title: Prospective evaluation of total hip arthroplasty with a cementless, anatomically designed, porous-coated femoral implant: mean 11-year follow-up.
abstract: The performance of an anatomically designed femoral implant with porous titanium mesh coating was assessed in patients undergoing total hip arthroplasty. The stem, with built-in 12 degrees anteversion, was implanted in neutral position relative to the long axis of the femur through a cementless press-fit application. The only requirement was the presence of sufficient thickness within the cortical bone of the femoral metaphysis to support the stem. Ninety-one evaluable patients were followed up for a minimum of 10 years. Patients tolerated weight-bearing activity within 24 hours after surgery. Only 1 femoral component required revision because of loosening. Most patients showed uniform bony ingrowth. Quality of life was markedly improved. The anatomically designed, porous-coated implant provides robust performance which has general utility in a wide range of patients.
authors.affiliation: Orthopedic and Fracture Clinic, PC, Portland, Oregon 97225-6682, USA.
authors.forename: J B V
authors.initials: JB
authors.lastname: Butler
authors.forename: David
authors.initials: D
authors.lastname: Lansky
authors.forename: Paul J
authors.initials: PJ
authors.lastname: Duwelius
mesh_terms: D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation*; D005260:Female; D005269:Femur; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011474:Prosthesis Design; D011788:Quality of Life; D012086:Reoperation; D016474:Weight-Bearing