title: Results of 203 total hip replacements using a smooth, cementless femoral component.
abstract: We implanted 203 smooth-stemmed femoral components before January 1988. The femoral component used was anatomically shaped, fluted and made of titanium. Thirty-two hips were revised due to mid-thigh pain, and the femoral implant was found to be loose in all. In the 157 patients with a two-year follow-up, the Merle d'Aubigné and pain scores for completely cementless arthroplasties were similar to those for hybrid prostheses (cemented acetabular cup and cementless femoral stem). Of the 145 cases with two-year radiographic follow-up, 59 had extensive radiolucencies and 22 were unstable. The five-year cumulative survival rate was 77%. Implantation of this stem should be restricted to patients in whom cement fixation is contra-indicated.
authors.affiliation: Hôpital Bichat, Paris, France.
authors.forename: J
authors.initials: J
authors.lastname: Duparc
authors.forename: P
authors.initials: P
authors.lastname: Massin
mesh_terms: D001843:Bone Cements; D005269:Femur; D005500:Follow-Up Studies; D006621:Hip Joint / Q000000981:diagnostic imaging; D006622:Hip Prosthesis / Q000706:statistics & numerical data; D006801:Humans; D007431:Intraoperative Complications / Q000453:epidemiology; D011446:Prospective Studies; D011474:Prosthesis Design / Q000706:statistics & numerical data; D011475:Prosthesis Failure; D011859:Radiography; D012086:Reoperation / Q000706:statistics & numerical data; D015996:Survival Rate
chemical_list: D001843:Bone Cements