| |  Online-Ressource |
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| Verfasst von: | Reiner, Tobias [VerfasserIn]  |
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| | Sonntag, Robert [VerfasserIn] |
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| | Kretzer, Jan Philippe [VerfasserIn] |
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| | Clarius, Michael [VerfasserIn] |
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| | Jakubowitz, Eike [VerfasserIn] |
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| | Weiss, Stefan [VerfasserIn] |
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| | Ewerbeck, Volker [VerfasserIn] |
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| | Merle, Christian [VerfasserIn] |
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| | Moradi, Babak [VerfasserIn] |
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| | Kinkel, Stefan [VerfasserIn] |
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| | Gotterbarm, Tobias [VerfasserIn] |
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| | Hagmann, Sébastien [VerfasserIn] |
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| Titel: | The migration pattern of a cementless hydroxyapatite-coated titanium stem under immediate full weight-bearing |
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| Titelzusatz: | a randomized controlled trial using model-based RSA |
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| Verf.angabe: | Tobias Reiner, Robert Sonntag, Jan Philippe Kretzer, Michael Clarius, Eike Jakubowitz, Stefan Weiss, Volker Ewerbeck, Christian Merle, Babak Moradi, Stefan Kinkel, Tobias Gotterbarm and Sébastien Hagmann |
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| E-Jahr: | 2020 |
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| Jahr: | 2 July 2020 |
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| Umfang: | 10 S. |
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| Fussnoten: | Gesehen am 24.09.2020 |
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| Titel Quelle: | Enthalten in: Journal of Clinical Medicine |
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| Ort Quelle: | Basel : MDPI, 2012 |
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| Jahr Quelle: | 2020 |
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| Band/Heft Quelle: | 9(2020,7) Artikel-Nummer 2077, 10 Seiten |
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| ISSN Quelle: | 2077-0383 |
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| Abstract: | (1) Background: High primary stability is important for the long-term survival of cementless femoral stems in total hip arthroplasty (THA). The objective of this study was to investigate the migration pattern of a hydroxyapatite-coated cementless hip stem developed for minimally invasive surgery using model-based radiostereometric analysis (RSA). (2) Methods: In this randomized controlled trial, 44 patients with an indication for cementless primary THA were randomly allocated to receive either the SL-PLUS MIA stem, developed for minimally invasive surgery, or the SL-PLUS stem (Smith & Nephew Orthopaedics, Baar, Switzerland) which served as a control group. Unlimited weight-bearing was permitted postoperatively in both groups. Model-based RSA was performed after six weeks and after 3, 6, 12 and 24 months postoperatively. (3) Results: Mean total stem subsidence at two-year follow-up was 0.40 mm (SD 0.66 mm) in the SL-PLUS group and 1.08 mm (SD 0.93 mm) in the SL-PLUS MIA group (p = 0.030). Stem subsidence occurred during the first six weeks after surgery, indicating initial settling of the stem under full weight-bearing. Both stem designs showed good osseointegration and high secondary stability with no further migration after initial settling. (4) Conclusions: Settling of a cementless straight femoral stem occurs during the first six weeks after surgery under full weight-bearing. Although initial stem migration was higher in the SL-PLUS MIA group, it had no influence on secondary stability. All implants showed good osseointegration and high secondary stability with no signs of implant loosening during this two-year follow-up period. |
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| DOI: | doi:10.3390/jcm9072077 |
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| URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.
Volltext: https://doi.org/10.3390/jcm9072077 |
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| | DOI: https://doi.org/10.3390/jcm9072077 |
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| Datenträger: | Online-Ressource |
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| Sprache: | eng |
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| Sach-SW: | cementless total hip arthroplasty |
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| | hydroxyapatite-coated femoral stem |
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| | implant stability |
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| | migration |
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| | radiostereometric analysis |
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| | RSA |
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| | SL-PLUS MIA |
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| K10plus-PPN: | 1733691936 |
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| Verknüpfungen: | → Zeitschrift |
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¬The¬ migration pattern of a cementless hydroxyapatite-coated titanium stem under immediate full weight-bearing / Reiner, Tobias [VerfasserIn]; 2 July 2020 (Online-Ressource)
