Skip to main content
SpringerLink
Log in

Uncemented total hip replacements and thigh pain

  • Original Article
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

We reviewed 51 uncemented total hip replacements (THRs) in 44 patients (mean age 62 years) and average postoperative follow-up period of 4 years. The evaluation system used was based on that of D'Aubigne-Postel-Charnley, and the excellent and very good results totalled over 90%. There were no revisions or aseptic loosenings, and only one late infection and one death due to cardiac infarction. Special attention was paid to the socalled thigh pain phenomenon which, despite current views, was found to be unexpectedly low (only one case) and also gone within 2 years. We feel that the design of the prosthesis used, its kind of alloy, the anatomic shape of the stem and the low modulus of the elasticity as well as the avoidance of the press fitting technique at the distal part of the stem are important factors in avoiding the stress shielding phenomenon and thigh pain.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Andrew TA, Berridge D, Thomas A, Duke RNF (1985) Long term review of Ring total hip arthroplasty. Clin Orthop 201:111–122

    Google Scholar 

  2. Bands R, Pelker RR, Shine J, Bradburn H, Margolis R, Leach J (1991) The noncemented porous-coated total hip prosthesis. Clin Orthop 269:209–219

    Google Scholar 

  3. Bobyn JD, Mortimer ES, Glassman AH, Engh CA, Miller JE, Brooks CE (1992) Producing and avoiding stress shielding. Clin Orthop 274:79–96

    Google Scholar 

  4. Burke DW, O'Connor DO, Zaleski EB, Jasty M, Harris WH (1991) Micromotion of cemented and uncemented femoral components. J Bone Joint Surg [Br] 73:33

    Google Scholar 

  5. Callaghan JJ, Dysart SH, Savory CG (1988) The uncemented porous-coated anatomic THP. J Bone Joint Surg [Am] 70:337–346

    Google Scholar 

  6. Dodge BM, Fitzrandolph R, Collins DN (1991) Noncemented porous-coated anatomic total hip arthroplasty. Clin Orthop 269:16–24

    Google Scholar 

  7. Engh C (1982) Hip arthroplasty with a Moore prosthesis with porous coating. Clin Orthop 176:52–66

    Google Scholar 

  8. Engh CA, Bobyn JD (1988) The influence of the stem size and extent of porous coating on femoral bone resorption after primary cementless hip arthroplasty. Clin Orthop. 231:7–28

    Google Scholar 

  9. Engh CA, Bobyn JD, Glassman AH (1987) Porous-coated hip replacement. J Bone Joint Surg [Br] 69:45–55

    Google Scholar 

  10. Engh CA, Griffin W, Marx CL (1990) Cementless acetabular components. J Bone Joint Surg [Br] 72:53–59

    Google Scholar 

  11. Engh CA, Massin P, Suthers KE (1989) Roentgenographic assessment of the biologic fixation of the porous-surfaced femoral components. Clin Orthop 257:107–128

    Google Scholar 

  12. Engh CA, O'Connor D, Jasty M, McGovern TF, Bobyn JD, Harris WH (1992) Quantification of implant micromotion, strain shielding, and bone resorption with porous-coated anatomic medullary locking femoral prostheses. Clin Orthop 285:13–29

    Google Scholar 

  13. Freeman MAR (1986) Why resect the neck? J Bone Joint Surg [Br] 68:346–349

    Google Scholar 

  14. Geesink RGT (1991) Hydroxyapatite-coated total hip prostheses. Clin Orthop 261:39–58

    Google Scholar 

  15. Haddad RJ, Cook SD, Brinker MR (1990) A comparison of three varieties of noncemented porous-coated hip replacements. J Bone Joint Surg [Br] 72:2–8

    Google Scholar 

  16. Harris WH, Schiller AL, Scholler JM, Freiberg RA, Scott R (1976) Extensive localized bone resorption in the femur following THR. J Bone Joint Surg [Am] 58:612–618

    Google Scholar 

  17. Harris WH, McCarthy JC Jr, O'Neil DA (1982) Femoral component loosening using contemporary techniques of femoral cement fixation. J Bone Joint Surg [Am] 64:1063–1067

    Google Scholar 

  18. Herberts P, Malchau H, Romanus B (1988) Uncemented total hip replacement in young adults — a Scandinavian multicenter PCA study. Annual meeting Scandinavian Orthop Assoc Arhus, Denmark. June 8–11. Acta Orthop Scand Suppl 59: 227–228

  19. Huiskes R (1990) The various stress patterns of press-fit, ingrown and cemented femoral stems. Clin Orthop 261:27–37

    Google Scholar 

  20. Klerk AJ (1985) The femoral component of the isoelastic total hip: technique, results and complications. J Bone Joint Surg [Br] 67:502

