RSS-Feed abonnieren
DOI: 10.1055/s-2007-965654
© Georg Thieme Verlag KG Stuttgart · New York
12-Year Results with the Cementless Bicontact SD Stem in Dysplastic and Narrow Femoral Bone Conditions
Publikationsverlauf
Publikationsdatum:
16. Oktober 2007 (online)
Abstract
Aim: The aim of the study was the evaluation of the medium- to long-term results of the cementless Bicontact SD hip arthroplasty, which was designed specially for narrow femoral medullary cavities. Method: From February 1992 to December 1996 115 patients (123 joints) were treated with a Bicontact SD stem and various cup implants through a posterior approach. In one third of cases, the indication was dysplastic osteoarthritis of various degrees of severity. Results: Between November 2006 and May 2007 90 patients (98 hip joints) were followed up in a retrospective study after an average of 12.2 (10.1 - 15.1) years. The average Harris Hip Score was 93 (60 - 100) points and the Merle d'Aubigné score was 16.7 (5 - 18) points. A stem implant had to be regarded as loosened according to radiological criteria. One patient died 7 days postoperatively of a pulmonary embolism. Conclusion: The clinical and radiological results confirmed the proximal fixation concept in dysplastic femurs and narrow medullary cavities.
Key words
hip arthroplasty - dyplasia - narrow femoral bone conditions - cementless
References
- 1 Argenson J N, Ryembault E, Flecher X, Brassart N, Parratte S, Aubaniac J M. Three-dimensional anatomy of the hip in osteoarthritis after developmental dysplasia. J Bone Joint Surg [Br]. 2005; 87 1192-1196
- 2 Badhe N P, Quinnell R C, Howards P W. The uncemented Bi-Contact total hip arthroplasty. J Arthroplasty. 2002; 17 896-901
- 3 Burt C F, Garvin K L, Otterberg E T, Jardon O M. A femoral component inserted without cement in total hip arthroplasty. A study of the Tri-Lock component with an average ten-year duration of follow-up. J Bone Joint Surg [Am]. 1998; 80 952-960
- 4 Brooker A F, Bowerman J W, Robinson R A. et al . Ectopic ossification following total hip replacement. Incidence and a method of classification. J Bone Joint Surg [Am]. 1973; 55 1629
- 5 Callaghan MD J J, Templeton J E, Liu S S, Pedersen D R, Goetz D D, Sullivan P M, Johnston R C. Results of Charnley total hip arthroplasty at a minimum of thirty years. J Bone Joint Surg [Am]. 2004; 86 690-695
- 6 Cameron H U, Lee O B, Chou H. Total hip arthroplasty in patients with deficient bone stock and small femoral canals. J Arthroplasty. 2003; 18 35-40
- 7 Crowe J F, Mani V J, Ranawat C S. Total hip replacement in congenital dislocation and dysplasia of the hip. J Bone Joint Surg [Am]. 1979; 61 15-23
- 8 Eingartner C, Heigele T, Dieter J, Winter E, Weise K. Long term results with the BiCONTACT system - aspects to investigate and to learn from. Int Orthop. 2003; 27 (Suppl 1) S11-S15
- 9 Erdemli B, Yilmaz C, Atalar H, Guzel B, Cetin I. Total hip arthroplasty in developmental high dislocation of the hip. J Arthroplasty. 2005; 20 1021-1028
- 10 Eskelinen A, Helenius I, Remes V, Ylinen P, Tallroth K, Paavilainen T. Cementless total hip arthroplasty in patients with high congenital hip dislocation. J Bone Joint Surg [Am]. 2006; 88 80-91
- 11 Fayard J P, Chalencon F, Passot J D, Latour L D, Edorh G. Ten-year results of ALIZE acetabular cup with hydroxyapatite coating and AURA hydroxyapatite-coated stem in total hip arthroplasty. J Arthroplasty. 2006; 21 1021-1025
- 12 Flamme C H, Wirth C J, Stukenborg-Colsman C. [Characteristics of the learning curve in total hip endoprosthesis exemplified by the BiContact prosthesis] Charakteristik der Lernkurve bei der Hüfttotalendoprothese am Beispiel der Bicontact-Prothese. Z Orthop. 2001; 139 189-193
- 13 Grübl A, Chiari C, Giurea A, Gruber M, Kaider A, Marker M, Zehetgruber H, Gottsauner-Wolf F. Cementless total hip arthroplasty with the Rectangular Titanium Zweymüller Stem. A concise follow-up, at a minimum of fifteen years, of a previous report. J Bone Joint Surg [Am]. 2006; 88 2210-2215
- 14 Gruen T A, McNeice G M, Amstutz H C. “Modes of failure” of cemented stem-type femoral components. A radiographic analysis of loosening. Clin Orthop. 1979; 141 17-27
- 15 Ha Y C, Koo K H, Jeong S T, Yoo J J, Kim Y M, Kim H J. Cementless alumina-on-alumina total hip arthroplasty in patients younger than 50 years. A 5-year minimum follow-up study. J Arthroplasty. 2007; 22 184-188
- 16 Harris W H. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by Mold arthroplasty. An end result study using a new method of result evaluation. J Bone Joint Surg [Am]. 1969; 51 737-755
- 17 Hartofilakidi G, Karachalios T. Total hip arthroplasty for congenital hip disease. J Bone Joint Surg [Am]. 2004; 86 242-250
