A Method for the Comparative Evaluation of the Initial Stability of Cementless Hip Prostheses

  • J. Eulenberger
  • E. Schneider
  • W. Steiner
  • D. Wyder
  • R. Friedman
Part of the Developments in Biomechanics book series (DEBI, volume 3)

Abstract

The major problems and causes for revision in total hip arthroplasty are mechanical loosening of the acetabular and femoral component, infection and implant fracture. Stauffer (15), in a ten-year evaluation of 333 total hip replacements, found a 29.9% incidence of roentgenographic femoral and an 11.3% incidence of acetabular component loosening. Although these were early cases, other authors show similar trends in their long-term studies (10). With the development of cementless total hip prostheses, one hopes to alleviate these problems.

Keywords

Femoral Component Straight Stem Femoral Prosthesis Cementless Fixation Cementless Implant 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Chafetz, N., Baumrind, S., Murray, W.R., Genant, H.K., and Korn, E.L.: Subsidence of the femoral prosthesis. A stereophotogrammetric evaluation. Clin. Orthop. Rel. Res. 201: 60–67, 1985.Google Scholar
  2. 2.
    Charnley, J., and Kettlewell, J.: The elimination of slip between prosthesis and femur. J. Bone Joint Surg. 47-B(1): 56–60, 1965.Google Scholar
  3. 3.
    Green, D.L., and Aufranc, O.E.: Long-term follow-up of patients with Austin Moore prostheses. South. Med. J. 72(3): 322–325, 1979.CrossRefGoogle Scholar
  4. 4.
    Harris, W.H.: Traumatic arthritis of the hip after dislocation and acetabular fractures: Treatment by mold arthroplasty; and end-result stage using a new method of result evaluation. J. Bone Joint Surg. 51-A: 737, 1969.Google Scholar
  5. 5.
    Kavanagh, B.F., and Fitzgerald Jr., R.H.: Clinical and roentgenographic assessment of total hip arthroplasty. A new hip score. Clin. Orthop. Rel. Res. 193: 133–140, 1985.Google Scholar
  6. 6.
    Loudun, J.R., and Charnley, J.: Subsidence of the femoral prosthesis in total hip replacement in relation to the design of the stem. J. Bone Joint Surg. 62-B(4): 450–453, 1980.Google Scholar
  7. 7.
    Markolf, K.L., Amstutz, H.C., and Hirschowitz, D.L.: The effect of calcar contact on femoral component micromovement. J. Bone Joint Surg. 62-A(8): 1315–1323, 1980.Google Scholar
  8. 8.
    Mjöberg, B., Hansson, L.I., and Selvik, G.: Instability, migration and laxity of total hip prostheses. A roentgen stereophotogrammetric study. Acta Orthop. Scand. 55: 141–145, 1984.CrossRefGoogle Scholar
  9. 9.
    Mjöberg, B., Hansson, L.I., and Selvik, G.: Instability of total hip prostheses at rotational stress. A roentgen stereophotogrammetric study. Acta Orthop. Scand. 55: 504–506, 1984.CrossRefGoogle Scholar
  10. 10.
    Morscher, E.: Introduction I. In: Morscher, E. (ed.): The cementless fixation of hip endoprostheses. Springer, 1–8, 1984.CrossRefGoogle Scholar
  11. 11.
    Müller, M.E.: Total hip reconstruction. In: McCollister, E. (ed.): Surgery of the musculoskeletal system 6:223–247, 1983.Google Scholar
  12. 12.
    Parpan, D., and Ganz, R.: Cementless implantation of a modified Mueller straight-stem prosthesis. In: Morscher, E. (ed.): The cementless fixation of hip endoprostheses. Springer, 156–160,1984.CrossRefGoogle Scholar
  13. 13.
    Perren, S.M.: The induction of bone resorption by prosthetic loosening. In: Morscher, E. (ed.): The cementless fixation of hip endoprostheses. Springer, 39–41, 1984.CrossRefGoogle Scholar
  14. 14.
    Perren, S.M., and Boitzy, A.: La differenciation cellulaire et la biomecanique de l’os au cours de la consolidation d’une fracture. Anatomia Clinica 1: 12–28, 1978.CrossRefGoogle Scholar
  15. 15.
    Stauffer, R.N.: Ten-year follow-up study of total hip replacement. J. Bone Joint Surg. 64-A(7): 983–990, 1982.Google Scholar

Copyright information

© Martinus Nijhoff Publishers, Dordrecht 1987

Authors and Affiliations

  • J. Eulenberger
    • 1
  • E. Schneider
    • 1
  • W. Steiner
    • 2
  • D. Wyder
    • 1
  • R. Friedman
    • 1
  1. 1.M.E.M.-Institute for BiomechanicsUniv. of BernBernSwitzerland
  2. 2.Regional HospitalInterlakenSwitzerland

Personalised recommendations