title: Minimal 10-year results of a tapered cementless femoral component in total hip arthroplasty.
abstract: A series of 120 primary total hip arthroplasties with minimal 10-year follow-up, in which a cementless, proximal-to-distal, dual-tapered geometry femoral component was used, was reviewed. At a mean follow-up interval of 12.20 years, a mean Harris hip score improvement of 38 points was calculated. Three (2.5%) femoral components were revised secondary to aseptic loosening, yielding a 97.5% survivorship. Thigh pain was mild or absent in 96.6% of the cases. Distal femoral osteolysis was observed in <2% of cases. The Harris hip score improvement, low incidence of severe thigh pain, high survivorship, and low incidences of significant stress shielding and distal osteolysis suggest excellent long-term results with the use of this uncemented tapered design, adding credence to the design rationale and justifying its continued use.
authors.affiliation: Joint Implant Surgeons, Inc, The Ohio State University, The Ohio Orthopaedic Institute, Grant Medical Center, Columbus, Ohio 43215, USA.
authors.forename: T H
authors.initials: TH
authors.lastname: Mallory
authors.forename: A V
authors.initials: AV
authors.lastname: Lombardi
authors.forename: J R
authors.initials: JR
authors.lastname: Leith
authors.forename: H
authors.initials: H
authors.lastname: Fujita
authors.forename: J F
authors.initials: JF
authors.lastname: Hartman
authors.forename: S G
authors.initials: SG
authors.lastname: Capps
authors.forename: C A
authors.initials: CA
authors.lastname: Kefauver
authors.forename: J B
authors.initials: JB
authors.lastname: Adams
authors.forename: G C
authors.initials: GC
authors.lastname: Vorys
mesh_terms: D000328:Adult; D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation*; D020099:Coated Materials, Biocompatible; D005260:Female; D005269:Femur / Q000000981:diagnostic imaging / Q000601:surgery; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000601:surgery; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D011475:Prosthesis Failure; D011859:Radiography; D012189:Retrospective Studies; D014025:Titanium; D016896:Treatment Outcome
chemical_list: D020099:Coated Materials, Biocompatible; D014025:Titanium