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Long term results of the Bicontact D stem in dysplastic osteoarthritis: a 10–15 year follow-up study

  • Hip Arthroplasty
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Purpose

The purpose of the present study was to investigate the results of total hip arthroplasty (THA) using the Bicontact D stem with a minimum 10 year follow-up that focused on patients with developmental dysplasia of the hip (DDH).

Methods

One hundred five patients with osteoarthritis due to DDH who underwent primary THA were included in this study. The mean final follow-up period was 12.7 ± 1.2 years (range 10–15 years). All cases were evaluated both clinically and radiographically, and Kaplan–Meier survivorship was determined as stem revision for any reason as the end point.

Results

Modified Harris hip score averaged 89.0 ± 1.1 (range 60–98) at the final follow-up. The survivorship was 99.0% (95% confidence interval 93.4–99.9%) at 15.0 years, and only one hip with a well-fixed stem required stem revision due to recurrent dislocations. Cortical hypertrophy (CH) was observed in 40 of 105 hips (38.1%), and stress shielding (SS) progressed to grade 3 or 4 in six hips (6 of 105 hips: 5.7%) during the study period. Among the six hips with progressed SS, Dorr type C proximal femoral geometry was seen in five hips.

Conclusion

This study of 105 THAs using the Bicontact D stem that focused on DDH patients with a minimum 10 year follow-up period achieved satisfactory clinical and radiological outcomes. Dorr type C proximal femoral geometry could be considered a risk factor for progressed SS.

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Acknowledgements

The authors thank Miss. Rebecca Imaizumi for her assistance in editing the English manuscript.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Nishinomiya Kaisei Hospital, 1-4, Ohama-cho, Nishinomiya, Hyogo, 662-0957, Japan

    Shigeo Fukunishi & Yu Takeda

  2. Department of Orthopedic Surgery, Hyogo College of Medicine, 1-1, Mukogawa-cho, Nishinomiya, Hyogo, 663-8501, Japan

    Tomokazu Fukui, Shoji Nishio, Toshiya Tachibana & Yuki Fujihara

Authors
  1. Shigeo Fukunishi
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  2. Yu Takeda
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  3. Tomokazu Fukui
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  6. Yuki Fujihara
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Correspondence to Shigeo Fukunishi.

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Fukunishi, S., Takeda, Y., Fukui, T. et al. Long term results of the Bicontact D stem in dysplastic osteoarthritis: a 10–15 year follow-up study. Arch Orthop Trauma Surg 142, 3987–3993 (2022). https://doi.org/10.1007/s00402-021-04262-8

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  • DOI: https://doi.org/10.1007/s00402-021-04262-8

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