Source:http://linkedlifedata.com/resource/pubmed/id/16721953
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rdf:type | |
lifeskim:mentions | |
pubmed:dateCreated |
2006-5-23
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pubmed:abstractText |
Total hip arthroplasties with hydroxyapatite coatings have shown encouraging results after early-term followup. We presumed hydroxyapatite-coating on a smooth hemispheric press-fit acetabular cup would enhance bone osseointegration and maintain stability of cup after midterm (minimum 5-year) followup. Sixty-three patients had 70 consecutive total hip arthroplasties. Five patients (eight hips) died from problems unrelated to surgery. The remaining patients (62 hips) were followed up for an average of 7 years (range, 6-9 years). The mean age of the patients was 49 years (range, 23-61 years). The average Harris hip score improved from 59 points (range, 32-82 points to 82 points (range, 37-100 points) at final followup. There were seven acetabular component revisions. Of the 55 unrevised cups, 47 hips (85%) were stable by bony ingrowth, five hips (9%) were fibrous stable, and three hips (5%) were unstable with cup migration. Osteolysis around the cup was observed in 18 hips (33%). The average polyethylene wear rate was 0.15 mm/year. Survival rates of the cups at 6 and 8 years were 94.3% and 60.5%, respectively. Total hip arthroplasties using an hydroxyapatite-coated smooth hemispheric acetabular cup showed an unexpected high failure rate in terms of fixation, occurrence of osteolysis, and revision after midterm followup. Level of Evidence: Therapeutic study, Level IV (case series). See the Guidelines for Authors for a complete description of levels of evidence.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
0009-921X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
446
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
233-8
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:16721953-Acetabulum,
pubmed-meshheading:16721953-Adult,
pubmed-meshheading:16721953-Arthroplasty, Replacement, Hip,
pubmed-meshheading:16721953-Coated Materials, Biocompatible,
pubmed-meshheading:16721953-Durapatite,
pubmed-meshheading:16721953-Female,
pubmed-meshheading:16721953-Follow-Up Studies,
pubmed-meshheading:16721953-Hip Joint,
pubmed-meshheading:16721953-Hip Prosthesis,
pubmed-meshheading:16721953-Humans,
pubmed-meshheading:16721953-Joint Instability,
pubmed-meshheading:16721953-Male,
pubmed-meshheading:16721953-Middle Aged,
pubmed-meshheading:16721953-Prosthesis Failure,
pubmed-meshheading:16721953-Reoperation,
pubmed-meshheading:16721953-Retrospective Studies,
pubmed-meshheading:16721953-Time Factors
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pubmed:year |
2006
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pubmed:articleTitle |
Early failure of hemispheric hydroxyapatite-coated acetabular cups.
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pubmed:affiliation |
Department of Orthopaedic Surgery, Kyungpook National University, School of Medicine, Daegu, Korea. syukim@knu.ac.kr
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pubmed:publicationType |
Journal Article,
Comparative Study
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