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Second-Generation Cementless Total Hip Arthroplasty in Patients With Osteonecrosis of the Femoral Head

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Author(s)
Byung-Woo MinKwang-Soon SongKi-Cheor BaeChul-Hyun ChoKyung-Jae LeeHee-Joong Kim
Keimyung Author(s)
Min, Byung WooSong, Kwang SoonBae, Ki CheorCho, Chul HyunLee, Kyung Jae
Department
Dept. of Orthopedic Surgery (정형외과학)
Journal Title
Journal of Arthroplasty
Issued Date
2008
Volume
23
Issue
6
Keyword
total hip arthroplastyosteonecrosis of the femoral headcementless acetabular and femoral component
Abstract
The results of cementless total hip arthroplasties in patients with osteonecrosis have been inferior to those in patients with other diagnoses. Fifty-eight primary total hip arthroplasties with insertion of a femoral stem with a circumferentially proximal porous coating and a cementless acetabular component were followed for a mean of 11.1 years. Fifty-seven (98%) of 58 stems were biologically stable, and one stem was loose. There were acetabular revisions in 18 hips (31%) because of polyethylene wear and osteolysis. One hip (1.7%) underwent revision of both acetabular and femoral components. Osteolysis around the acetabular component was seen on radiographs in 22 hips (37.9%). Femoral osteolysis was seen in 9 hips (15.5%), and there was no osteolysis below the lesser trochanter in any hip. Second-generation femoral prostheses provide excellent fixation in patients with osteonecrosis of the femoral head. However, a high rate of polyethylene wear and osteolysis in these high-risk patients remains a challenging problem.
Keimyung Author(s)(Kor)
민병우
송광순
배기철
조철현
이경재
Publisher
School of Medicine
Citation
Byung-Woo Min et al. (2008). Second-Generation Cementless Total Hip Arthroplasty in Patients With Osteonecrosis of the Femoral Head. Journal of Arthroplasty, 23(6), 902–910. doi: 10.1016/j.arth.2007.07.021
Type
Article
ISSN
0883-5403
Source
http://lps3.www.sciencedirect.com.proxy.dsmc.or.kr/science/article/pii/S0883540307004652?via%3Dihub
DOI
10.1016/j.arth.2007.07.021
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/33944
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
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