[Long-term results with the cementless CLS stem in hip replacement].
OBJECTIVE
The present work aims at evaluating the clinical and radiological long-term results of the cementless CLS stem in hip replacement.


METHODS
Sixty-six consecutively operated patients were examined clinically and radiologically at an average follow-up time of 10.7 (7.6 - 13.8) years. The clinical evaluation was done with the Merle d'Aubigné and the Harris hip scores. The radiological evaluation included the evaluation of radiolucencies as well as the occurrence of heterotopic ossifications.


RESULTS
A total of four stems had to be revised (two infections, two periprosthetic fractures). No stem revision had to be done because of aseptic loosening. This results in a survival rate of 94.5% according to Kaplan-Meier. The mean Merle d'Aubigné scores increased from 9.0 preoperatively to 16.0 points at follow-up. The mean follow-up Harris hip score was 87.3 points. Periprothetic osteolytic zones were observed in 45% of the cases, particularly in the Gruen zones 1 and 7. These osteolytic zones were mainly found in connection with cementless polyethylene cups.


CONCLUSIONS
The results of this study confirm the positive short and medium-term results with the CLS stem in a long-term process. The formerly described phenomenon of the residual thigh pain with cementless stems was clearly minimized.
Güther
D
D
Orthopädische Klinik, Bürgerspital Solothurn. dguether@bluemail.ch
Pap
G
G
Bamert
P
P
Eggli
S
S
D000328:Adult; D000368:Aged; D019544:Equipment Failure Analysis / Q000706:statistics & numerical data*; D005260:Female; D005500:Follow-Up Studies; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D009999:Ossification, Heterotopic / Q000000981:diagnostic imaging / Q000601:surgery; D010014:Osteolysis / Q000000981:diagnostic imaging / Q000601:surgery; D017063:Outcome Assessment, Health Care / Q000706:statistics & numerical data; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000601:surgery; D011474:Prosthesis Design; D011859:Radiography; D012086:Reoperation; D012307:Risk Factors; D016019:Survival Analysis