title: The optimal timing of baseline radiostereometric analysis of uncemented press fit cups.
abstract: OBJECTIVE
  The baseline radiostereometric analysis (RSA) is usually performed during the first postoperative week. We investigated the micromotion of two uncemented press fit acetabular cups during the first week after total hip arthroplasty.
  
  
  METHODS
  All study patients had unilateral osteoarthritis of the hip and received an uncemented THA combination consisting of a CLS stem and either an Allofit or an Interop acetabular cup. The study group consisted of 24 patients who underwent RSA within 1 hour after skin closure, and at 1 and 7 days after surgery.
  
  
  RESULTS
  The upper limit of the 95% confidence interval for micromotion was less than or close to the precision of the method for all studied directions during the first week after surgery. Mean values indicate proximal and medial translation of the uncemented cup at one week.
  
  
  CONCLUSIONS
  We found only minimal micromotion, barely above the precision limit, measured as medial and proximal translations of these uncemented cups. This indicates that the first postoperative RSA measurement following a primary THA with an uncemented press fit ace-tabular cup should be made as early as possible after the first postoperative day.
authors.affiliation: Department of Orthopaedics, Uppsala University Hospital, Uppsala, Sweden. olof.wolf@akademiska.se
authors.forename: O
authors.initials: O
authors.lastname: Wolf
authors.forename: J
authors.initials: J
authors.lastname: Milbrink
authors.forename: S
authors.initials: S
authors.lastname: Larsson
authors.forename: P
authors.initials: P
authors.lastname: Mattsson
authors.forename: H
authors.initials: H
authors.lastname: Mallmin
mesh_terms: D000328:Adult; D000368:Aged; D019644:Arthroplasty, Replacement, Hip; D002484:Cementation; D005260:Female; D005500:Follow-Up Studies; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000000981:diagnostic imaging* / Q000601:surgery*; D011182:Postoperative Care; D011475:Prosthesis Failure; D011859:Radiography; D013997:Time Factors; D016896:Treatment Outcome; D016474:Weight-Bearing