Early Results of Cementless Total Hip Arthroplasty Using a Third Generation Alumina-on-Alumina Bearing Surface.
10.4055/jkoa.2013.48.3.190
- Author:
Jong Chul LEE
1
;
Seung Gil BAEK
;
Shin Yoon KIM
Author Information
1. Department of Orthopedic Surgery, School of Medicine, Kyungpook National University, Daegu, Korea. syukim@knu.ac.kr
- Publication Type:Original Article
- Keywords:
hip;
total hip arthroplasty;
alumina-on-alumina articulation
- MeSH:
Aluminum Oxide;
Arthroplasty;
Femoral Neck Fractures;
Follow-Up Studies;
Head;
Hip;
Humans;
Osseointegration;
Osteoarthritis;
Osteolysis;
Osteonecrosis;
Prevalence;
Prospective Studies;
Tacrine;
Thigh;
Ursidae
- From:The Journal of the Korean Orthopaedic Association
2013;48(3):190-196
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study is to evaluate the early results and occurrence of complications of cementless total hip arthroplasty (THA) using an alumina-on-alumina articulation with a minimum follow up period of three years. MATERIALS AND METHODS: We prospectively followed 108 patients (121 hips) who underwent cementless THA using an alumina-on-alumina articulation. The mean age of the patients was 50.7 years (range, 20-80 years) and mean the follow up period was 48 months (range, 36-60 months). Preoperative diagnoses included osteonecrosis of the femoral head in 90 hips; secondary osteoarthritis due to hip dysplasia in 24 hips; secondary osteoarthritis after acetabular fracture in four hips; acute femoral neck fracture in three hips. Clinical evaluation was performed using Harris hip score (HHS) and radiographic evaluation was performed in terms of the fixation of components and the prevalence of osteolysis. In addition, we observed complications, including the occurrence of sound or fracture of the alumina head or liner. RESULTS: Mean HHS improved from 62.4 points to 94 points at final follow-up. Thigh discomfort was found in six hips and mild inguinal discomfort was found in eight hips. Both had disappeared within one year after operation. A clicking sound was detected in two patients. One hip had become dislocated and an alumina liner fracture had occurred in one hip. Loosening of component or osteolysis was not observed in any hip. The radiographic wear was not measurable. CONCLUSION: Early results of cementless THA using an alumina-on-alumina articulation were favorable, with osseointegration of the components and absence of periprosthetic osteolysis. However, longer-term follow up for a hip clicking sound and fracture of an alumina fracture are necessary.
