Archives of Orthopaedic and Trauma Surgery

, Volume 133, Issue 5, pp 707–712 | Cite as

Early migration characteristics of a 180° porous-coated cup with 1-mm press fit

  • Christoph StihsenEmail author
  • Christopher Rath
  • Roman Radl
  • Ali A. Saalabian
  • Wilfried Materna
  • Peter Rehak
  • Reinhard Windhager
Hip Arthroplasty



Evaluation of early cup movement is an important diagnostic tool to predict the likelihood of long-term implant loosening and clinical failure. The investigated cementless cup is clinically proven over 10 years, but there is a paucity of information that accurately describes the migration characteristics of this component.

Materials and methods

We retrospectively analysed the clinical outcome and migration behaviour of 60 Pinnacle 100 shells after an average 3.8-year follow-up (range 2.1–5.4 years). For migration measurement, EBRA (Einzel-Bild-Röntgen-Analyse) digital software was applied. Clinical assessment was performed using the HHS, the UCLA score and the SF-36 health survey.


The clinical outcome showed excellent results with a mean HHS of 95.4 (SD 7.1) and mean UCLA of 6.9 (SD 1.3). All implants were radiologically stable within the observation period and none of the cups was at risk for aseptical loosening. EBRA analysis revealed a mean total migration of 1.4 mm (SD 0.9) (95 % CI 1.1–1.6) at 3 years. Eight cups migrated more than 1 mm within the first three postoperative months, thereafter the migration curves flattened down.


Surgeons may expect to find a variable amount of early migration when using the Pinnacle cup. To our knowledge, these are the first results, which show an early “impaction” of a cementless cup, followed by subsequent osseointegration. We believe that an appropriate long-term outcome of the investigated cup is ensured. The data of the present investigation will provide clinicians with useful baseline information with which to compare new cup designs.


Total hip arthroplasty Cementless Migration analysis EBRA 



The study was designed and performed as an academic investigation without any external or industrial funding sources.

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Christoph Stihsen
    • 1
    Email author
  • Christopher Rath
    • 2
  • Roman Radl
    • 3
  • Ali A. Saalabian
    • 4
  • Wilfried Materna
    • 2
  • Peter Rehak
    • 5
  • Reinhard Windhager
    • 1
  1. 1.Department of Orthopaedic SurgeryMedical University of ViennaViennaAustria
  2. 2.Department of Orthopaedic SurgeryMedical University of GrazGrazAustria
  3. 3.Department of Orthopaedic SurgeryLandeskrankenhaus StolzalpeStolzalpeAustria
  4. 4.Department of Plastic and Recontructive SurgeryMedical Institution RudolfstiftungViennaAustria
  5. 5.Unit for Biomedical Engineering and Computing, Department of SurgeryMedical University of GrazGrazAustria

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