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Total hip replacement with a collarless polished cemented anatomic stem: clinical and gait analysis results at ten years follow-up

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Abstract

Purpose

The aim of this study was to determine outcomes of total hip replacement (THR) with the Lemania cemented femoral stem.

Methods

A total of 78 THR patients were followed and compared to 17 “fit”, healthy, elderly and 72 “frail” elderly subjects without THR, using clinical outcome measures and a portable, in-field gait analysis device at five and ten years follow-up.

Results

Forty-one patients (53 %), mean age 83.4 years, available at ten years follow-up, reported very good to excellent satisfaction. Mean Harris Hip and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores were 81.2 and 10.5 points, respectively, with excellent radiological preservation of proximal femur bone stock. Spatial and temporal gait parameters were close to the fit group and better than the frail group.

Conclusions

Lemania THR demonstrated very good, stable clinical and radiological results at ten years in an older patient group, comparable to other cemented systems for primary THR. Gait analysis confirmed good walking performance in a real-life environment.

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Acknowledgments

The authors thank Professor Christophe Büla, M.D., Service of Geriatric Medicine and Geriatric Rehabilitation, University of Lausanne, for providing the gait analysis results from patients in the rehabilitation centre, and P. Morel for assistance with data collection. We also thank Angelina Poloni for administrative assistance and Dagmar Gross for assistance with preparation of the manuscript. The Interinstitutional Center of Translational Biomechanics (CBT-EPFL, Switzerland) provided funding for this project.

Conflict of interest

B. Jolles is a consultant for Symbios Orthopédie SA. The remaining authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery and Traumatology, Centre Hospitalier Universitaire Vaudois (CHUV) and University of Lausanne, Lausanne, Switzerland

    Arthur Grzesiak, Florence Jobin & Brigitte M. Jolles

  2. Laboratory of Movement Analysis and Measurement, Interinstitutional Center of Translational Biomechanics, Ecole Polytechnique Federale de Lausanne, 1015, Lausanne, Switzerland

    Kamiar Aminian

  3. Department of Musculoskeletal Medicine, Centre Hospitalier Universitaire Vaudois (CHUV) and University of Lausanne, Lausanne, Switzerland

    Estelle Lécureux

  4. CHUV and University of Lausanne, Rue du Bugnon 46, 1011, Lausanne, Switzerland

    Arthur Grzesiak & Estelle Lécureux

  5. CHUV, Site Hôpital Orthopédique, Avenue Pierre Decker 4, 1011, Lausanne, Switzerland

    Florence Jobin & Brigitte M. Jolles

Authors
  1. Arthur Grzesiak
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  2. Kamiar Aminian
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  3. Estelle Lécureux
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  4. Florence Jobin
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  5. Brigitte M. Jolles
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Correspondence to Brigitte M. Jolles.

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Grzesiak, A., Aminian, K., Lécureux, E. et al. Total hip replacement with a collarless polished cemented anatomic stem: clinical and gait analysis results at ten years follow-up. International Orthopaedics (SICOT) 38, 717–724 (2014). https://doi.org/10.1007/s00264-013-2186-9

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  • DOI: https://doi.org/10.1007/s00264-013-2186-9

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