Total Hip Arthroplasty Using a Cylindrical Cementless Stem in Patients With a Small Physique

被引：36

作者：

Nakamura, Yoshihide ^{[1
]}

Mitsui, Hiromasa ^{[1
]}

Kikuchi, Akira ^{[1
]}

Toh, Satoshi ^{[1
]}

Katano, Hiroshi ^{[2
]}

机构：

[1] Hirosaki Univ, Grad Sch Med, Dept Orthopaed Surg, Hirosaki, Aomori 0368562, Japan

[2] Hirosaki Mem Hosp, Dept Orthopaed Surg, Hirosaki, Aomori, Japan

来源：

JOURNAL OF ARTHROPLASTY | 2011年 / 26卷 / 01期

关键词：

total hip arthroplasty; cementless femoral stem; developmental dysplasia of the hip; small physique; bone ingrowth; press-fit; DEVELOPMENTAL DYSPLASIA; FOLLOW-UP; FEMORAL COMPONENTS; POLYETHYLENE LINER; OSTEOARTHRITIS; PROSTHESIS; FIXATION; IMPLANTS; MINIMUM; FEMUR;

D O I：

10.1016/j.arth.2009.10.014

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：

100224 [整形外科学];

摘要：

We performed total hip arthroplasty using an anatomic medullary locking cementless stem for small-physique patients from 1988 to 1995. We conducted a retrospective study of 50 joints in 44 cases, including 40 developmentally dysplastic hips followed for 12 to 20 years (average, 15.1 years). Average height and body weight were 152 cm and 56 kg (5.0 ft and 124 lb), respectively, with an average body mass index of 24.2. Twelve joints (24%) were revised for acetabular-sided failures. Forty-eight stems (96%) showed bone ingrowth fixation, and there were no unstable stems. The simple cylindrical shape of the distal portion of the AML stem was less affected by deformity of the proximal femur of developmental dysplasia of the hip in patients with a small physique, and both clinically and radiologically good results were confirmed at long-term follow-up.

引用

页码：77 / 81

页数：5

共 26 条

[1]

Clinical outcome of a fibermetal taper stem - Minimum 5-year followup [J].