Primary total hip arthroplasty with the Karl Zweymüller first-generation cementless prosthesis. A 5- to 9-year retrospective study.
A consecutive series of 72 primary total hip arthroplasties were performed in 70 patients using the first-generation Zweymüller cementless titanium press-fit femoral and threaded acetabular components (AlloPro, Baar, Switzerland). Twelve hips were excluded from the study because of insufficient follow-up evaluation, including one patient who underwent a socket revision within the first 2 weeks. Sixty total hip arthroplasties with an average follow-up period of 80 months (range, 60-108 months) were retrospectively reviewed. Clinical results were graded excellent or good in 54 cases (90%), fair in 3 (5%), and poor in 3 (5%) with 2 early implant failures (1 acetabular cup and 1 femoral stem in 2 hips). Cumulative survival rates at the 6- to 7-year interval, with failure defined as revision and/or loosening are 98.47% (SD, 2.0%) for the femoral component (1 single septic and loose stem, revised at 5 years), 97.08% (SD, 2.72%) for the screw ring (2 unstable but only 1 revised), and 95.56% (SD, 3.36%) for both components. This encouraging experience with the first-generation prosthesis supports the rationale for continued use of the new Zweymüller Alloclassic stem and open-back screw ring available since 1988.
Delaunay
C P
CP
Orthopaedic Surgery Unit, Clinique de l'Yvette, Longjumeau, France.
Kapandji
A I
AI
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006622:Hip Prosthesis; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011474:Prosthesis Design; D011475:Prosthesis Failure; D012189:Retrospective Studies; D016896:Treatment Outcome