Survivorship analysis of cemented total hip arthroplasty acetabular components implanted with second-generation techniques.

Published

Journal Article

The clinical and radiographic results of primary cemented total hip arthroplasty performed by a single surgeon, with particular emphasis on the performance of acetabular components implanted with so-called second-generation cement techniques, were studied. Seventy hips with 48 metal-backed and 22 polyethylene acetabular components were followed for a mean of 9 years (range, 5-11.5 years). The clinical results were evaluated using a recognized hip score. The fixation status of the cemented acetabular component was evaluated using two methods of measuring radiolucent lines at 5 years and at the last evaluation. Acetabular component loosening was defined as a circumferential radiolucent line, component migration, or revision for loosening. This study was unable to confirm the findings of others that demonstrated higher failure rates with cemented metal-backed components when compared with all-polyethylene components. The survival of cemented acetabular components with 28-mm head femoral prostheses was worse than the survival of cemented acetabular components with 22-mm femoral heads in other published reports, despite advances in cement techniques. Because of the high rate of loosening of cemented 28-mm-inner-diameter acetabular components at 5 and 10 years, the authors no longer use these cemented components for acetabular reconstruction.

Full Text

Duke Authors

Cited Authors

  • Ziegler, BS; Lachiewicz, PF

Published Date

  • September 1996

Published In

Volume / Issue

  • 11 / 6

Start / End Page

  • 750 - 756

PubMed ID

  • 8884453

Pubmed Central ID

  • 8884453

International Standard Serial Number (ISSN)

  • 0883-5403

Digital Object Identifier (DOI)

  • 10.1016/s0883-5403(96)80016-7

Language

  • eng

Conference Location

  • United States