title: A ten-year follow-up of the Reflection cementless acetabular component.
abstract: We reviewed the long-term results at ten to 12 years of 118 total hip replacements in 109 patients using a second-generation hemispherical cementless acetabular component (Reflection) designed to address the problem of backside wear. Five patients (five hips) died and six patients (seven hips) were lost to follow-up. The remaining 98 patients (106 hips) had a mean age of 62.9 years (34.0 to 86.2) A rate of revision for aseptic loosening of 0.9%, and predictable results were found with respect to radiological evidence of fixation, lack of pain, walking ability, range of movement and function. One component was revised for aseptic loosening, and of the 101 hips (95.2%) that did not have a revision, minor osteolytic lesions of the pelvis were seen in six (5.9%). Kaplan-Meier survival analysis for the total cohort of 118 hips revealed a 96.4% survival at both ten (95% confidence interval 90 to 98) and 12 years (95% confidence interval 86 to 98).
authors.affiliation: Orthopaedic Clinic, University of Florence, CTO-Largo Palagi 1, 50139 Firenze, Italy. civ@mclink.it
authors.forename: R
authors.initials: R
authors.lastname: Civinini
authors.forename: M
authors.initials: M
authors.lastname: D'Arienzo
authors.forename: M
authors.initials: M
authors.lastname: Innocenti
mesh_terms: D000077:Acetabulum; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation* / Q000592:standards; D001843:Bone Cements; D019544:Equipment Failure Analysis; D005500:Follow-Up Studies; D006621:Hip Joint / Q000601:surgery*; D006622:Hip Prosthesis; D006801:Humans; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000601:surgery; D011474:Prosthesis Design / Q000592:standards*; D011475:Prosthesis Failure; D013223:Statistics as Topic; D013997:Time Factors
chemical_list: D001843:Bone Cements