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Long-term results of the Wagner conical screw cup

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Abstract

Thanks to its high primary stability, the concept of threaded cups has gained wide acceptance. The aim of this study is to report the long-term results of the Wagner conical screw cup. Between January 1993 and December 1994, 212 conical screw cup were implanted; 118 implants were clinically and radiographically followed up after a mean of 12.1 years. The Merle d’Aubigné score improved from a preoperative mean of 8.8 to 16.6 postoperatively. Four revisions were performed for heterotopic ossification. Three revisions were done to treat deep infection. Two isolated cup revisions and three more complete total hip joint revisions were required due to aseptic loosening. The overall survival rate at 12 years in this study was 93.2% (110/118); for aseptic loosening alone it was 95.8% (113/118). The Wagner conical screw cup by yields very good long-term results.

Résumé

Du fait de leur stabilité primaire, le concept des cupules vissées a été largement utilisé. Le but de cette étude est de rapporter les résultats à long terme de la cupule vissée conique de type Wagner. Matériel et méthode: entre 1993 et 1994, 212 cupules de ce type ont été implantées, 118 implants ont été revus radiographiquement après un délai de 12,1 ans. Résultat: le score de Merle d’Aubigné a été amélioré passant de 8,8 en pré-opératoire à 16,6 en postopératoire. 4 révisions ont été réalisées pour ossifications hétérotypiques. 3 révisions ont été réalisées pour des problèmes d’infection. 2 révisions isolées de cupules et 3 de hanches totales ont été nécessaires du fait d’un descellement aseptique. Discussion, le taux de survie globale à 12 ans dans cette étude est de 93,2% (110/118). Si l’on considère comme référence le descellement aseptique, ce taux est de 95,8% (113/118). La cupule de Wagner conique vissée permet de bons résultats à long terme.

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References

  1. Aldinger PR, Thomsen M, Lukoschek M, Mau H, Ewerbeck V, Breusch SJ (2004) Long-term fate of cementless, threaded acetabular components with smooth surface treatment: minimum 10-year follow-up of two different designs. Arch Orthop Trauma Surg 124:469–475

    Article  PubMed  Google Scholar 

  2. Effenberger H, Imhof M, Witzel U (2001) Thread design of screw-in acetabulum prostheses (in German). Z Orthop Ihre Grenzgeb 139:428–434

    Article  PubMed  CAS  Google Scholar 

  3. Effenberger H, Imhof M, Witzel U (2003) Criteria for success with threaded cups (design, material and modularity). Acta Chir Orthop Traumatol Cech 70:285–291

    PubMed  CAS  Google Scholar 

  4. Epinette JA, Manley MT, D, Antonio JA, Edidin AA, Capello WN (2003) A 10-year minimum follow-up of hydroxyapatite-coated threaded cups: clinical, radiographic and survivorship analyses with comparison to the literature. J Arthroplasty 18:140–148

    Article  PubMed  Google Scholar 

  5. Fernández-González J, Canosa Sevillano R, García-Araujo C (1997) Cementless total hip arthroplasty with a threaded acetabular cup. Int Orthop 21:327–331

    Article  PubMed  Google Scholar 

  6. Fink B, Protzen M, Hansen-Algenstaedt N, Berger J, Ruther W (2004) High migration rate of two types of threaded acetabular cups. Arch Orthop Trauma Surg 124:17–25

    Article  PubMed  Google Scholar 

  7. Grant P, Nordsletten L (2004) Total hip arthroplasty with the Lord prosthesis. A long-term follow-up study. J Bone Joint Surg Am 86-A:2636–2641

    PubMed  Google Scholar 

  8. Grübl A, Chiari C, Giurea A, Gruber M, Kaider A, Marker M, Zehetgruber H, Gottsauner-Wolf F (2006) Cementless total hip arthroplasty with the rectangular titanium Zweymuller stem. A concise follow-up, at a minimum of fifteen years, of a previous report. J Bone Joint Surg Am 88:2210–2215

