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Hip arthroplasty with the thrust plate prosthesis in patients of 65 years of age or older: 67 patients followed 2–7 years

  • Orthopaedic Surgery
  • Published:
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Abstract

Introduction

Thrust plate prosthesis (TPP) is a relatively new concept in total hip arthroplasty and advocated to be used in young patients. We retrospectively evaluated the results of 67 patients (71 hips) who were older than 65 years of age and underwent hip arthroplasty using the TPP.

Patients and methods

There were 50 female and 17 male patients with a mean age 71 (range 65–89) years. All patients received accelerated rehabilitation program either with full weight bearing in the second postoperative day or at 6 weeks. All patients were followed-up for at least 2 years (range 28–87 months).

Results

The average Harris hip score improved from 43 (range 8–72) to 93 (range 64–100) at the latest follow-up (p < 0.001). The overall revision rate was 8.4%. However, when the patients with definitive history of trauma were excluded the rate for loosening and technical errors decreased to 4.2%. There was no significant difference between the Harris hip score of patients with full weight bearing in the second postoperative day or 6 weeks (p = 0.57).

Conclusion

We conclude that the TPP could be indicated for older patients without age limit and that an accelerated rehabilitation program with early weight bearing can be applied to these patients.

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References

  1. Beretier H, Burgi M, Schenk R (1997) Finite element investigations of the proximal femur after implantation of the thrust plate prosthesis compared with findings in a post-mortem histological specimen and in radiological follow-up examinations. In: Huggler AH, Jacob HAC (eds) The thrust plate prosthesis. Springer, Berlin, pp 48–62

    Google Scholar 

  2. Buergi ML, Stoffel KK, Jacob HAC, Bereiter HH (2005) Radiological findings and clinical results of 102 thrust-plate femoral hip prostheses. A follow-up of 2 to 8 years. J Arthroplasty 20:108–117

    Article  PubMed  Google Scholar 

  3. Dorr LD, Wan Z, Gruen T (1997) Functional results in total hip replacement in patients 65 years and older. Clin Orthop 336:143–151

    Article  PubMed  Google Scholar 

  4. Engh CA, Glassman AH, Bobyn JD (1986) Surgical principles in cementless total hip arthroplasty. Tech Orthop 1:35–53

    Article  Google Scholar 

  5. Fink B, Siegmüller C, Shneider T, Conrad S, Schmielau G, Ruther W (2000) Short-and medium-term results of the thrust plate prosthesis in patients with polyarthritis. Arch Orthop Trauma Surg 120:294–298

    Article  PubMed  CAS  Google Scholar 

  6. Furnes O, Espehaug B, Lie SA, Engesaeter LB, Vollset SE, Hallan G, Fenstad AM, Havelin L (2005) Prospective studies of hip and knee prostheses. The Norwegian Arthroplasty Register 1987–2004. In: 72nd annual meeting of the American Academy of Orthopaedic Surgeons, 23–27 February, Washington

  7. Gocen Z, Sen A, Unver B, Karatosun V, Gunal I (2004) The effect of preoperative physiotherapy and education on the outcome of total hip replacement. Prospective randomized controlled trial. Clin Rehabil 18:353–358

    Article  PubMed  Google Scholar 

  8. Goldstein TS (1999) Geriatric orthopaedics. Rehabilitative management of common problems. Aspen Publishers, Maryland

    Google Scholar 

  9. Goto T, Yasunaga Y, Takahashi K, Ochi M (2004) Biomechanical analysis and quantitative analysis of bone scintigraphy on thrust plate hip prosthesis. Arch Orthop Trauma Surg 124:357–362

    PubMed  Google Scholar 

  10. Gursoy Y, Gunal I, Aksoy S, Sarioglu T, Kose N (1996) Strain distribution in the proximal femora. Comparison of intra and extramedullary type prostheses with intact bone. Arthroplasty Arthroscopic Surg 7:24–28, [In Turkish]

    Google Scholar 

  11. Healy WL (2002) Hip implant selection for total hip arthroplasty in elderly patients. Clin Orthop 405:54–64

    Article  PubMed  Google Scholar 

  12. Herberts P, Malchau H (1997) How outcome studies have changed total hip arthroplasty practices in Sweden. Clin Orthop 344:44–60

    PubMed  Google Scholar 

  13. Huggler AH, Jacob HAC (1980) A new approach towards hip-prosthesis design. Arch Orthop Trauma Surg 97:141–144

    Article  PubMed  CAS  Google Scholar 

  14. Huggler AH, Jacob HAC, Beretier H, Haferkom M, Ryf C, Schenk R (1993) Long-term results with the uncemented thrust plate prosthesis (TPP). Acta Orthop Belg 59(Suppl 1):215–223

    PubMed  Google Scholar 

  15. Huggler AH (1997) The thrust plate prosthesis: a new experience in hip surgery. In: Huggler AH, Jacob HAC (eds) The thrust plate prosthesis. Springer, Berlin, pp 1–24

