Unsatisfactory results of a first-generation modular femoral stem implanted without cement: A 4- to 9-year follow-up study

Michael H. Huo, Mark A. Fye, Richard P. Martin, Laurine E. Zatorski, Kristaps J. Keggi

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Eighty primary total hip arthroplasties were performed using a first- generation modular femoral stem inserted without cement. Modular distal sleeves made of methacrylate were used in 33% of the hips. Dorr type B or C femoral geometry was present in 80% of the cases. The mean follow-up period was 81 months with a minimum of 48 months. Satisfactory clinical results were observed in 74% of the hips at the final follow-up visit. Revision of the stem had been performed in 14% of the hips, all for aseptic loosening. The overall mechanical failure rate was 48%. Canal fill by the stem was not any better with the sleeves than without. The incidence of failure, however, was less in those hips in which sleeves were used. Femoral osteolysis was present in 19% of the hips. The experience with this particular stem design has been disappointing.

Original languageEnglish (US)
Pages (from-to)490-496
Number of pages7
JournalJournal of Arthroplasty
Volume12
Issue number5
DOIs
StatePublished - Aug 1997

Fingerprint

Thigh
Hip
Osteolysis
Methacrylates
Arthroplasty
Incidence

Keywords

  • Fit-and-fill
  • Loosening
  • Sleeves
  • Total hip arthroplasty

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Unsatisfactory results of a first-generation modular femoral stem implanted without cement : A 4- to 9-year follow-up study. / Huo, Michael H.; Fye, Mark A.; Martin, Richard P.; Zatorski, Laurine E.; Keggi, Kristaps J.

In: Journal of Arthroplasty, Vol. 12, No. 5, 08.1997, p. 490-496.

Research output: Contribution to journalArticle

Huo, Michael H. ; Fye, Mark A. ; Martin, Richard P. ; Zatorski, Laurine E. ; Keggi, Kristaps J. / Unsatisfactory results of a first-generation modular femoral stem implanted without cement : A 4- to 9-year follow-up study. In: Journal of Arthroplasty. 1997 ; Vol. 12, No. 5. pp. 490-496.
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