Skip to main content

Advertisement

Log in

Uncemented acetabular components with polyethylene or alumina liners

  • Original Article
  • Published:
International Orthopaedics Aims and scope Submit manuscript

Abstract

Sixty consecutive patients (60 hips) were allocated in two matched-pair groups. Patients were matched for age, gender, body mass index, level of activity, and bone stock. Both groups received an uncemented total hip arthroplasty with a modular press-fit cup and an alumina femoral head. In the first group, an acetabular liner made of polyethylene was used; in the second group, an alumina liner. Both groups were followed for a minimum of 5 years. No hip required revision, and there was no radiographic evidence of aseptic loosening in either group. Mean Harris hip score was 94.7 (87.1–99) points in the polyethylene group and 93 (88.5–100) points in the alumina group.

Résumé

Soixante malades consécutifs (60 hanches) ont été répartis dans deux groupes appairés pour l'âge, le genre, l'index de masse corporelle,le niveau d'activité, et le stock osseux. Les deux groupes ont reçu une arthroplastie totale de la hanche non-cimentée avec une cupule acétabulaire modulaire et une tête fémorale en alumine. Dans le premier groupe un insert acétabulaire en polyéthylène a été utilisé, dans le deuxième groupe un insert d'alumine. Les deux groupes ont été suivis avec un minimum de 5 années. Aucune hanche n'a nécessité de révision, et il n'y avait aucun signe radiographique de descellement aseptique dans l'un ou l'autre groupe. Le score moyen de Harris était 94.7 (87.1–99) points dans le groupe polyéthylène, et 93 (88.5–100) points dans le groupe alumine.

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

Access this article

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

Instant access to the full article PDF.

Fig. 1.
Fig. 2A–C.

Similar content being viewed by others

References

  1. Bizot P, Larrouy M, Witvoet J, Sedel L, Nizard R (2000) Press-fit metal-backed alumina sockets. A minimum 5-year follow-up study. Clin Orthop 379:134–142

    PubMed  Google Scholar 

  2. Boehler M, Krismer M, Mayr G, Muehlbauer M, Salzer M (1998) Migration measurement of cementless acetabular components: Value of clinical and radiographic data. Orthopedics 21:897–900

    CAS  PubMed  Google Scholar 

  3. 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] 55:1629–1632

    Google Scholar 

  4. Charnley J (1979) Numerical grading of clinical results. In: Charnley J (ed) Low friction arthroplasty of the hip. Springer, Berlin Heidelberg New York, pp 20–24

  5. Charnley J, Halley DK (1975) Rate of wear in total hip arthroplasty. Clin Orthop 112:170–179

    PubMed  Google Scholar 

  6. DeLee JG, Charnley J (1976) Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop 121:20–32

    PubMed  Google Scholar 

  7. Freeman MAR (1999) Radiolucent lines: A question of nomenclature. J Arthroplasty 14:1–2

    CAS  PubMed  Google Scholar 

  8. Garino JP (2000) Modern ceramic-on-ceramic total hip systems in the United States. Clin Orthop 379:41–47

    PubMed  Google Scholar 

  9. Gruen TA, McNeice GM, Amstutz HC (1979) Modes of failure of cemented stem-type femoral components: A radiographic analysis of loosening. Clin Orthop 141:17–27

    PubMed  Google Scholar 

  10. Hamadouche M, Boutin P, Daussange J, Bolander ME, Sedel L (2000) Alumina-on-alumina total hip arthroplasty. A minimum 18.5-year follow-up study. J Bone J Surg [Am] 84:69–77

    Google Scholar 

  11. Harris WH (1969) Traumatic osteoarthritis of the hip after dislocation and acetabular fractures: Treatment by mould arthroplasty: An end-result study using a new method of result evaluation. J Bone Joint Surg [Am] 51:737–755

    Google Scholar 

  12. Hendrich C, Kaddick C, Willmann G (1999) Krafteinleitung in das knöcherne Becken bei keramischen Pfanneneinsätzen: Eine Finite-Elemente-Analyse. Z Orthop 137 (Suppl):31

    CAS  PubMed  Google Scholar 

  13. Hendrich C, Kaddick C, Willmann G (2000) Klinische Erfahrungen und Migrationsanalyse. Plasmacup. In: Willmann G, Zweymüller K (eds) Bioceramics in hip joint replacement. Thieme, Stuttgart, pp 26–34

  14. Livermore J, Ilstrup D, Morrey B (1990) Effect of femoral head size on wear of the polyethylene acetabular component. J Bone Joint Surg [Am] 72:518–528

    Google Scholar 

  15. Pitto RP, Sterzl M, Hohmann D (1996) Observations on the initial stability of acetabular components in total hip arthroplasty. Chir Organi Mov 81:107–118

    CAS  PubMed  Google Scholar 

  16. Pitto RP, Willmann G, Schramm M (2001) Initial stability of modular acetabular components: Comparative in-vitro study with polyethylene and ceramic liners. Biomed Tech (Berl) 46:109–112

    Google Scholar 

  17. Riska EB (1993) Ceramic endoprosthesis in total hip arthroplasty. Clin Orthop 297:87–94

    PubMed  Google Scholar 

  18. Schneider E, Schönenberger U, Giraud P, Bürgi M (1992) Primärstabilität und Beckendeformation bei zementierten und nichtzementierten Hüftpfannen. Orthopäde 21:57–62

    Google Scholar 

  19. Sedel L (1999) Evolution of alumina-alumina implants. In: Sedel L, Willmann G (eds) Reliability and long-term results of ceramics in orthopaedics. Thieme, Stuttgart, pp 2–6

  20. Singh M, Nagrath AR, Maini PS (1970) Changes in trabecular pattern of the upper end of the femur as an index of osteoporosis. J Bone Joint Surg [Am] 52:456–467

    Google Scholar 

  21. Willmann G (2000) The evolution of ceramics in total hip arthroplasty. Hip Int 10:193–203

    Google Scholar 

  22. Willmann G (2000) Ceramic femoral head retrieval data. Clin Orthop 379:22–28

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Rocco Paolo Pitto.

Additional information

Statement on conflict of interest: Although none of the authors has received or will receive benefits for personal or professional use from a commercial party related directly or indirectly to the subject of this article, benefits have been or will be received but will be directed solely to a research fund, foundation, educational institution, or other non-profit organisation with which one or more of the authors are associated.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Schmidt, R., Willmann, G. & Pitto, R.P. Uncemented acetabular components with polyethylene or alumina liners. International Orthopaedics (SICOT) 27, 85–89 (2003). https://doi.org/10.1007/s00264-002-0422-9

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00264-002-0422-9

Keywords

Navigation