Fit and fill total hip arthroplasty: Is it still efficacious?

Richard E. Jones, Michael H. Huo, Mohammad T. Hashemi

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

PURPOSE OF REVIEW: The purpose of this review is to examine the 'fit and fill' principle using specific reference to a particular stem design, anatomic porous replacement, with which the senior surgeon has had extensive clinical experience. RECENT FINDINGS: Cementless fixation on the femoral side in total hip arthroplasty has become increasingly popular. This increase in clinical usage of cementless femoral stems is based upon many factors including improvements in implant design, surgical technique, and confirmation of excellent clinical outcome and durability. One of the earliest design rationales in the evolution of cementless femoral stems was the concept of 'fit and fill'. This premise was based upon the belief that maximizing contact of the stem with host bone would provide the greatest fixation stability and the most optimal long-term bone remodeling of the upper femur. The long term (10 years) survivorship of anatomic porous replacement II stems which is based on this concept has been validated by recent studies. SUMMARY: Many cementless stem design concepts have been put into clinical application over the past three decades. One of the most original, and durable concept has been the 'fit and fill' principle. This concept has been validated to be valuable in providing long-term, pain-free, stable total hip arthroplasty function. With the advent of newer prosthetic designs and improved surgical techniques, the use of cementless stems is promising and should continue to be considered in younger and more active patients with good bone quality.

Original languageEnglish (US)
Pages (from-to)24-27
Number of pages4
JournalCurrent Opinion in Orthopaedics
Volume19
Issue number1
DOIs
StatePublished - Jan 2008

Fingerprint

Thigh
Arthroplasty
Hip
Bone and Bones
Bone Remodeling
Femur
Survival Rate

Keywords

  • Cementless stems
  • Fit and fill concept
  • THA

ASJC Scopus subject areas

  • Surgery

Cite this

Fit and fill total hip arthroplasty : Is it still efficacious? / Jones, Richard E.; Huo, Michael H.; Hashemi, Mohammad T.

In: Current Opinion in Orthopaedics, Vol. 19, No. 1, 01.2008, p. 24-27.

Research output: Contribution to journalArticle

Jones, Richard E. ; Huo, Michael H. ; Hashemi, Mohammad T. / Fit and fill total hip arthroplasty : Is it still efficacious?. In: Current Opinion in Orthopaedics. 2008 ; Vol. 19, No. 1. pp. 24-27.
@article{6d5a089ed4904306aace4e232e6e4052,
title = "Fit and fill total hip arthroplasty: Is it still efficacious?",
abstract = "PURPOSE OF REVIEW: The purpose of this review is to examine the 'fit and fill' principle using specific reference to a particular stem design, anatomic porous replacement, with which the senior surgeon has had extensive clinical experience. RECENT FINDINGS: Cementless fixation on the femoral side in total hip arthroplasty has become increasingly popular. This increase in clinical usage of cementless femoral stems is based upon many factors including improvements in implant design, surgical technique, and confirmation of excellent clinical outcome and durability. One of the earliest design rationales in the evolution of cementless femoral stems was the concept of 'fit and fill'. This premise was based upon the belief that maximizing contact of the stem with host bone would provide the greatest fixation stability and the most optimal long-term bone remodeling of the upper femur. The long term (10 years) survivorship of anatomic porous replacement II stems which is based on this concept has been validated by recent studies. SUMMARY: Many cementless stem design concepts have been put into clinical application over the past three decades. One of the most original, and durable concept has been the 'fit and fill' principle. This concept has been validated to be valuable in providing long-term, pain-free, stable total hip arthroplasty function. With the advent of newer prosthetic designs and improved surgical techniques, the use of cementless stems is promising and should continue to be considered in younger and more active patients with good bone quality.",
keywords = "Cementless stems, Fit and fill concept, THA",
author = "Jones, {Richard E.} and Huo, {Michael H.} and Hashemi, {Mohammad T.}",
year = "2008",
month = "1",
doi = "10.1097/BCO.0b013e3282f290c6",
language = "English (US)",
volume = "19",
pages = "24--27",
journal = "Current Orthopaedic Practice",
issn = "1940-7041",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

TY - JOUR

T1 - Fit and fill total hip arthroplasty

T2 - Is it still efficacious?

AU - Jones, Richard E.

AU - Huo, Michael H.

AU - Hashemi, Mohammad T.

PY - 2008/1

Y1 - 2008/1

N2 - PURPOSE OF REVIEW: The purpose of this review is to examine the 'fit and fill' principle using specific reference to a particular stem design, anatomic porous replacement, with which the senior surgeon has had extensive clinical experience. RECENT FINDINGS: Cementless fixation on the femoral side in total hip arthroplasty has become increasingly popular. This increase in clinical usage of cementless femoral stems is based upon many factors including improvements in implant design, surgical technique, and confirmation of excellent clinical outcome and durability. One of the earliest design rationales in the evolution of cementless femoral stems was the concept of 'fit and fill'. This premise was based upon the belief that maximizing contact of the stem with host bone would provide the greatest fixation stability and the most optimal long-term bone remodeling of the upper femur. The long term (10 years) survivorship of anatomic porous replacement II stems which is based on this concept has been validated by recent studies. SUMMARY: Many cementless stem design concepts have been put into clinical application over the past three decades. One of the most original, and durable concept has been the 'fit and fill' principle. This concept has been validated to be valuable in providing long-term, pain-free, stable total hip arthroplasty function. With the advent of newer prosthetic designs and improved surgical techniques, the use of cementless stems is promising and should continue to be considered in younger and more active patients with good bone quality.

AB - PURPOSE OF REVIEW: The purpose of this review is to examine the 'fit and fill' principle using specific reference to a particular stem design, anatomic porous replacement, with which the senior surgeon has had extensive clinical experience. RECENT FINDINGS: Cementless fixation on the femoral side in total hip arthroplasty has become increasingly popular. This increase in clinical usage of cementless femoral stems is based upon many factors including improvements in implant design, surgical technique, and confirmation of excellent clinical outcome and durability. One of the earliest design rationales in the evolution of cementless femoral stems was the concept of 'fit and fill'. This premise was based upon the belief that maximizing contact of the stem with host bone would provide the greatest fixation stability and the most optimal long-term bone remodeling of the upper femur. The long term (10 years) survivorship of anatomic porous replacement II stems which is based on this concept has been validated by recent studies. SUMMARY: Many cementless stem design concepts have been put into clinical application over the past three decades. One of the most original, and durable concept has been the 'fit and fill' principle. This concept has been validated to be valuable in providing long-term, pain-free, stable total hip arthroplasty function. With the advent of newer prosthetic designs and improved surgical techniques, the use of cementless stems is promising and should continue to be considered in younger and more active patients with good bone quality.

KW - Cementless stems

KW - Fit and fill concept

KW - THA

UR - http://www.scopus.com/inward/record.url?scp=37349124879&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=37349124879&partnerID=8YFLogxK

U2 - 10.1097/BCO.0b013e3282f290c6

DO - 10.1097/BCO.0b013e3282f290c6

M3 - Article

AN - SCOPUS:37349124879

VL - 19

SP - 24

EP - 27

JO - Current Orthopaedic Practice

JF - Current Orthopaedic Practice

SN - 1940-7041

IS - 1

ER -