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Archives of Orthopaedic and Trauma Surgery

, Volume 128, Issue 12, pp 1391–1395 | Cite as

Long term results of the Corin C-Fit uncemented total hip arthroplasty in young patients

  • D. Raj
  • Parag K. Jaiswal
  • B. L. Sharma
  • C. M. Fergusson
Orthopaedic Surgery

Abstract

Introduction

We conducted a prospective study to evaluate the long-term results after Corin C-Fit uncemented total hip arthroplasty in young patients with hydroxyapatite or porous coated components.

Materials and methods

We prospectively followed 36 patients (38 hips) who had Corin C-Fit uncemented total hip arthroplasties by eight experienced consultant surgeons at two centres. The acetabular and femoral components were hydroxyapatite or porous coated.

Results

The overall 10-year survival rate for the Corin C-Fit arthroplasty was 43%. The 10-year survivorship for the femoral implant was 56% and for the acetabular component 59%.

Conclusion

The evidence presented in this study suggests that the Corin C-Fit uncemented total hip arthroplasty has one of the highest mid- and long-term failure rates for both femoral and acetabular components in the literature. We believe this implant should not be used and patients who have had this form of total hip arthroplasty should be kept under regular review.

Keywords

Corin C-Fit uncemented total hip arthroplasty Survival rate 

References

  1. 1.
    Keener JD, Callaghan J, Goetz DD (2003) Twenty-five-year results after Charnley total hip arthroplasty in patients less than fifty years old. J Bone Joint Surg Am A-85:1066–1072Google Scholar
  2. 2.
    Emery DFG, Clarke HJ, Grover ML (1997) Stanmore total hip replacement in younger patients: review of a group of patients under 50 years at age of operation. J Bone Joint Surg Br B-79:240–246CrossRefGoogle Scholar
  3. 3.
    Jaffe WL, Scott DF (1996) Total hip arthroplasty with hydroxyapatite-coated prostheses. J Bone Joint Surg Am A-78:1918–1934Google Scholar
  4. 4.
    Kim YH (2005) Long-term results of the cementless porous-coated anatomic total hip prosthesis. J Bone Joint Surg Br B-87:623–627Google Scholar
  5. 5.
    Shetty AA, Slack R, Tindall A et al. (2005) Results of a hydroxyapatite-coated (Furlong) total hip replacement. J Bone Joint Surg Br B-87:1050–1054Google Scholar
  6. 6.
    Teloken MA, Bissett G, Hozack WJ et al. (2003) Ten to fifteen follow-up after total hip arthroplasty with a tapered cobalt–chromium femoral component (tri-lock) inserted without cement. J Bone Joint Surg Am A-85:1079–1083Google Scholar
  7. 7.
    Emerson RH, Head WC, Emerson CB et al (2002) A comparison of cemented and cementless titanium femoral components used for primary total hip arthroplasty. J Arthroplasty 17:584–591PubMedCrossRefGoogle Scholar
  8. 8.
    Laupacis A, Bourne R, Rorabeck C et al (2002) Comparison of total hip arthroplasty performed with and without cement: a randomized trial. J Bone Joint Surg Am A-84:1823–1828Google Scholar
  9. 9.
    Sharp RJ, O’Leary ST, Falworth M et al (2000) Analysis of the results of the C-Fit uncemented total hip arthroplasty in young patients with hydroxyapatite or porous coating of components. J Arthroplasty 15:627–634PubMedCrossRefGoogle Scholar
  10. 10.
    Kaplan EL, Meier P (1958) Non-parametric estimation from incomplete observation. J Am Stat Assoc 58:457–481CrossRefGoogle Scholar
  11. 11.
    Dawson J, Fitzpatrick R, Carr A et al (1996) Questionnaire on the perceptions of patients about total hip arthroplasty. J Bone Joint Surg Br B-78:185–190Google Scholar
  12. 12.
    Gruen TA, McNeice GM, Amstutz HC (1979) “Modes of failure” of cemented stem-type femoral components: a radiographic analysis of loosening. Clin Orthop Relat Res 141:17–27PubMedGoogle Scholar
  13. 13.
    DeLee JG, Charnley J (1976) Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop Relat Res 121:20–32PubMedGoogle Scholar
  14. 14.