    Google Scholar 

  21. Lambiris H, Hofig B, Papajoannou N (1984) Cementless THR (ceramic type). Acta Orthop Hell T 35:251–255

    Google Scholar 

  22. Ling RSM, Halawa M, Lee AJC, Vangala SS (1981) Total hip replacement using the Exeter prosthesis. J Bone Joint Surg [Br] 63:283

    Google Scholar 

  23. Lintner F, Zweymuller K, Brand G (1986) Tissue reaction to titanium endoprosthesis. J Arthoplasty 1:3183–3195

    Google Scholar 

  24. Lord G, Bancel P (1982) The madreporic cementless total hip arthroplasty. Clin Orthop 176:67–76

    Google Scholar 

  25. Lubinus HH (1989) The Link-Rippen system. Orthopaedics 12:1205–1208

    Google Scholar 

  26. Maloney WJ, Harris WH (1990) Comparison of a hybrid with an uncemented THR. J Bone Joint Surg [Am] 72:1349–1352

    Google Scholar 

  27. McCutchen JW, Collier JP, Mayor MB (1990) Osseointegration of titanium implants in total hip arthroplasty Clin Orthop 261:114–125

    Google Scholar 

  28. McGann W, Harris WH (1986) Improved results from improved cementing for total hip replacement. J Bone Joint Surg [Br] 68:851

    Google Scholar 

  29. Morscher EW, Dick W (1982) Cementless fixation of isoelastic hip endoprosthesis manufactured from plastic materials. Clin Orthop 176:77–87

    Google Scholar 

  30. Murray DW, Rae T, Rushton N (1989) The influence of the surface energy and roughness of implants on bone resorption. J Bone Joint Surg [Br] 71:632–637

    Google Scholar 

  31. Nunn D, Freeman MAR, Tanner KE, Bonfield W (1989) Torsional stability of the femoral component of hip arthroplasty. J Bone Joint Surg [Br] 71:452–455

    Google Scholar 

  32. Orthopaedic Knowledge Update-I. Study syllabus (1984) Greek Edition 1987. American Academy of Orthopaedic surgeons

  33. Paul HA, Bargar WL, Mittlestadt B, Musitis B, Taylor RH, Kazantzidis P, Zuhars J, Williamson B, Hanson W (1992) Development of surgical robot for cementless T.H.Rs. Clin Orthop 285:57–68

    Google Scholar 

  34. Petrou G (1977) Howse THR posterolateral approach. M.D. Thesis

  35. Petrou G, Nicopoulos A, Tomptsis K, Kavetsos G, Petropoulos B (1982) Expanding bone rarefaction around Muller's type THR. Acta Orthop Hell T 33:155–165

    Google Scholar 

  36. Phillips TW, Messieh SS (1988) Cementless hip replacement for arthritis. J Bone Joint Surg [Br] 70:750–775

    Google Scholar 

  37. Reigstad A, Brandt M, Bye K (1988) Results of a prospective comparison between a cemented and an uncemented hip prosthesis. Acta Orthop Scand 59(Suppl. 227):31

    Google Scholar 

  38. Rickards R, Duncan CP (1986) The collar-calcar contact controversy. J Bone Joint Surg [Br] 68:851

    Google Scholar 

  39. Roberts DW, Poss R, Kelly K (1986) Radiographic comparison of cementing techniques in T.H.A. J Arthroplasty 1:241–247

    Google Scholar 

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

    Google Scholar 

  41. Tsamatropoulos A, Koutris G, Tseres K, Kouvaras J, Antonakopoulos P, Triantaphilou N (1990) Comparative study in cementless THR between press fitted of grooved - system and of porous coated stems (HG). 4th PanHellenic Congress, Athens

    Google Scholar 

  42. Willert HG, Ludwic J, Semlitsch M (1974) Reaction of bone to methacrylate after hip arthoplasty. J Bone Joint Surg [Am] 56:1368–1382

    Google Scholar 

  43. Wixson RL, Stulberg SD, Mehlhoff M (1991) Total hip replacement with cemented, uncemented and hybrid prosthesis. J Bone Joint Surg [Am] 73:257–270

    Google Scholar 

  44. Zweymuller KA (1986) A cementless titanium hip endoprosthesis system based on press-fit fixation: basic research and clinical results. In: Anderson LD (ed): AAOS Instructional Course Lectures, Vol 35. C.V Mosby, St. Louis, p 203

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Orthopaedic Department, General Hospital “A. Fleming”, Melissia, Athens, Greece

    G. Petrou, M. Gavras, A. Diamantopoulos, T. Kapetsis, N. Kremmydas & A. Kouzoupis

Authors
  1. G. Petrou
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. M. Gavras
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. A. Diamantopoulos
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. T. Kapetsis
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. N. Kremmydas
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. A. Kouzoupis
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Petrou, G., Gavras, M., Diamantopoulos, A. et al. Uncemented total hip replacements and thigh pain. Arch Orthop Trauma Surg 113, 322–326 (1994). https://doi.org/10.1007/BF00426180

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00426180

Keywords

Search

Navigation