Total hip arthroplasty using an Omniflex modular system: 5 to 12 years followup.
We evaluated intermediate-term results of primary cementless Omniflex prostheses. Forty-nine patients (57 hips) with a mean age of 44 years were observed for an average of 8.6 years. The average Harris hip score was 46 points before surgery and 87 points at final followup. Revision was done in five hips (9%) in five patients. Two acetabular components (4%) were revised because of breakage of the polyethylene insert. Three femoral components (5%) were revised because of aseptic loosening. Six femoral components (10%) were radiographically loose. Overall, 11 hips (19%) were considered mechanical failures. Osteolysis was identified around three acetabular components (5%) and around 20 femoral components (35%). Nine hips (16%) had femoral osteolysis around the distal stem tip. The average annual polyethylene liner wear was 0.18 mm. These results were inferior to those using other recent cementless total hip systems.
Ito
Hiroshi
H
Department of Orthopaedic Surgery, Asahikawa Medical College, Asahikawa, Japan. itobiro@asahikawa-med.ac.jp
Matsuno
Takeo
T
Aok
Yoshimitsu
Y
Minami
Aoki
A
D000328:Adult; D000704:Analysis of Variance; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects / Q000379:methods*; D020099:Coated Materials, Biocompatible; D015331:Cohort Studies; D016001:Confidence Intervals; D005260:Female; D005265:Femoral Neck Fractures / Q000000981:diagnostic imaging / Q000601:surgery; D005271:Femur Head Necrosis / Q000000981:diagnostic imaging / Q000601:surgery; D005500:Follow-Up Studies; D006622:Hip Prosthesis; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000000981:diagnostic imaging / Q000601:surgery; D010147:Pain Measurement; D011336:Probability; D011474:Prosthesis Design; D011475:Prosthesis Failure; D011859:Radiography; D020127:Recovery of Function; D012086:Reoperation; D012189:Retrospective Studies; D018570:Risk Assessment; D018709:Statistics, Nonparametric; D013997:Time Factors; D016896:Treatment Outcome
D020099:Coated Materials, Biocompatible