Advertisement

Archives of Orthopaedic and Trauma Surgery

, Volume 131, Issue 4, pp 549–555 | Cite as

Prospective study of a cementless total hip arthroplasty with a collum femoris preserving stem and a trabeculae oriented pressfit cup: minimun 6-year follow-up

  • Melanie Nowak
  • Tobias E. Nowak
  • Rainer Schmidt
  • Raimund Forst
  • Alexander M. Kress
  • Lutz A. MuellerEmail author
Hip Arthroplasty

Abstract

Aim

Tissue sparing hip prostheses are becoming more and more popular especially for the treatment of younger patients. The objective of this study was to evaluate the clinical and radiological results after insertion of a tissue sparing hip prosthesis.

Method

In 47 consecutive non-selected patients (50 hips), the clinical and radiographic results of cementless total hip arthroplasty using a collum femoris preserving stem, a pressfit cup and an alumina–polyethylene pairing were prospectively evaluated. The mean age at index-surgery was 58 (36–82) years, there were 38 women and 9 men. After a mean follow-up of 6.8 years (minimum 6.1 years), two patients had died and one patient underwent revision surgery due to aseptic loosening of the stem.

Results

The overall survival rate of the acetabular component was 100% and of the femoral component 98%. The mean Harris hip score at follow-up was 94 points.

Conclusion

The mid-term survival with this type of total hip arthroplasty is excellent and compares equal with uncemented straight stems in this age group.

Keywords

Total hip arthroplasty Cementless Femoral neck preserving Follow-up 

Notes

Acknowledgment

The study was supported by a grant of Link, Hamburg, Germany.

Conflict of interest

None.