    Robertson A, Lavalette A, Morgan S, Angus PD (2005) The hydroxyapatite-coated JRI-Furlong hip: outcome in patients under the age of 55 years. J Bone Joint Surg Br B-87:12–15Google Scholar
  15. 15.
    Eskelinen A, Remes V, Helenius I et al (2006) Uncemented total hip arthroplasty for primary osteoarthritis in young patients: a mid- to long-term follow up study from the Finnish arthroplasty register. Acta Orthop 77:57–70PubMedCrossRefGoogle Scholar
  16. 16.
    Hallan G, Lie SA, Havelin LI (2006) High wear rates and extensive osteolysis in three types of uncemented total hip arthroplasty: a review of the PCA, the Harris–Galante and the Profile/Tri-Lock Plus arthroplasties with a minimum of 12 years follow-up in 96 hips. Acta Orthop 77:575–584PubMedCrossRefGoogle Scholar
  17. 17.
    Nagi ON, Kumar S, Aggarwal S (2006) The uncemented isoelastic/isotitan total hip arthroplasty: a 10–15 years follow-up with bone mineral density evaluation. Acta Orthop Belg 72:66–64Google Scholar
  18. 18.
    Goosen JHM, Verheyen CCPM, Tulp NJA (2005) Mid-term characteristics of an uncemented acetabular component. J Bone Joint Surg Br B-87:1475–1479Google Scholar
  19. 19.
    Parvizi J, Sullivan T, Duffy G, Cabanela ME (2004) Fifteen-year clinical survivorship of Harris–Galante total hip arthroplasty. J Arthroplasty 19:672–677PubMedCrossRefGoogle Scholar
  20. 20.
    Duffy P, Sher JL, Partington PF (2004) Premature wear and osteolysis in an HA-coated, uncemented total hip arthroplasty. J Bone Joint Surg Br 86:34–38PubMedGoogle Scholar
  21. 21.
    Vora A, Kudrna JC, Harder VS, Mazahery B (2003) Early failure of a proximally cemented, distally uncemented total hip arthroplasty. J Arthroplasty 18:889–896PubMedCrossRefGoogle Scholar
  22. 22.
    Skinner JA, Kroon PO, Todo S, Scott G (2003) Femoral component with proximal HA coating: an analysis of survival and fixation at up to 10 years. J Bone Joint Surg Br B-85:366–370CrossRefGoogle Scholar
  23. 23.
    Bojescul JA, Xenos JS, Callaghan JJ, Savory CJ (2002) Results of porous-coated anatomic total hip arthroplasty with a tapered cobalt–chromium femoral component (tri-lock) inserted without cement. J Bone Joint Surg Am A-84:2140–2144Google Scholar
  24. 24.
    Duffy GP, Berry DJ, Rowland C, Cabanela ME (2001) Primary uncemented total hip arthroplasty in patients <40 years old: 10–14 year results using first-generation proximally porous-coated implants. J Arthroplasty 16:140–144PubMedCrossRefGoogle Scholar
  25. 25.
    McLaughlin JR, Lee KR (2000) Total hip arthroplasty in young patients. 8- to 13-year results using an uncemented stem. Clin Orthop Relat Res 373:153–163PubMedCrossRefGoogle Scholar
  26. 26.
    Dawson J, Fitzpatrick R, Carr A, Murray D (1996) Questionnaire on the perceptions of patients about total hip arthroplasty. J Bone Joint Surg Br B-78:185–190Google Scholar
  27. 27.
    Pellegrini VD, Hughes SS, McCollister-Evarts C (1992) A collarless cobalt–chrome femoral component in uncemented total hip arthroplasty. J Bone Joint Surg Br B-74:814–817Google Scholar
  28. 28.
    Khalily C, Whiteside LA (1998) Predictive value of early radiographic findings in cementless total hip arthroplasty femoral components: an 8–12 year follow up. J Arthroplasty 13:768–773PubMedCrossRefGoogle Scholar
  29. 29.
    Engh CA, McGovern TF, Bobyn D, Harris W (1992) A quantitative evaluation of periprosthetic bone remodeling after cementless total hip arthroplasty. J Bone Joint Surg Br B-74:1009–1020Google Scholar
  30. 30.
    Murray DW, Britton AR, Bulstrode C (1997) Loss to follow-up matters. J Bone Joint Surg Br B-79:254–257CrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • D. Raj
    • 1
    • 3
  • Parag K. Jaiswal
    • 2
  • B. L. Sharma
    • 2
  • C. M. Fergusson
    • 1
  1. 1.Department of OrthopaedicsRoyal Berkshire HospitalReadingUK
  2. 2.Department of OrthopaedicsWexham Park HospitalSloughUK
  3. 3.ReadingUK

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