Cementless Hip Arthroplasty in Southern Iran, Midterm Outcome and Comparison of Two Designs
Background: Cementless hip prosthesis was designed to provide biologic fixation, without the use of cement. The second generation components have shown more reliable bone ingrowths and survival rates. We are reporting a midterm result of two designs of cementless prosthesis in a unique culture with...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Shiraz University of Medical Sciences
2015-09-01
|
| Series: | Iranian Journal of Medical Sciences |
| Subjects: | |
| Online Access: | http://ijms.sums.ac.ir/index.php/IJMS/article/view/2060 |
| _version_ | 1818041735964524544 |
|---|---|
| author | Gholam Hossein Shahcheraghi Seyed Ali Hashemi |
| author_facet | Gholam Hossein Shahcheraghi Seyed Ali Hashemi |
| author_sort | Gholam Hossein Shahcheraghi |
| collection | DOAJ |
| description | Background: Cementless hip prosthesis was designed to provide biologic fixation, without the use of cement. The second generation components have shown more reliable bone ingrowths and survival rates. We are reporting a midterm result of two designs of cementless prosthesis in a unique culture with different social habits and expectations.
Methods: 52 primary cementless total hip arthroplasty in 42 patients with the mean age of 48.8 years were retrospectively studied. Two groups of prosthesis had been implanted: Harris-Galante II (HGII) in 15 and Versys-Trilogy (V-T) in 37 hips, both from Zimmer company. The patients were assessed clinically, radiographically and with Harris hip score, SF36, WOMAC, and MACTAR questionnaires, with 65 months (26-136) mean follow-up.
Results: All the V-T prostheses had survived well. Eight of HG II were revised by the last follow-up in 19-102 months. All had undergone acetabular revision and 2 combined with femoral revision. Broken tines of HGII cups were seen in 4 radiographs. The 65 months overall survival was 96.2% for femoral and 84.6% for acetabular components. 90% had good or excellent Harris hip scores. The functional scores were poorer in the HG II group. Pain relief and improved walking were the two main patients’ expectations fulfilled in 97.6% and 92.8%, respectively.
Conclusions: The outcome of cementless total hip arthroplasty (THA) is satisfactory and comparable with the literature based on the results of function and survival of this small comparative group. The use of HGII acetabular component should be abandoned. |
| first_indexed | 2024-12-10T08:35:09Z |
| format | Article |
| id | doaj.art-086e9b06f7f747058e5989e425ffde4c |
| institution | Directory Open Access Journal |
| issn | 0253-0716 1735-3688 |
| language | English |
| last_indexed | 2024-12-10T08:35:09Z |
| publishDate | 2015-09-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Medical Sciences |
| spelling | doaj.art-086e9b06f7f747058e5989e425ffde4c2022-12-22T01:56:00ZengShiraz University of Medical SciencesIranian Journal of Medical Sciences0253-07161735-36882015-09-01405418424Cementless Hip Arthroplasty in Southern Iran, Midterm Outcome and Comparison of Two DesignsGholam Hossein Shahcheraghi0Seyed Ali Hashemi1Professor of Orthopaedic Surgery, Bone and Joint Disease Research Center, Department of Orthopedic Surgery, Nemazee Hospital, Shiraz University of Medical Sciences, Shiraz, IranAssistant professor of Orthopaedic Surgery, Bone and Joint Disease Research Center, Department of Orthopedic Surgery, Nemazee Hospital, Shiraz University of Medical Sciences, Shiraz, IranBackground: Cementless hip prosthesis was designed to provide biologic fixation, without the use of cement. The second generation components have shown more reliable bone ingrowths and survival rates. We are reporting a midterm result of two designs of cementless prosthesis in a unique culture with different social habits and expectations. Methods: 52 primary cementless total hip arthroplasty in 42 patients with the mean age of 48.8 years were retrospectively studied. Two groups of prosthesis had been implanted: Harris-Galante II (HGII) in 15 and Versys-Trilogy (V-T) in 37 hips, both from Zimmer company. The patients were assessed clinically, radiographically and with Harris hip score, SF36, WOMAC, and MACTAR questionnaires, with 65 months (26-136) mean follow-up. Results: All the V-T prostheses had survived well. Eight of HG II were revised by the last follow-up in 19-102 months. All had undergone acetabular revision and 2 combined with femoral revision. Broken tines of HGII cups were seen in 4 radiographs. The 65 months overall survival was 96.2% for femoral and 84.6% for acetabular components. 90% had good or excellent Harris hip scores. The functional scores were poorer in the HG II group. Pain relief and improved walking were the two main patients’ expectations fulfilled in 97.6% and 92.8%, respectively. Conclusions: The outcome of cementless total hip arthroplasty (THA) is satisfactory and comparable with the literature based on the results of function and survival of this small comparative group. The use of HGII acetabular component should be abandoned.http://ijms.sums.ac.ir/index.php/IJMS/article/view/2060Hip arthroplasty replacementPorous-coatedOutcomeHip prosthesis |
| spellingShingle | Gholam Hossein Shahcheraghi Seyed Ali Hashemi Cementless Hip Arthroplasty in Southern Iran, Midterm Outcome and Comparison of Two Designs Iranian Journal of Medical Sciences Hip arthroplasty replacement Porous-coated Outcome Hip prosthesis |
| title | Cementless Hip Arthroplasty in Southern Iran, Midterm Outcome and Comparison of Two Designs |
| title_full | Cementless Hip Arthroplasty in Southern Iran, Midterm Outcome and Comparison of Two Designs |
| title_fullStr | Cementless Hip Arthroplasty in Southern Iran, Midterm Outcome and Comparison of Two Designs |
| title_full_unstemmed | Cementless Hip Arthroplasty in Southern Iran, Midterm Outcome and Comparison of Two Designs |
| title_short | Cementless Hip Arthroplasty in Southern Iran, Midterm Outcome and Comparison of Two Designs |
| title_sort | cementless hip arthroplasty in southern iran midterm outcome and comparison of two designs |
| topic | Hip arthroplasty replacement Porous-coated Outcome Hip prosthesis |
| url | http://ijms.sums.ac.ir/index.php/IJMS/article/view/2060 |
| work_keys_str_mv | AT gholamhosseinshahcheraghi cementlesshiparthroplastyinsoutherniranmidtermoutcomeandcomparisonoftwodesigns AT seyedalihashemi cementlesshiparthroplastyinsoutherniranmidtermoutcomeandcomparisonoftwodesigns |