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A long-term follow-up study of the cementless THA with anatomic stem/HGPII cup with 22-mm head

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Abstract

The anatomic femoral component and Harris-Galante porous II (HGPII) cup were developed to provide more reliable bone ingrowth. We performed 20 cementless total hip arthroplasties (THAs) with anatomic stem/HGPII cup with 22-mm head in 14 consecutive patients, and evaluated the clinical and radiological results for a mean follow-up of 12.8 years. The all-anatomically designed stem provided excellent clinical and radiographic results. Four acetabular components underwent revision: three for fracture of the locking mechanism and wear of the polyethylene liner and one for the locking mechanism failure with dislocation of the HGPII cup. The abduction angles of the four revised acetabular components were apparently higher. The survivorship 13 years after surgery was 78%. Our findings show good long-term results using the anatomic femoral component, while the HGPII cup combined with 22-mm head seems to have poor durability due to locking mechanism failure.

Résumé

Le composant fémoral anatomique et la cupule Harris-Galante porous II (HGPII) ont été développés de façon à améliorer la repousse osseuse. Nous avons réalisé 20 prothèses totales de hanche sans ciment avec une queue anatomique et une cupule HGPII et un couple de friction avec une tête de 22 mm chez 14 patients consécutifs. Nous avons réalisé une évaluation clinique et radiologique des résultats après un suivi moyen de 12,8 ans. Toutes les pièces fémorales ont donné d’excellents résultats sur le plan clinique et radiographique. Cependant, 4 composants acétabulaires ont nécessité une révision, 3 pour fracture de mécanisme de verrouillage de l’insert et usure de l’insert, 1 pour défaut du verrouillage du mécanisme de la fixation de l’insert et luxation de la cupule. L’angle de verticalisation des 4 cupules révisées a été plus important. Le taux de survie à 13 ans a été de 78%. Nous pensons que cet implant donne de bons résultats à long terme sur le plan fémoral, il n’en est pas de même en ce qui concerne la cupule HGPII associée à une tête de 22 mm, celle-ci semble avoir une durée de vie diminuée du fait du défaut de mécanisme de blocage de l’insert.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu City, Mie, 514-8507, Japan

    Yutaka Nakoshi, Masahiro Hasegawa, Akihiro Sudo & Atsumasa Uchida

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  1. Yutaka Nakoshi
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  2. Masahiro Hasegawa
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  3. Akihiro Sudo
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  4. Atsumasa Uchida
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Correspondence to Masahiro Hasegawa.

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Nakoshi, Y., Hasegawa, M., Sudo, A. et al. A long-term follow-up study of the cementless THA with anatomic stem/HGPII cup with 22-mm head. International Orthopaedics (SICOT) 33, 381–385 (2009). https://doi.org/10.1007/s00264-007-0505-8

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