Clinical and biological assessment of cemented titanium femoral stems: an 11-year experience

被引：15

作者：

Boyer, Patrick ^{[1
]}

Lazennec, Jean-Yves ^{[2
]}

Poupon, Joel ^{[3
]}

Rousseau, Marc-Antoine ^{[2
]}

Ravaud, Philippe ^{[1
]}

Catonne, Yves ^{[2
]}

机构：

[1] Hop Xavier Bichat, Dept Orthopaed & Trauma Surg, F-75018 Paris, France

[2] Pitie Salpetriere, Paris, France

[3] Lariboisiere, Paris, France

来源：

INTERNATIONAL ORTHOPAEDICS | 2009年 / 33卷 / 05期

关键词：

TOTAL HIP-ARTHROPLASTY; REPLACEMENT; PROSTHESIS; COMPONENTS; SERUM; OSTEOLYSIS; CORROSION; FAILURE;

D O I：

10.1007/s00264-008-0678-9

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：

This study prospectively assessed the outcome of 134 cemented titanium stems and serum ion levels. The stems were polished (0.1 mu m Ra) with circular cross section. At the end point, only one stem revision was performed for aseptic loosening, and two were planned due to subsidence greater than 5 mm. Non-progressive radiolucencies in zones 1 and 7 were observed in 16 hips at the cement-bone interface without osteolysis. Median serum titanium concentrations were below the detection limit (30 nmol/l) except in patients with failed stems. The overall stem survival rate was 97.7% at nine years, which is comparable to other series of cemented stems. The protective layer of titanium oxide coating the stem and a thick cement mantle may help resist aseptic loosening. In addition, satisfactory monitoring of the stem was reached using titanium serum level determination.

引用

页码：1209 / 1215

页数：7

共 26 条

[1]

[Anonymous], 1979, Clin Orthop Relat Res

[2]

Early failure of modern cemented stems [J].

Barrack, RL .

JOURNAL OF ARTHROPLASTY, 2000, 15 (08) :1036-1050

[3]

Serum cobalt levels after metal-on-metal total hip arthroplasty [J].

Brodner, W ;

Bitzan, P ;

Meisinger, V ;

Kaider, A ;

Gottsauner-Wolf, F ;

Kotz, R .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2003, 85A (11) :2168-2173

[4]

ECTOPIC OSSIFICATION FOLLOWING TOTAL HIP-REPLACEMENT - INCIDENCE AND A METHOD OF CLASSIFICATION [J].

BROOKER, AF ;

BOWERMAN, JW ;

ROBINSON, RA ;

RILEY, LH .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1973, A 55 (08) :1629-1632

[5]

Buly R L, 1992, J Arthroplasty, V7, P315, DOI 10.1016/0883-5403(92)90056-V

[6]

DELEE JG, 1976, CLIN ORTHOP RELAT R, P20

[7]

DORR LD, 1990, CLIN ORTHOP RELAT R, P82

[8]

Long-term radiographic changes in cemented total hip arthroplasty with six designs of femoral components [J].

Ebramzadeh, E ;

Normand, PL ;

Sangiorgio, SN ;

Llinás, A ;

Gruen, TA ;

McKellop, HA ;

Sarmiento, A .

BIOMATERIALS, 2003, 24 (19) :3351-3363

[9]

Factors affecting cement strains near the tip of a cemented femoral component [J].

Estok, DM ;

Orr, TE ;

Harris, WH .

JOURNAL OF ARTHROPLASTY, 1997, 12 (01) :40-48

[10]

Alumina-on-alumina total hip arthroplasty - A minimum 18.5-year follow-up study [J].

Hamadouche, M ;

Boutin, P ;

Daussange, J ;

Bolander, ME ;

Sedel, L .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2002, 84A (01) :69-77

← 1 2 3 →