The relationship between stem subsidence and improvement in the radiolucency in polished tapered stems.
We studied the relationship between stem subsidence and improvement in the initial radiolucency at the bone-cement interface in polished- and rough-surface stems. Stem subsidence was seen in 34 of 42 hips (81.0%), and improvement in the initial radiolucency was seen in 15 hips (35.7%) in collarless polished tapered stems at 1 year after operation. In polished stems, stem subsidence in cases with improvement in the initial radiolucency was significantly greater than in those with no change (average 1.12 mm and 0.48 mm, P<0.005). In rough-surface stems partially coated with polymethylmethacrylate (VerSys Cemented Plus), no stem subsidence and no improvement in the initial radiolucency was seen. In polished stems, stem subsidence leads to cement creep and compressive force on the bone-cement interface and can improve the initial radiolucency.
Kaneuji
Ayumi
A
Department of Orthopaedic Surgery, Kanazawa Medical University, Ishikawa, Japan. kaneuji@kanazawa-med.ac.jp
Sugimori
Tanzo
T
Ichiseki
Toru
T
Fukui
Kiyokazu
K
Yamada
Kengo
K
Matsumoto
Tadami
T
D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip; D001843:Bone Cements; D002484:Cementation; D020099:Coated Materials, Biocompatible; D005260:Female; D005269:Femur / Q000000981:diagnostic imaging / Q000601:surgery*; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D019904:Polymethyl Methacrylate / Q000737:chemistry; D011859:Radiography; D016896:Treatment Outcome
D001843:Bone Cements; D020099:Coated Materials, Biocompatible; D019904:Polymethyl Methacrylate