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Osteolysis with a cementless second generation metal-on-metal cup in total hip replacement

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Abstract

This study examined the long-term results of a metal-on-metal total hip replacement with a Metasul-lined cup. Twenty-nine total hip arthroplasties were performed in 27 young patients (mean age 49 years). Twenty-two patients (23 hips) were available for clinical and radiographic analysis after a mean duration of 99 months. Mean preoperative Harris hip score of 60 improved to 93 at most recent follow-up. One patient required revision of his cup for periacetabular osteolysis. Radiographic analysis showed osteolysis in another four hips. The high rate of osteolysis found in this series has not previously been reported with this type of implant. The length of follow-up in this series is greater than other reports in the literature and may explain this difference.

Résumé

Cette étude permet d’examiner les résultats à long terme des prothèses totales de hanche métal/métal de type Métasul. 29 prothèses totales de hanche ont été réalisées chez 27 patients relativement jeunes (âge moyen 49 ans). 22 patients (23 hanches) ont des résultats utilisables avec revue radiographique après un temps moyen post-opératoire de 99 mois. Le score moyen de Harris pré-opératoire a été amélioré de 60 à 93 au dernier suivi. Un patient a nécessité une révision de la cupule du fait d’une ostéolyse acétabulaire. L’analyse radiographique a montré une ostéolyse dans 4 autres hanches. Le taux important d’ostéolyse dans cette série n’a jamais été rapporté avec ce type d’implants. Le temps de surveillance de cette série est plus important que dans les autres séries de la littérature et peut expliquer cette différence.

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Authors and Affiliations

  1. Orthopaedic Department, Northwick Park Hospital, Harrow, London, UK

    Ian Holloway

  2. Sydney Hip and Knee Surgeons, Sydney, Australia

    William L. Walter, Bernie Zicat & William K. Walter

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  1. Ian Holloway
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  2. William L. Walter
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  3. Bernie Zicat
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Correspondence to Ian Holloway.

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Holloway, I., Walter, W.L., Zicat, B. et al. Osteolysis with a cementless second generation metal-on-metal cup in total hip replacement. International Orthopaedics (SICOT) 33, 1537–1542 (2009). https://doi.org/10.1007/s00264-008-0679-8

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  • DOI: https://doi.org/10.1007/s00264-008-0679-8

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