Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/58301
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Type: Journal article
Title: Early migration characteristics of a hydroxyapatite-coated femoral stem: an RSA study
Author: Campbell, D.
Mercer, G.
Nilsson, K.
Wells, V.
Field, J.
Callary, S.
Citation: International Orthopaedics, 2009; 35(4):483-488
Publisher: Springer-Verlag
Issue Date: 2009
ISSN: 0341-2695
1432-5195
Statement of
Responsibility: 
David Campbell, Graham Mercer, Kjell G. Nilsson, Vanessa Wells, John R. Field and Stuart A. Callary
Abstract: Measurement of early stem subsidence can be used to predict the likelihood of long-term femoral component loosening and clinical failure. Data that examines the early migration pattern of clinically proven stems will provide clinicians with useful baseline data with which to compare new stem designs. This study was performed to evaluate the early migration pattern of a hydroxyapatite-coated press-fit femoral component that has been in use for over ten years. We enrolled 30 patients who underwent THA for osteoarthritis. The median age was 70 years (range, 55–80 years). Patients were clinically assessed using the Harris hip score. Radiostereometric analysis was used to evaluate stem migration at three to four days, six months, one year and two years. We observed a mean subsidence of 0.73 mm at six months, 0.62 mm at one year and 0.58 mm at two years and a mean retroversion of 1.82° at six months, 1.90° at one year and 1.59° at two years. This data suggests that subsidence is confined to the first six months after which there was no further subsidence. The results from this study can be compared with those from novel cementless stem designs to help predict the long-term outcome one may expect from new cementless stem designs.
Keywords: Hip Joint; Humans; Osteoarthritis, Hip; Prosthesis Failure; Durapatite; Coated Materials, Biocompatible; Range of Motion, Articular; Treatment Outcome; Arthroplasty, Replacement, Hip; Prospective Studies; Prosthesis Design; Hip Prosthesis; Health Status; Aged; Aged, 80 and over; Middle Aged; Female; Male
Description: The original publication is available at www.springerlink.com
Rights: © Springer-Verlag 2009
RMID: 0020094400
DOI: 10.1007/s00264-009-0913-z
Appears in Collections:Orthopaedics and Trauma publications

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