</addtitle><date>2011-04-01</date><risdate>2011</risdate><volume>131</volume><issue>4</issue><spage>557</spage><epage>561</epage><pages>557-561</pages><issn>0936-8051</issn><eissn>1434-3916</eissn><abstract>Introduction
For uncemented hip arthroplasty, various cup designs are available. The threaded Weill acetabular component (Weill cup; Zimmer, Winterthur, Switzerland) has been used for more than 20 years, with poor results of the smooth threaded design. Our study was intended to assess the 17-year outcome of the rough-blasted option of the threaded Weill cup.
Materials and methods
Between 1987 and 1988, a series of 86 rough-blasted threaded Weill cups were implanted in combination with the CLS
®
Spotorno stem (Zimmer Ltd, Germany) The patients’ mean age at the time of surgery was 50 years (range 19–67 years). 67 out of 86 hips (78%) were available for a follow-up at a mean of 17 years (range 16–18 years). Radiographs were available from 55 out of 63 unrevised hips (87%) and analyzed for radiolucency and PE wear.
Results
Two out of 86 cups (3%) were revised due to aseptic loosening and another two cups (3%) were awaiting revision for the same reason. Ten patients (10 cups, 12%) were lost to follow-up, and nine patients with nine cups (11%) had deceased without radiographic signs of cup failure. Cup survival with “revision or awaiting revision” as endpoint was 86% (95% CI 75–92%). No deep infections occurred, and no polyethylene insert was exchanged. The Harris hip score was excellent in 37 out of 67 clinically examined hips (55%), good in 18 hips (26%), satisfactory in 5 hips (8%) and moderate or poor in 5 hips (8%) and 2 hips (3%), respectively.
Conclusion
The rough-blasted threaded Weill cup provides a good long-term performance in cementless total hip arthroplasty. The results compare favourably to the smooth threaded cup design.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>21161251</pmid><doi>10.1007/s00402-010-1215-z</doi><tpages>5</tpages></addata></record> |
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| identifier | ISSN: 0936-8051 |
| ispartof | Archives of orthopaedic and trauma surgery, 2011-04, Vol.131 (4), p.557-561 |
| issn | 0936-8051 1434-3916 |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adult Aged Arthroplasty, Replacement, Hip - methods Female Follow-Up Studies Hip Arthroplasty Hip Prosthesis Humans Joint surgery Male Medicine Medicine & Public Health Middle Aged Orthopedics Prosthesis Design Prosthesis Failure Retrospective Studies Treatment Outcome Young Adult |
| title | 17-year follow-up of the rough-blasted threaded Weill cup in uncemented total hip arthroplasty |
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