Fixation of an anatomically designed cementless stem in total hip arthroplasty.

Advances in Orthopedics
Shigeru NakamuraTakashi Matsushita

Abstract

Purpose. The Anatomic Fiber Metal plus stem (Zimmer) is one of the anatomically designed cementless stems to achieve stable fixation by metaphyseal fit. We studied outcomes of cementless total hip arthroplasty using this stem and possible effects of metaphyseal fit on outcomes. Methods. The cementless total hip arthroplasty using this stem was performed for 155 hips. One hundred and thirty-seven hips of 122 patients were followed for 5 to 16 (mean, 9.7) years and entered into the study. The metaphyseal fit was defined as good or poor in an anteroposterior radiograph after surgery. We studied the fixation of the stem and bone reaction on an anteroposterior radiograph at the final followup. Results. Twelve hips had revision, six acetabular components and six acetabular liners. No stem was revised. The biological fixation of the stem was bone ingrown fixation for 136 hips and unstable for one. The metaphyseal fit was good for 83 hips and poor for 54 hips. There were no differences for stem fixation and bone reaction between the two groups. Conclusions. The fixation of the stem was stable at a mean followup of 9.7 years independently from metaphyseal fit.

References

Mar 1, 1988·Biochimie·T R Klaenhammer
Sep 12, 2000·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·A KaneujiK Tomita
Nov 10, 2001·The Journal of Bone and Joint Surgery. American Volume·M J ArchibeckJ O Galante
Mar 30, 2007·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Yoshitada HaradaHideshige Moriya
Jan 10, 2008·International Orthopaedics·Yutaka NakoshiAtsumasa Uchida
Aug 20, 2010·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Masaaki KuribayashiToshikazu Kubo

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Citations

Jun 3, 2015·BMC Medical Imaging·Oliver DobrindtChristoph H Lohmann
Aug 3, 2020·The Journal of Bone and Joint Surgery. American Volume·Michael M KheirAntonia F Chen
Jul 12, 2016·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Vahit Emre OzdenIsmail Remzi Tozun
May 15, 2021·International Journal of Surgery Case Reports·Hironori KitajimaNorio Kawahara

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Methods Mentioned

BETA
total hip arthroplasty

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