Influence of cementless cup surface on stability and bone fixation 2 years after total hip arthroplasty

• Autorzy: Urbański W. , Krawczyk A. , Dragan Sz.Ł. , Kulej M. , Dragan Sz.F.
• Języki publikacji: EN

Abstrakty

EN

Loss of fixation between bone and implant surface is one of the main treatment problems in total hip arthroplasty. It might lead to implant instability, bone loss and treatment failure resulting in revision surgery. Surface modification is a method for improving bone response to implant and increasing implant osseointegration. However, the currently applied modifications such as hydroxyapatite coatings do not meet expectation and do not provide good clinical result. The object of the study was to evaluate the influence of acetabular cup surface modification on fixation and bone remodelling in total hip arthroplasty. Clinical and radiological outcomes were evaluated in patients two years after cementless total hip replacement. Two groups were compared: patients with acetabular component with uncoated titanium surface and patients with hydroxyapatite-coated acetabular surface. Hips X-rays were analysed for early signs of losing stability of acetabular cups. Two years after surgery the analysis of X-rays did not reveal any statistical differences in stability, migration of acetabular components of endoprosthesis between both groups. No differences were also observed in bone remodelling around implants. Particularly high percentage of cups, i.e. 17.64%, were classified into the group with high risk of early implant loosening, i.e., the group with HA coatings. Hydroxyapatite coatings on titanium cementless acetabular cups implanted by press-fit technique have no influence on their stability, bone-implant fixation and the remodelling of bone surrounding an implant two years after surgery.

Słowa kluczowe

EN

implant surface; acetabular cup; total hip arthroplasty; osseointegration; bone fixation; implant loosening

PL

powierzchnia implantu; panewki; całkowita endoprotezoplastyka stawu biodrowego; osseointegracja; fiksacja kości; obluzowanie implantu

• Wydawca: Oficyna Wydawnicza Politechniki Wrocławskiej
• Czasopismo: Acta of Bioengineering and Biomechanics
• Rocznik: 2012
• Tom: Vol. 14, no. 2
• Strony: 27--35
• Opis fizyczny: Bibliogr. 43 poz., rys., tab.

Twórcy

autor

Urbański W.

autor

Krawczyk A.

autor

Dragan Sz.Ł.

autor

Kulej M.

autor

Dragan Sz.F.

• Department and Clinic of Orthopaedic and Traumatologic Surgery, Wrocław Medical University

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