References

  1. 1.
    Grubl A, Chiari C, Gruber M, Kaider A, Gottsauner-Wolf F (2002) Cementless total hip arthroplasty with a tapered, rectangular titanium stem and a threaded cup: a minimum ten-year follow-up. J Bone Joint Surg 84-A:425–431PubMedGoogle Scholar
  2. 2.
    Aldinger PR, Breusch SJ, Lukoschek M, Mau H, Ewerbeck V, Thomsen M (2003) A ten- to 15-year follow-up of the cementless spotorno stem. J Bone Joint Surg 85-B:209–214CrossRefGoogle Scholar
  3. 3.
    Schmidt R, Nowak TE, Mueller L, Pitto RP (2004) Osteodensitometry after total hip replacement with uncemented taper-design stem. Int Orthop 28:74–77PubMedCrossRefGoogle Scholar
  4. 4.
    Cook SD, Klawitter JJ, Weinstein AM (1980) The influence of design parameters on calcar stresses following femoral head arthroplasty. J Biomed Mater Res 14:133–144PubMedCrossRefGoogle Scholar
  5. 5.
    Engh CA, Bobyn JD, Glassman AH (1987) Porous-coated hip replacement. The factors governing bone ingrowth, stress shielding, and clinical results. J Bone Joint Surg 69-B:45–55Google Scholar
  6. 6.
    Huggler AH, Jacob HA, Bereiter H, Haferkorn M, Ryf C, Schenk R (1993) Long-term results with the uncemented thrust plate prosthesis (TPP). Acta Orthop Belg 59(Suppl 1):215–223PubMedGoogle Scholar
  7. 7.
    Morrey BF (1989) Short-stemmed uncemented femoral component for primary hip arthroplasty. Clin Orthop Relat Res 249:169–175PubMedGoogle Scholar
  8. 8.
    Pipino F, Calderale PM (1987) Biodynamic total hip prosthesis. Ital J Orthop Traumatol 13:289–297PubMedGoogle Scholar
  9. 9.
    Buergi ML, Stoffel KK, Jacob HA, Bereiter HH (2005) Radiological findings and clinical results of 102 thrust-plate femoral hip prostheses: a follow-up of 2–8 years. J Arthroplasty 20:108–117PubMedCrossRefGoogle Scholar
  10. 10.
    Fink B, Wessel S, Deuretzbacher G, Protzen M, Ruther W (2007) Midterm results of “thrust plate” prosthesis. J Arthroplasty 22:703–710PubMedCrossRefGoogle Scholar
  11. 11.
    Thomas W, Lucente L, Mantegna N, Grundei H (2004) ESKA (CUT) endoprosthesis. Orthopade 33:1243–1248PubMedCrossRefGoogle Scholar
  12. 12.
    Pipino F, Keller A (2006) Tissue-sparing surgery: 25 years’ experience with femoral neck preserving hip arthroplasty. J Orthopaed Traumatol 7:36–41CrossRefGoogle Scholar
  13. 13.
    Pipino F, Molfetta L, Grandizio M (2000) Preservation of the femoral neck in hip arthroplasty: results of a 13–17 year follow-up. J Orthop Traumatol 1:31–39CrossRefGoogle Scholar
  14. 14.
    Crowe JF, Mani VJ, Ranawat CS (1979) Total hip replacement in congenital dislocation and dysplasia of the hip. J Bone Joint Surg Am 61:15–23PubMedGoogle Scholar
  15. 15.
    Bauer R, Kerschbaumer F, Poisel S, Oberthaler W (1979) The transgluteal approach to the hip joint. Arch Orthop Trauma Surg 95:47–49PubMedCrossRefGoogle Scholar
  16. 16.
    Harris WH (1969) 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 51:737–755PubMedGoogle Scholar
  17. 17.
    Johnston RC, Fitzgerald RH Jr, Harris WH, Poss R, Muller ME, Sledge CB (1990) Clinical and radiographic evaluation of total hip replacement. A standard system of terminology for reporting results. J Bone Joint Surg Am 72:161–168PubMedGoogle Scholar
  18. 18.
    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
  19. 19.
    De Lee JG, Charnley J (1976) Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop Relat Res 121:20–32Google Scholar
  20. 20.
    Brooker AF, Bowerman JW, Robinson RA, Riley LH Jr (1973) Ectopic ossification following total hip replacement. Incidence and a method of classification. J Bone Joint Surg Am 55:1629–1632PubMedGoogle Scholar
  21. 21.
    Britton A, Murray D, Bulstrode C, McPherson K, Denham R (1995) Loss to follow-up: does it matter? Lancet 345:1511–1512PubMedCrossRefGoogle Scholar
  22. 22.
    Malchau H, Herberts P, Eisler T, Garellick G, Soderman P (2002) The Swedish Total Hip Replacement Register. J Bone Joint Surg Am 84-A(Suppl 2):2–20PubMedGoogle Scholar
  23. 23.
    Schramm M, Keck F, Hohmann D, Pitto RP (2000) Total hip arthroplasty using an uncemented femoral component with taper design: outcome at 10-year follow-up. Arch Orthop Trauma Surg 120:407–412PubMedCrossRefGoogle Scholar
  24. 24.
    Aldinger PR, Thomsen M, Mau H, Ewerbeck V, Breusch SJ (2003) Cementless Spotorno tapered titanium stems: excellent 10–15-year survival in 141 young patients. Acta Orthop Scand 74:253–258PubMedCrossRefGoogle Scholar
  25. 25.
    Grubl A, Chiari C, Giurea A, Gruber M, Kaider A, Marker M, Zehetgruber H, Gottsauner-Wolf F (2006) Cementless total hip arthroplasty with the rectangular titanium Zweymuller stem. A concise follow-up, at a minimum of fifteen years, of a previous report. J Bone Joint Surg 88-A:2210–2215CrossRefGoogle Scholar
  26. 26.
    Morrey BF, Adams RA, Kessler M (2000) A conservative femoral replacement for total hip arthroplasty. A prospective study. J Bone Joint Surg 82-B:952–958CrossRefGoogle Scholar
  27. 27.
    Ender SA, Machner A, Pap G, Grasshoff H, Neumann HW (2006) The femoral neck prosthesis CUT. Three- to six-year results. Orthopade 35:841–847PubMedCrossRefGoogle Scholar
  28. 28.
    Stukenborg-Colsman C (2007) Femoral neck prostheses. Orthopade 36:347–352PubMedCrossRefGoogle Scholar
  29. 29.
    Ishaque BA, Wienbeck S, Basad E, Sturz H (2004) Radiological analysis of the thrust plate prosthesis (TPP). Z Orthop Ihre Grenzgeb 142:15–24PubMedCrossRefGoogle Scholar
  30. 30.
    Chen HH, Morrey BF, An KN, Luo ZP (2008) Bone remodeling characteristics of a short-stemmed total hip replacement. J Arthroplasty 24(6):945–950PubMedCrossRefGoogle Scholar
  31. 31.
    Rohrl SM, Li MG, Pedersen E, Ullmark G, Nivbrant B (2006) Migration pattern of a short femoral neck preserving stem. Clin Orthop Relat Res 448:73–78PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Melanie Nowak
    • 1
  • Tobias E. Nowak
    • 2
  • Rainer Schmidt
    • 1
  • Raimund Forst
    • 1
  • Alexander M. Kress
    • 1
  • Lutz A. Mueller
    • 1
    Email author
  1. 1.Department of Orthopaedic SurgeryFriedrich Alexander University Erlangen-NurembergErlangenGermany
  2. 2.Department of Trauma Surgery, Center for Musculoskeletal SurgeryJohannes Gutenberg University MainzMainzGermany

Personalised recommendations