FEMORAL REMODELING AFTER ARTHROPLASTY OF THE HIP - PROSPECTIVE RANDOMIZED 5-YEAR COMPARISON OF 120 CEMENTED UNCEMENTED CASES OF ARTHROSIS

被引:17
作者
REIGSTAD, A
ROKKUM, M
BYE, K
BRANDT, M
机构
[1] National Orthopedic Center, Dept. Kronprinsesse Märthas Institutt, N-0570, Oslo
来源
ACTA ORTHOPAEDICA SCANDINAVICA | 1993年 / 64卷 / 04期
关键词
D O I
10.3109/17453679308993656
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
We compared radiographically the femurs for 5 years after cemented (Landos Titane) and uncemented (Zweymuller/Endler) hip arthroplasty (THA) for coxarthrosis in 120 patients. The bone changes followed a characteristic time-course with rapid initial remodeling and almost no further changes after 3-4 years. No association between bone changes and clinical results was found. The groups did not differ in bone atrophy and ectoPiC bone formation, whereas the incidence of distal cortical hypertrophy and proximal radio-opaque double line was higher around uncemented stems. The age and body weight of the patients and the stem size did not affect the bone changes, but women with uncemented stems developed more bone atrophy than did men.
引用
收藏
页码:411 / 416
页数:6
相关论文
共 36 条
[11]   THE DIRECT LATERAL APPROACH TO THE HIP [J].
HARDINGE, K .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1982, 64 (01) :17-19
[12]  
HARRIS WH, 1992, CLIN ORTHOP RELAT R, V274, P120
[13]  
HUISKES R, 1990, CLIN ORTHOP RELAT R, P27
[14]  
HUISKES R, 1989, ORTHOPEDICS, V12, P1255
[15]  
Iwasaki K, 1987, Nihon Seikeigeka Gakkai Zasshi, V61, P869
[16]   HISTOMORPHOLOGICAL STUDIES OF THE LONG-TERM SKELETAL RESPONSES TO WELL FIXED CEMENTED FEMORAL COMPONENTS [J].
JASTY, M ;
MALONEY, WJ ;
BRAGDON, CR ;
HAIRE, T ;
HARRIS, WH .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1990, 72A (08) :1220-1229
[17]   DUAL-ENERGY X-RAY ABSORPTIOMETRY MEASUREMENT OF BONE-MINERAL DENSITY AROUND POROUS-COATED CEMENTLESS FEMORAL IMPLANTS - METHODS AND PRELIMINARY-RESULTS [J].
KILGUS, DJ ;
SHIMAOKA, EE ;
TIPTON, JS ;
EBERLE, RW .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1993, 75 (02) :279-287
[18]   RESULTS OF THE HARRIS-GALANTE CEMENTLESS HIP-PROSTHESIS [J].
KIM, YH ;
KIM, VEM .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1992, 74 (01) :83-87
[19]  
KUSSWETTER H, 1984, CEMENTLESS FIXATION, P17
[20]   THE INFLUENCE OF PROSTHETIC STEM STIFFNESS AND OF A CALCAR COLLAR ON STRESSES IN THE PROXIMAL END OF THE FEMUR WITH A CEMENTED FEMORAL COMPONENT [J].
LEWIS, JL ;
ASKEW, MJ ;
WIXSON, RL ;
KRAMER, GM ;
TARR, RR .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1984, 66A (02) :280-286