Cementless acetabular component inserted without screws - the effect of immediate weight-bearing.
Seventy-four total hip arthroplasties using a cementless acetabular component without holes for supplemental screw fixation were evaluated during a follow-up period of 2-6 years. Immediate full weight-bearing walking was allowed after the operation. A comparison of anteroposterior (AP) radiographs of the pelvis taken in the early postoperative period and when the patient returned for the final follow-up revealed that there was no migration of the acetabular component. Based on the early postoperative radiographs and using the zones described by Martell et al. [J Bone Joint Surg (1993) 75-A:554-571], gaps between the acetabular component and the bone occurred at zone A2 in three hips (4.1%), at zone B1 in 12 hips (16.2%), and at zone B2 in seven hips (9.5%). The final follow-up radiographs, however, revealed only one hip to have a gap of 1.1 mm at zone B2; the majority of the gaps had disappeared. The results suggest that immediate weight-bearing walking did not result in the migration of the cementless acetabular component.
Ng
F Y
FY
Department of Orthopaedics and Traumatology, Queen Mary Hospital, The University of Hong Kong, Pokfulam, Hong Kong. charlesnfy@netvigator.com
Zhu
Y
Y
Chiu
K Y
KY
D000077:Acetabulum / Q000502:physiology / Q000601:surgery; D000328:Adult; D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation* / Q000534:rehabilitation*; D005260:Female; D005500:Follow-Up Studies; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D011859:Radiography; D020127:Recovery of Function; D016896:Treatment Outcome; D016138:Walking; D016474:Weight-Bearing