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Cementless gustilo-kyle and BIAS total hip arthroplasty: 2- to 5-year results

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Summary

We conducted extensive radiographic and clinical examination of 58 cementless total hip arthroplasties. Forty BIAS femoral stems had heads made of Co-base F 75 alloy and 18 Gustilo-Kyle femoral stems had Ti6A14V alloy heads. The cross-sectional geometry and location of the porous coating pads of the two stem types was identical, the BIAS component being slightly shorter. At the last follow-up, 27.8% of the Gustilo-Kyle femoral components and 2.5% of the BIAS femoral components were unstable. None of the acetabular components in the BIAS group as against 38.9% of the acetabular components in the Gustilo-Kyle group demonstrated wear of more than I mm. All unstable components which did not suffer intraoperative fracture had also acetabular wear of more than 1 mm. The only case with endosteal erosion was seen in a patient with an unstable implant displaying the most extensive wear. Nonparametric statistical analysis showed that the patients with Ti6A14V/polyethylene bearing surfaces had a statistically significantly higher extent of wear and a statistically significant higher incidence of femoral component loosening than patients with CrCoMo/polyethylene bearing surfaces.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Rush University, Rush-Presbyterian St. Luke's Medical Center, Chicago, Illinois, USA

    H. Kienapfel M.D., J. Martell, A. Rosenberg & J. Galante

  2. Orthopädische Klinik, Philipps-Universität, Baldingerstrasse, W-3550, Marburg, Germany

    H. Kienapfel M.D.

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  1. H. Kienapfel M.D.
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  2. J. Martell
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  3. A. Rosenberg
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  4. J. Galante
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Kienapfel, H., Martell, J., Rosenberg, A. et al. Cementless gustilo-kyle and BIAS total hip arthroplasty: 2- to 5-year results. Arch Orthop Trauma Surg 110, 179–186 (1991). https://doi.org/10.1007/BF00571055

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