Long-Term Durability of the CLS Femoral Prosthesis in Patients with Osteonecrosis of the Femoral Head

被引:18
作者
Han, Su-Il [1 ]
Lee, Ji-Ho [2 ]
Kim, Jun Woo [3 ]
Oh, Chang Wug [3 ]
Kim, Shin-Yoon [3 ]
机构
[1] Daegu Woori Hosp, Dept Orthoped Surg, Taegu, South Korea
[2] Semyeon Christianty Hosp, Dept Orthoped Surg, Upper Extrem & Microsurg Ctr, Pohang, South Korea
[3] Kyungpook Natl Univ, Dept Orthoped Surg, Grad Sch Med, Taegu, South Korea
关键词
CLS stem; total hip arthroplasty; osteonecrosis stem alignment; proximal femur morphology; TOTAL HIP-ARTHROPLASTY; FOLLOW-UP; STEM; REPLACEMENT; COMPONENTS; FRACTURES; FEMUR;
D O I
10.1016/j.arth.2012.09.017
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Ninety-five hips with cementless wedge-shaped tapered CLS stem were evaluated with a mean duration of 12.7 years (range, 10.7-17.3 years). All patients were young and diagnosed with osteonecrosis of the femoral head. The Harris hip score was 92 at the latest follow-up. A subsidence greater than 3 mm was found in 3 hips (3.2%). Focal femoral osteolysis was found in 12 hips (12.6%). Endosteal bone formation and bony pedestal were observed in 94 hips (98.9%) and in 26 hips (27.4%), respectively. With revision for stem loosening as the end point, the survivorship showed 98.9% (95% Cl, range 96.9%-100%) at 13 years. Stem alignment and proximal femur morphology did not influence loosening of the stem (p>0.05). (C) 2013 Elsevier Inc. All rights reserved.
引用
收藏
页码:828 / 831
页数:4
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