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Uncoated polyethylene RM acetabular component versus Müller cemented acetabular component A 4- to 8-year follow-up study

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Summary

Comparable patient populations with 160 uncoated RM acetabular cups and 263 cemented Müller standard acetabular cups were submitted to survivaltime analysis in a retrospective study with a mean followup of 5.3 years for the RM cup and 6.1 years for the Müller cup. After 7–8 years 12% of the RM cups and 4% of the Müller cups had been exchanged, 40% and 15% respectively were loose. The poor performance of the RM cups is ascribed to additional external polyethylene wear, which leads to the formation of granulomas and destroys the weight-bearing osseous structures. Similar granulomas also develop on the proximal stem and thus endanger the same.

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References

  1. Aldinger G, Gekeler J (1982) Aseptic loosening of cement-anchored total hip replacement. Arch Orthop Trauma Surg 100:19–25

    Google Scholar 

  2. Bertin KC, Freeman MAR, Morscher E, Oeri A, Ring PA (1985) Cementless acetabular replacement using a pegged polyethylene prosthesis. Arch Orthop Trauma Surg 104:251–261

    Google Scholar 

  3. Buchhorn U, Willert HG, Semlitsch M, Weber H (1984) Dimensionsänderungen der Polyäthylen-Hüftpfannen bei Müller-Hüftendoprothesen. Z Orthop 122:127–135

    Google Scholar 

  4. Dobbs SH (1980) Survivorship of total hip replacements. J Bone Joint Surg [Br] 62:168–176

    Google Scholar 

  5. Dorey F, Armstutz HC (1989) The validity of survivorship analysis in total joint arthroplasty. J Bone Joint Surg [Am] 71:544–548

    Google Scholar 

  6. Eyerer R (1985) Reader's letter on: W. Remagen and E. Morscher: Histological results with cement-free implanted hip joint sockets of polyethylene. Arch Orthop Trauma Surg 104:265

    Google Scholar 

  7. Goldring SR, Shiller AL, Roelke M, Rourke CM, O'Neill DA, Harris WH (1983) The synovial-like membrane at the bone-cement interface in loose total hip replacements and its proposed role in bone lysis. J Bone Joint Surg [Am] 65:575–585

    Google Scholar 

  8. Griffith MJ, Seidenstein MK, Williams D, Charnley J (1978) Eight year results of Charnley arthroplasties of the hip with special reference to the behavior of cement. Clin Orthop 137:24–36

    Google Scholar 

  9. Mathys R (1983) Möglichkeiten des künstlichen Knochen- und Gelenkersatzes mit isoelastischen RM-Prothesen. Z Orthop 121:441

    Google Scholar 

  10. Morscher E, Dick W (1983) Zementlose Verankerung einer Häftgelenkspfanne aus Polyäthylen. In: Morscher E (ed) Die zementlose Fixation von Hüftendoprothesen. Springer, Berlin Heidelberg NewYork, pp 205–209

    Google Scholar 

  11. Morscher E, Dick W (1983) Cementless fixation of “isoelastic” hip endoprosthesis manufactured from plastic materials. Clin Orthop 176:77–87

    Google Scholar 

  12. Morscher E, Dick W, Kernen V (1982) Cementless fixation of polyethylene acetabular component in total hip arthroplasty. Arch Orthop Trauma Surg 99:223–230

    Google Scholar 

  13. Muhr G, Stockhusen H, Müller O (1976) Die Hüftarthroplastik mit isoelastischen Totalprothesen im Tierexperiment. Arch Orthop Unfall-Chir 86:115–128

    Google Scholar 

  14. Olsson SS, Jernberger A, Tryggö D (1981) Clinical and radiological long-term results after Charnley-Müller total hip replacement. A 5- to 10-year follow-up study with special reference to aseptic loosening. Acta Orthop Scand 52:531–542

    Google Scholar 

  15. Poigenfürst J, Scharf W, Mahringer C, Pankarter F (1984) Vorläufige Ergebnisse nach Implantaten isoelastischer zementfreier Hüftpfannen. Aktuel Traumatol 14:271–274

    Google Scholar 

  16. Remagen W, Morscher E (1984) Histological results with cement-free implanted hip joint sockets of polyethylene. Arch Orthop Trauma Surg 103:145–151

    Google Scholar 

  17. Russe W (1988) Röntgenphotogrammetrie der künstlichen Hüftgelenkspfanne. Huber, Bern

    Google Scholar 

  18. Schumacher M (1989) Probleme der statistischen Auswertung von Überlebensstudien. Z Orthop 127:428–432

    Google Scholar 

  19. Sutherland CJ, Wilde AH, Borden LS, Marks KE (1982) A ten-year follow-up of one hundred consecutive Müller curvedstem total hip-replacement arthroplasties. J Bone Joint Surg [Am] 64:970–982

    Google Scholar 

  20. Träger D, Rode P, Krause W (1985) Erfahrungen mit der RMisoelastischen Hüft-Endoprothese. Chirurg 56:718–722

    Google Scholar 

  21. Ungethtim M, Winkler-Gniewek W (1983) Untersuchung des Verschleisses an Polyäthylenkomponenten von Endoprothesen nach klinischem Einsatz. Z Orthop 121:638–691

    Google Scholar 

  22. Willert HG, Buchhorn U, Hess T (1989) Die Bedeutung von Abrieb und Materialermüdung bei der Prothesenlockerung an der Hüfte. Orthopäde 18:350–369

    Google Scholar 

  23. Wilson-McDonald J, Morscher E, Masar Z (1990) Cementless uncoated polyethylene acetabular components in total hip replacement. Review of 5- to 10-year results. J Bone Joint Surg [Br] 72:423–430

    Google Scholar 

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Krismer, M., Fischer, M., Klestil, T. et al. Uncoated polyethylene RM acetabular component versus Müller cemented acetabular component A 4- to 8-year follow-up study. Arch Orthop Trauma Surg 110, 195–199 (1991). https://doi.org/10.1007/BF00571058

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