Three-dimensional computed cementless custom femoral stems in young patients: midterm followup.

Détails

ID Serval
serval:BIB_8B10999A6AB1
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Three-dimensional computed cementless custom femoral stems in young patients: midterm followup.
Périodique
Clinical Orthopaedics and Related Research
Auteur(s)
Wettstein M., Mouhsine E., Argenson J.N., Rubin P.J., Aubaniac J.M., Leyvraz P.F.
ISSN
0009-921X
Statut éditorial
Publié
Date de publication
2005
Peer-reviewed
Oui
Numéro
437
Pages
169-175
Langue
anglais
Notes
Publication types: Comparative Study
Résumé
We prospectively evaluated the results of our custom cementless femoral stems to ascertain whether this technology produced reasonable clinical function, complication rates, and loosening rates at midterm. Fifty-seven consecutive patients had surgery in 62 hips for primary osteoarthritis at a mean age of 57 years using a three-dimensional computed custom cementless stem. Patients were reviewed at a mean followup of 94.9 months. At review, the mean Harris hip score was 98.8 points (range, 84-100) compared with 61.1 (range, 28-78) points preoperatively. No patient complained of thigh pain. No migration or subsidence was observed. All stems were considered stable according to the radiographic criteria defined by Engh et al. There were no dislocations, no infections, and no reoperations. Our results are comparable with published results from clinical and radiologic points of view. Two problems remain unsolved: the price of a custom stem is twice as expensive as a standard stem; and we need longer term results before definitely recommending this technology as a reasonable alternative to current arthroplasties in younger patients. The data support the continued exploration of this technology with controlled clinical followup. LEVEL OF EVIDENCE: Therapeutic study, Level II-1 (prospective cohort study). See the Guidelines to Authors for a complete description of levels of evidence.
Mots-clé
Adult, Arthroplasty, Replacement, Hip, Bone Cements, Female, Follow-Up Studies, Hip Joint, Hip Prosthesis, Humans, Male, Middle Aged, Osteoarthritis, Hip, Prospective Studies, Prosthesis Design, Time Factors, Tomography, X-Ray Computed, Treatment Outcome
Pubmed
Web of science
Création de la notice
28/01/2008 13:22
Dernière modification de la notice
20/08/2019 15:49
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