A-W glass ceramic as a bone substitute in cemented hip arthroplasty: 15 hips followed 2-10 years.
We retrospectively reviewed hip arthroplasties in 13 patients (15 hips), in whom we had used apatite-wollastonite (A-W) glass ceramic together with auto- or allograft for augmentation of severe bone deficiency. 11 cemented sockets and 4 stem revisions were included and followed for 2-9.6 years. There were no radiolucent lines between A-W glass ceramic and surrounding bone, and remodeling of the bone graft containing A-W glass ceramic was observed. No migration of cemented sockets was seen except in 1 case, which was revised. In this case, direct bonding between bone and A-W glass ceramic granules was present histologically. In 4 stem revisions, 5 mm subsidence occurred in 1 case. However, the stem became stable and remodeling of the grafted bone occurred. An artificial bone material, such as A-W glass ceramic, can be used under high-load conditions, because of its good mechanical properties.
Department of Orthopedic Surgery, Faculty of Medicine, Kyoto University, Japan.
K
K
Kawanabe
H
H
Iida
Y
Y
Matsusue
H
H
Nishimatsu
R
R
Kasai
T
T
Nakamura
D000328:Adult; D000368:Aged; D001031:Apatites; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects / Q000379:methods*; D001843:Bone Cements; D018786:Bone Substitutes; D016025:Bone Transplantation; D002516:Ceramics; D005260:Female; D005500:Follow-Up Studies; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000209:etiology; D006621:Hip Joint / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D016348:Osseointegration; D011475:Prosthesis Failure; D011859:Radiography; D012086:Reoperation; D012189:Retrospective Studies; D012824:Silicic Acid; D014182:Transplantation, Autologous; D014184:Transplantation, Homologous
D001031:Apatites; D001843:Bone Cements; D018786:Bone Substitutes; C077777:apatite-wollastonite-containing glass ceramic; D012824:Silicic Acid