title: Anatomically adapted, HA coated SBG stem--ten years of successful implantation.
abstract: For stable implantation of anatomically conforming femur prostheses, modifications that accommodate curving and torsion are necessary. In accordance to this concept, the anatomically shaped SBG stem has been developed. The first consecutive implantations were evaluated. 194 primary arthroplasties with uncemented anatomical, HA coated SBG stems were performed. Mean patient age was 61 years. 143 patients with 151 (78%) SBG stems were followed-up clinically and radiologically after an average of 10 (9-11) years. So far, only one implant had to be revised. Survivorship with revision of the femoral component is 99.5% at ten years. The mean postoperative Harris Hip Score was 92. Patients over 75 years had a score of 89; younger patients under 40 years scored 94. Sclerotic lines were seen in zone I or VII in 8%. Minor femoral remodeling (Type 1) occurred proximally in 75%. Minor thickening of the femur at the level of the tip of the prosthesis could be observed in 27% of the cases. There is no correlation between compacta thickening and clinical symptoms (p=0.15). The anatomical shape, the oval diameter and the longitudinal grooves secure stable primary fixation. Together with the HA coating, which enhances osseointegration, the SBG stem has a high success rate in the medium and long term.
authors.affiliation: Orthopaedic University Hospital Frankfurt, Friedrichsheim Foundation, Marienburgstrasse 2, D 60528 Frankfurt a. M. Niederrad, Germany. effenberger@implantat-atlas.com
authors.forename: H
authors.initials: H
authors.lastname: Effenberger
authors.forename: R
authors.initials: R
authors.lastname: Graf
authors.forename: M
authors.initials: M
authors.lastname: May
authors.forename: M
authors.initials: M
authors.lastname: Lojpur
authors.forename: M
authors.initials: M
authors.lastname: Imhof
authors.forename: F
authors.initials: F
authors.lastname: Lintner
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D018771:Arthralgia / Q000175:diagnosis* / Q000209:etiology; D020099:Coated Materials, Biocompatible; D018572:Disease-Free Survival; D017886:Durapatite; D019544:Equipment Failure Analysis; D005260:Female; D005500:Follow-Up Studies; D006622:Hip Prosthesis; D006801:Humans; D007592:Joint Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design / Q000379:methods*; D011475:Prosthesis Failure; D016896:Treatment Outcome
chemical_list: D020099:Coated Materials, Biocompatible; D017886:Durapatite