- 18 Hartwig C H, Willms R, Braunschweig R. Diagnostik der gelockerten Hüftendoprothese. Orthop Praxis. 1994; 30 136-142
- 19 Hendrich C, Engelmaier F, Mehling I, Sauer U, Kirschner S, Martell J M. Cementless acetabular reconstruction and structural bone-grafting in dysplastic hips. Surgical technique. J Bone Joint Surg [Am]. 2007; 89 (Suppl 2) 54-67
- 20 Johnston R C, Fitzgerald R H, Harris W H, Poss R, Muller M E, Sledge C B. Clinical and radiographic evaluation of total hip replacement. A standard system of terminology for reporting results. J Bone Joint Surg [Am]. 1990; 72 161-168
- 21 Kaplan E L, Meier P. Nonparametric estimation from incomplete observations. J Am Stat Assoc. 1958; 53 457-481
- 22 Kearns S R, Jamal B, Rorabeck C H, Bourne R B. Factors affecting survival of uncemented total hip arthroplasty in patients 50 years or younger. Clin Ortop Relat Res. 2006; 453 103-109
- 23 Kerboull M, Hamadouche M, Kerboull L. Total hip arthroplasty for crowe type IV developmental hip dysplasia. A long-term follow-up study. J Arthroplasty. 2001; 16 (Suppl 1) 170-176
- 24 Lee G Y, Srivastava A, D'Lima D D, Pulido P A, Colwell Jr C W. Hydroxyapatite-coated femoral stem survivorship at 10 years. J Arthroplasty. 2005; 20 (Suppl 3) 57-62
- 25 Lombardi A V, Mallory T H, Eberle R W, Mitchell M B, Lefkowitz M S, Williams J R. Failure of intraoperatively customized non-porous femoral components inserted without cement in total hip arthroplasty. J Bone Joint Surg [Am]. 1995; 77 1836-1844
- 26 Marshall A D, Mokris J G, Reitman R D, Dandar A, Mauerhan D R. Cementless titanium tapered-wedge femoral stem. 10- to 15-year follow-up. J Arthroplasty. 2004; 19 546-552
- 27 McLaughlin J R, Lee K R. Total hip arthroplasty with an uncemented femoral component. Excellent results at ten-year follow-up. J Bone Joint Surg [Br]. 1997; 79 900-907
- 28 Meding J B, Keating E M, Ritter M A, Faris P M, Berend M E. Minimum ten-year follow-up of a straight-stemmed, plasma-sprayed, titanium-alloy, uncemented femoral component in primary total hip arthroplasty. J Bone Joint Surg [Am]. 2004; 86 92-97
- 29 Merle d'Aubigné R. Reposition with arthroplasty for congenital dislocation of the hip in adults. J Bone Joint Surg [Br]. 1952; 34 22-29
- 30 Perka C, Fischer U, Taylor W R, Matziolis G. Developmental hip dysplasia treated with total hip arthroplasty with a straight stem and a threaded cup. J Bone Joint Surg [Am]. 2004; 86 312-319
- 31 Petsatodes G E, Christoforides J E, Papadopoulos P P, Christodoulou A G, Karataglis D, Pournaras J D. Primary total-hip arthroplasty with the Autophor 900-S fully porous coated stem in young patients. Seven to seventeen years of follow-up. J Arthroplasty. 2005; 20 436-442
- 32 Pieringer H, Auersperg V, Böhler N. Long-term results of the cementless ALLOCLASSIC hip arthroplasty system using a 28-mm ceramic head. J Arthroplasty. 2006; 21 967-974
- 33 Pospischill M, Knahr K. Cementless total hip arthroplasty using a threaded cup and a rectangular tapered stem. Follow-up for ten to 17 years. J Bone Joint Surg [Br]. 2005; 87 1210-1215
- 34 Sakai T, Sugano N, Ohzono K, Lee S B, Nishii T. The custom femoral component is an effective option for congenital hip dysplasia. Clin Orthop Relat Res. 2006; 451 146-153
- 35 Surdam J W, Archibeck M J, Schultz Jr S C, Junick D W, White Jr R E. A second-generation cementless total hip arthroplasty. Mean 9-year results. J Arthroplasty. 2007; 22 204-209
- 36 Vervest T M, Anderson P G, van Hout F, Wapstra F H, Louwerse R T, Koetsier J W. Ten to twelve-year results with the Zweymüller cementless total hip prosthesis. J Arthroplasty. 2005; 20 362-368
- 37 Walker P S, Mai S F, Cobb A G, Bentley G, Hua J. Prediction of clinical outcome of THR from migration measurements on standard radiographs. J Bone Joint Surg [Br]. 2005; 77 705-714
- 38 Warwick D. New concepts in orthopaedic thromboprophylaxis. J Bone Joint Surg [Br]. 2004; 86 788-792
- 39 Wick M, Lester D K. Radiological Changes in second- and third-generation Zweymüller stems. J Bone Joint Surg [Br]. 2004; 86 1108-1114
- 40 Yahiro M A, Gantenberg J B, Nelson R, Lu H T, Mishra N K. Comparison of the results of cemented, porous-ingrowth, and threaded acetabular cup fixation. A meta-analysis of the orthopaedic literature. J Arthroplasty. 1995; 10 339-350
- 41 Yoon K S, Kim H J, Lee J H, Kang S B, Seong N H, Koo K H. A randomized clinical trial of cementless femoral stems with and without hydroxyapatite/tricalcium-phosphate coating. An 8- to 12-year follow-up study. J Arthroplasty. 2007; 22 504-508
Dr. MD Steffen Kohler
HELIOS Klinik Bleicherode
Fachkrankenhaus für Orthopädie
Barbarastraße 11
99752 Bleicherode
Germany
Telefon: + 49 3 63 38 6 52 74
Fax: + 49 3 63 38 6 52 84
eMail: steffen.kohler@helios-kliniken.de