    Article  PubMed  Google Scholar 

  9. Havelin LI, Espehaug B, Engesaeter LB (2002) The performance of two hydroxyapatite-coated acetabular cups compared with Charnley cups. From the Norwegian Arthroplasty Register. J Bone Joint Surg Br 84:839–845

    Article  PubMed  CAS  Google Scholar 

  10. Hendrich C, Ak D, Sauer U, Kirschner S, Rader CP (2004) Long-term results of cementless Parhofer-Mönch screw rings (in German). Z Orthop Ihre Grenzgeb 142:292–297

    Article  PubMed  CAS  Google Scholar 

  11. Hernandez-Vaquero D, Suarez-Vazquez A, Fernandez-Corona C, Menendez-Vinuela G, Alegre-Mateo R, Garcia-Sandoval MA (1996) Loosening of threaded acetabular cups in arthroplasty of the hip. The association with different types of coxarthrosis. Int Orthop 20:70–74

    Article  PubMed  CAS  Google Scholar 

  12. Milosev I, Trebse R, Kovac S, Cor A, Pisot V (2006) Survivorship and retrieval analysis of Sikomet metal-on-metal total hip replacements at a mean of seven years. J Bone Joint Surg Am 88:1173–1182

    Article  PubMed  Google Scholar 

  13. Nieuwenhuis JJ, Malefijt Jde W, Hendriks JC, Gosens T, Bonnet M (2005) Unsatisfactory results with the cementless Omnifit acetabular component due to polyethylene and severe osteolysis. Acta Orthop Belg 71:294–302

    PubMed  Google Scholar 

  14. Pazdirek P, Bartonicek J, Dzupa V (2001) The uncemented self-threading Ultima cup: first 5 years’ experience (in Czech). Acta Chir Orthop Traumatol Cech 68:24–30

    PubMed  CAS  Google Scholar 

  15. Pellengahr C, Wegener B, Anetzberger H, Maier M, Muller PE, Durr HR, Schulz C, Troullier H, Kuhne L, Refior HJ (2004) Medium to long-term results with the cementless threaded Acetabular Munich II type cup. Acta Chir Belg 104:413–417

    PubMed  CAS  Google Scholar 

  16. Reikeras O, Gunderson RB (2006) Long-term results of HA coated threaded versus HA coated hemispheric press fit cups: 287 hips followed for 11 to 16 years. Arch Orthop Trauma Surg 126:503–508

    Article  PubMed  Google Scholar 

  17. Robertson A, Lavalette D, Morgan S, Angus PD (2005) The hydroxyapatite-coated JRI-furlong hip. Outcome in patients under the age of 55 years. J Bone Joint Surg Br 87:12–15

    PubMed  CAS  Google Scholar 

  18. Volkmann R, Schneider MA, Bretschneider C, Weise K (1999) More failures of cementless acetabular screw-rings than of cemented polyethylene cups in total hip arthroplasties. Int Orthop 23:138–139

    Article  PubMed  CAS  Google Scholar 

  19. von Schulze Pellengahr C, Dull T, Muller PE, Durr HR, Baur-Melnyk A, Maier M, Birkenmaier C, Jansson V (2007) Long-term results of 58 hip cup revision arthroplasties using a threaded ring implant. Arch Orthop Trauma Surg 127:71–74

    Article  Google Scholar 

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Authors and Affiliations

  1. Research Unit Orthopedics and General Surgery, Neumarkt Clinic, 92318, Neumarkt, Germany

    Alexander Schuh & Gerd Hohenberger

  2. Department of Pediatric Orthopedics and General Orthopedics, Orthopedic Clinic Wichernhaus, 90592, Schwarzenbruck, Germany

    Annemarie Schraml & Gerd Hohenberger

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  1. Alexander Schuh
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  2. Annemarie Schraml
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  3. Gerd Hohenberger
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Correspondence to Annemarie Schraml.

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Schuh, A., Schraml, A. & Hohenberger, G. Long-term results of the Wagner conical screw cup. International Orthopaedics (SICOT) 33, 659–664 (2009). https://doi.org/10.1007/s00264-008-0569-0

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  • DOI: https://doi.org/10.1007/s00264-008-0569-0

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