[Long-term results of 2 uncemented acetabular cup components in total hip prosthesis].
We have followed up 227 total hip replacements using a cementless minimadreporic prosthesis for an average of 9 1/2 years. Special attention was paid to the acetabular component, of which 2 types were used; 77 incorporated screw rings and 134 were stabilised by spikes. The screw prostheses were evaluated at an average of 8 1/2 years from operation; one third showed radiological evidence of migration, and revision because of this was required in 12.6% of cases. The spiked cups were followed up for an average of 10 years; 14.8% showed radiological evidence of migration and 2.3% needed revision. We observed no radiological features to explain this difference. The quality of the bone and the mechanical characteristics of the bone/implant contrast may influence the result. We feel that an uncemented spiked acetabular implants is a worthwhile concept.
Schmitt
D
D
Clinique de Traumatologie et d'Orthopédie, Nancy, France.
Bigard
O
O
Bresler
F
F
Molé
D
D
Bernard
P
P
D000077:Acetabulum / Q000000981:diagnostic imaging / Q000601:surgery*; D000328:Adult; D000368:Aged; D005260:Female; D006621:Hip Joint / Q000000981:diagnostic imaging; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D011859:Radiography; D012086:Reoperation
Résultats à long terme de deux composants cotyloïdiens non cimentés dans les prothèses totales de hanche.