Poor results with the Shuttle Stop: resorbable versus nonresorbable intramedullar cement restrictor in a prospective and randomized study with a 2-year follow-up.
In a randomized prospective study we compared 2 femoral plugs as regards probable migration of the restrictor, cement leakage and possible early aseptic loosening. In group I, the femoral canal was plugged with a resorbable Shuttle Stop (HC Implants, BV. Leiden, The Netherlands). In group II, a nonresorbable restrictor of polyethylene was used (De Puy, UK). Both groups were identical as regards age, gender and primary disease. All patients were followed for at least 2 years after surgery. Postoperatively, we found more failures with displacement of the femoral plug and cement leakage in group I than in group II. At the 2-year follow-up, we found no differences in stem loosening or grade of radiolucent lines in the cement-bone interface. We can not recommend the Shuttle Stop for femoral canal sealing in total hip replacememt.
Freund
Knud Gade
KG
Department of Orthopaedics, Central Hospital, Esbjerg, DK-Denmark. knf@ribeamt.dk
Herold
Niels
N
Røck
Niels D
ND
Riegels-Nielsen
Per
P
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D001672:Biocompatible Materials; D001673:Biodegradation, Environmental; D002484:Cementation; D005260:Female; D005548:Foreign-Body Migration; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D011091:Polyesters / Q000627:therapeutic use; D011092:Polyethylene Glycols / Q000627:therapeutic use; D011446:Prospective Studies; D011475:Prosthesis Failure
D001672:Biocompatible Materials; D011091:Polyesters; C072932:polyethylene oxide-polybutylene terephthalate copolymer; D011092:Polyethylene Glycols