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Survivorship of 2000 Tapered Titanium Porous Plasma-sprayed Femoral Components

  • Symposium: Papers Presented at the Hip Society Meetings 2008
  • Published:
Clinical Orthopaedics and Related Research

Abstract

Tapered titanium porous plasma-sprayed components have performed well in primary THA. To confirm the literature at longer followup we retrospectively reviewed all 1639 patients who underwent 2000 THAs in which a specific porous femoral component was used. One hundred fourteen patients (134 hips) were lost to followup leaving a cohort of 1525 patients (1866 THAs). The component is a tapered titanium plasma spray-coated design that remained relatively unchanged since its first implantation except for circumferential proximal porous coating added in 1986 and an offset option added in 1999. Minimum followup was 24 months (average, 119 months; range, 24 to 275 months). To date there have been 39 femoral revisions for an implant survival of 98%. Using the Kaplan-Meier method, cumulative survival with any stem revision as the end point was 98.6% at 5 years, 98.4% at 10 years, 97.1% at 15 years, and 95.5% at 20 years. Using aseptic revision for failure of ingrowth as the endpoint, stem survival was 99.1%. Kaplan-Meier cumulative survival with aseptic revision for failure of ingrowth as the endpoint was 99.4% at 5 years, 99.3% at 10, 15 and 20 years. Harris hip pain and total scores improved. This titanium, porous plasma spray-coated femoral component continues to demonstrate high long-term survival with a low rate of component revision for any reason or aseptic failure of ingrowth.

Level of Evidence: Level IV, therapeutic study (case series). See the Guidelines for Authors for a complete description of levels of evidence.

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Acknowledgments

We thank J. Brooke Harris and Tawnya L. Tucker, M.T., for their assistance in preparation of this manuscript. Cases included in this review include surgeries performed by Bradley K. Vaughn, MD, and Robert A. Fada, MD, during their associations with Joint Implant Surgeons, Inc.

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Authors and Affiliations

  1. Joint Implant Surgeons, Inc., 7277 Smith’s Mill Road, Suite 200, New Albany, OH, 43054, USA

    Adolph V. Lombardi Jr. MD, Keith R. Berend MD, Thomas H. Mallory MD, Michael D. Skeels DO & Joanne B. Adams BFA

  2. Department of Orthopaedics, The Ohio State University, Columbus, OH, USA

    Adolph V. Lombardi Jr. MD, Keith R. Berend MD & Thomas H. Mallory MD

  3. Department of Biomedical Engineering, The Ohio State University, Columbus, OH, USA

    Adolph V. Lombardi Jr. MD

  4. Mount Carmel Health System, New Albany, OH, USA

    Adolph V. Lombardi Jr. MD, Keith R. Berend MD & Michael D. Skeels DO

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  1. Adolph V. Lombardi Jr. MD
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  2. Keith R. Berend MD
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  3. Thomas H. Mallory MD
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  4. Michael D. Skeels DO
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  5. Joanne B. Adams BFA
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Corresponding author

Correspondence to Adolph V. Lombardi Jr. MD.

Additional information

One or more of the authors (AVL, KRB, THM) receive royalties and have consulting agreements with Biomet, Inc. (Warsaw, IN). Institutional financial support is received from Biomet, Inc. Foundation support has been received from Allergan, Biomet, Inc.; GlaxoSmithKline; Medtronics; Merck; Mount Carmel New Albany Surgical Hospital; Pivotal Research Solutions, Inc., Pozen and Tornier.

Each author certifies that his or her institution has approved the human protocol for this investigation and that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participation in the study was obtained.

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Lombardi, A.V., Berend, K.R., Mallory, T.H. et al. Survivorship of 2000 Tapered Titanium Porous Plasma-sprayed Femoral Components. Clin Orthop Relat Res 467, 146–154 (2009). https://doi.org/10.1007/s11999-008-0568-x

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