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Long-term survivorship analysis of hip arthroplasty with vitallium mold cup

  • Original Article
  • Published:
Journal of Orthopaedic Science

Abstract

Background

Cup arthroplasty was used in the initial attempts to preserve the bone stock of the femoral head and neck for hip reconstruction. However, little conclusive data are available regarding its long-term survivorship.

Methods

We present a long-term survivorship analysis (mean follow-up, 19.3 years; range, 5–36.6 years) after vitallium mold arthroplasty in 77 secondary osteoarthritic hips.

Results

Kaplan-Meier survivorship analysis predicted a survival rate for vitallium mold arthroplasty of 81.6% (95% confidence interval [CI], 76.7–86.5) at 20 years and 59.1% (95% CI, 51.8–66.5) at 30 years, with conversion to total hip arthroplasty as the endpoint. The mean Merle d’Aubigné and Postel hip score showed a significant decrease in mobility from 4.12 (range, 3.18–5.86) 6 months after the operation to 3.19 (range, 1.7–4.6) at the last follow-up. No significant differences were observed for the pain score from 6 months after the operation (5.05; range, 4.2–5.9) to the last follow-up (4.46; range, 2.88–6.04)) or score for the ability to walk, from 6 months after the operation (2.5; range, 1.4–3.6) to the last follow-up (3.13; range, 1.59–4.67). Radiographically, the proximal and medial migration of the cup measured at the last follow-up was 10.4 ± 5.4 mm (P < 0.01) and 0.2 ± 2.1 mm (P > 0.05), respectively.

Conclusions

Our results indicate inferior long-term survivorship after vitallium mold compared with that after Charnley low-friction arthroplasty.

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Authors and Affiliations

  1. Department of Orthopaedics, Graduate School of Medicine, Kyoto University, 54 Kawahara-cho, Shogoin, Sakyo, Kyoto, 606-8507, Japan

    Hai-Le Pan, Haruhiko Akiyama, Keiichi Kawanabe, Koji Goto, Kazutaka So & Takashi Nakamura

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  1. Hai-Le Pan
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  2. Haruhiko Akiyama
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  3. Keiichi Kawanabe
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  4. Koji Goto
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  5. Kazutaka So
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  6. Takashi Nakamura
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Pan, HL., Akiyama, H., Kawanabe, K. et al. Long-term survivorship analysis of hip arthroplasty with vitallium mold cup. J Orthop Sci 15, 459–462 (2010). https://doi.org/10.1007/s00776-010-1499-4

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  • DOI: https://doi.org/10.1007/s00776-010-1499-4

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