Short Stem Metaphyseal-Engaging Femoral Implants: A Case-Controlled Radiographic and Clinical Evaluation with Eight Year Follow-Up

被引:13
作者
Chow, Ian [1 ]
Patel, Ronak M. [1 ]
Stulberg, S. David [1 ]
机构
[1] Northwestern Univ, Dept Orthopaed Surg, Feinberg Sch Med, Chicago, IL 60611 USA
关键词
short stem femoral implants; metaphyseal engaging total hip arthroplasty; TOTAL HIP-ARTHROPLASTY; INCISION ANTERIOR APPROACH; TITANIUM-ALLOY; BONE; COMPONENT; REPLACEMENT; PROSTHESIS; ARTHRITIS; 10-YEAR; OLDER;
D O I
10.1016/j.arth.2014.01.003
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
A prospective comparison of 148 hips in 139 consecutive patients treated with an off-the-shelf uncemented metaphyseal engaging (91-105 mm) stem and 69 hips in 61 patients treated with a custom uncemented metaphyseal engaging short stem was conducted to evaluate the mid-term clinical and radiographic results of an off-the-shelf metaphyseal-engaging short stem implant. All implants were radiographically stable with proximal bony in-growth. There was no significant difference in post-operative HHS (P <. 001) or WOMAC scores (P < .001) between cohorts. An off-the-shelf short femoral stem designed to fit and fill the metaphysis provides reliable fixation up to eight years with equivalent clinical and radiographic results to a customized implant. (C) 2014 Elsevier Inc. All rights reserved.
引用
收藏
页码:600 / 606
页数:7
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