    Google Scholar 

  16. Jacob HAC (1997) Biomechanical principles and design details of the thrust plate prosthesis. In: Huggler AH, Jacob HAC (eds) The thrust plate prosthesis. Springer, Berlin, pp 25–47

    Google Scholar 

  17. Jacob HAC, Huggler AH (1980) An investigation into biomechanical causes of prosthesis stem loosening within the proximal end of the human femur. J Biomech 13:159–173

    Article  PubMed  CAS  Google Scholar 

  18. Karatosun V, Gunal I, Unver B (2001) Thrust plate prosthesis: early results of a new concept in the femoral component of total hip arthroplasty [In Turkish]. Acta Orthop Traumatol Turc 35:35–40

    Google Scholar 

  19. McAuley JP, Moore KD, Culpepper MJ 2nd, Engh CA (1998) Total hip arthroplasty with porous-coated prostheses fixed without cement in patients who are sixty-five years of age or older. J Bone Joint Surg Am 80:1648–1655

    PubMed  CAS  Google Scholar 

  20. Meek RM, Michos J, Grigoris P, Hamblen DL (2002) Mid-term results and migration behaviour of a ti-alloy cemented stem. Int Orthop 26:356–360

    Article  PubMed  Google Scholar 

  21. Munin MC, Hockenberry PS, Flynn PG, Toplak W (1998) Rehabilitation. In: Callaghan JJ, Rosenberg AG, Rubash HE (eds) The adult hip. Lippincott Raven Publishers, Philadelphia, pp 1571–1579

    Google Scholar 

  22. Ranawat CS, Rasquinha VJ, Ranawat AS (2003) Cementless stems in patients aged >60 years: just say no. Orthopedics 26:920–922

    PubMed  Google Scholar 

  23. Rao RR, Sharkey PF, Hozack WJ, Eng K, Rothman RH (1998) Immediate weight bearing after cementless total hip arthroplasty. Clin Orthop 349:156–162

    Article  PubMed  Google Scholar 

  24. Rasquinha VJ, Ranawat CS (2004) Durability of the cemented femoral stem in patients 60 to 80 years old. Clin Orthop 419:115–123

    Article  PubMed  Google Scholar 

  25. Rothman RH, Cohn JC (1990) Cemented versus cementless total hip arthroplasty. A critical review. Clin Orthop 254:153–169

    PubMed  Google Scholar 

  26. Sharma S, Verma G, Draviraj KP, Bhamra M (2005) Early results with the thrust plate prosthesis in young patients with osteoarthritis of the hip. Acta Orthop Belg 71:182–188

    PubMed  Google Scholar 

  27. Söderman P (2000) On the validity of the results from the Swedish national total hip arthroplasty register. Acta Orthop Scand 71(Suppl 296):1–33

    Article  Google Scholar 

  28. Steens W, Rosenbaum D, Goetze C, Gosheger G, van den Daele R, Steinbeck J (2003) Clinical and functional outcome of the thrust plate prosthesis: short-and medium-term results. Clin Biomech (Bristol, Avon) 18: 647–654

    Article  CAS  Google Scholar 

  29. Unver B, Karatosun V, Gunal I, Angin S (2004) Comparison of two different rehabilitation programmes for thrust plate prosthesis: a randomized controlled study. Clin Rehabil 18:84–91

    Article  PubMed  Google Scholar 

  30. Woolson ST, Adler NS (2002) The effect of partial or full weight bearing ambulation after cementless total hip arthroplasty. J Arthroplasty 17:820–825

    Article  PubMed  Google Scholar 

  31. Yasunaga Y, Goto T, Hisatome T, Tanaka R, Yamasaki T, Ochi M (2003) Bone-preserving prosthesis with a single axis for treating osteonecrosis of the femoral head: midterm results for the thrust plate hip prosthesis. J Orthop Sci 8:818–822

    Article  PubMed  Google Scholar 

  32. Zelle BA, Gerich TG, Bastian L, Shuler FD, Pape HC, Krettek C (2004) Total hip arthroplasty in young patients using the thrust plate prosthesis: clinical and radiological results. Arch Orthop Trauma Surg 124:310–316

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopedics, Dokuz Eylül University Hospital, Balcova, 35340, Izmir, Turkey

    Vasfi Karatosun & Izge Gunal

  2. School of Physiotherapy, Dokuz Eylül University Hospital, Balcova, 35340, Izmir, Turkey

    Bayram Unver

  3. Erzene Mah 116/16 Sok No:8/12, Bornova, 35050, Izmir, Turkey

    Vasfi Karatosun

Authors
  1. Vasfi Karatosun
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  2. Bayram Unver
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  3. Izge Gunal
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Correspondence to Vasfi Karatosun.

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Karatosun, V., Unver, B. & Gunal, I. Hip arthroplasty with the thrust plate prosthesis in patients of 65 years of age or older: 67 patients followed 2–7 years. Arch Orthop Trauma Surg 128, 377–381 (2008). https://doi.org/10.1007/s00402-007-0487-4

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  • DOI: https://doi.org/10.1007/s00402-007-0487-4

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