Document Detail


Clinical and radiological mid-term results of the thrust plate prosthesis.
MedLine Citation:
PMID:  19184010     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this study was to perform an objective clinical and radiological assessment of the thrust plate prosthesis (TPP). Fifty-three prostheses were evaluated clinically using the Harris hip score (HHS), visual analog scale (VAS), and radiographically before surgery, at the time of discharge, and postoperatively after on average of 8.09 (range 4.61-9.93) years. The average HHS significantly (p < or = 0.05) improved from 48 (range 18-77) points to 95 (range 46-100) points. The VAS revealed significant (p < or = 0.05) reduction of pain at rest and under load. Radiographic analysis showed a considerable potential for osteolysis under the thrust plate. Sixteen prostheses revealed signs of radiolucent zones. In general, there was a good clinical outcome with no major limitations in function. Radiographic changes under the thrust plate indicate an adaptation processes resulting from changed biomechanics. This study suggests that the TPP could be a good alternative in total hip replacement in younger patients.
Authors:
W Steens; R v d Daele; U Simon; C Goetze
Publication Detail:
Type:  Evaluation Studies; Journal Article     Date:  2009-01-28
Journal Detail:
Title:  International orthopaedics     Volume:  33     ISSN:  1432-5195     ISO Abbreviation:  Int Orthop     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-11-26     Completed Date:  2010-03-02     Revised Date:  2013-06-02    
Medline Journal Info:
Nlm Unique ID:  7705431     Medline TA:  Int Orthop     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1519-24     Citation Subset:  IM    
Affiliation:
Department of Orthopedics, Auguste Viktoria Klinik, Am Kokturkanal 2, 32545, Bad Oeynhausen, Germany. wsteens@gmx.de
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Arthritis / surgery*
Arthroplasty, Replacement, Hip / adverse effects,  instrumentation*
Biomechanics
Female
Hip Dislocation, Congenital / surgery*
Hip Joint / radiography,  surgery*
Hip Prosthesis* / adverse effects
Humans
Incidence
Kaplan-Meier Estimate
Male
Middle Aged
Osteolysis / etiology
Prosthesis Design*
Retrospective Studies
Treatment Outcome
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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