Document Detail


High revision rate of hydroxyapatite-coated ABG-I prosthesis.
MedLine Citation:
PMID:  19802665     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The aim of this study was to investigate the causes of the high revision rate of the hydroxyapatite-coated Anatomique Benoist Girard (ABG-I) prosthesis. METHODS: We performed 204 total hip arthroplasties (THAs) at our hospital between March 1992 and December 1996. Of the 204 THA patients, 129 were followed up; the mean duration of follow-up was 12.2 years (range 10.0-14.5 years). There were 113 male patients and 16 female patients, with an average age of 53 years (30-83 years) at the time of surgery. The reasons for THA were avascular necrosis in 119 hips, acetabular dysplasia in 8 hips, and traumatic arthritis in 2 hips. RESULTS: The Harris hip score was 47.3 preoperatively and 86.4 at the last follow-up. The linear polyethylene wear was an average of 0.29 mm/year. Acetabular osteolysis was seen in 113 cases (88%). Altogether, 61 (47.2%) acetabular cups were revised for aseptic loosening in 38 hips, polyethylene wear and osteolysis in 20 hips, recurrent dislocation in 2 hips, and deep infection in 1 hip. Femoral osteolysis was observed in 100 cases (77.5%). The femoral stem was revised in 4 hips (3.1%). CONCLUSION: We observed that the fatal detriment to ABG-I acetabular cup survival in long-term follow-up was periacetabular osteolysis followed by aseptic loosening.
Authors:
Young-Yool Chung; Sung-Chan Ki; Kwang-Young So; Dae-Hee Kim; Kyung Ho Park; Yeon Soo Lee
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Publication Detail:
Type:  Journal Article     Date:  2009-10-03
Journal Detail:
Title:  Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association     Volume:  14     ISSN:  1436-2023     ISO Abbreviation:  J Orthop Sci     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-10-05     Completed Date:  2010-01-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9604934     Medline TA:  J Orthop Sci     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  543-7     Citation Subset:  IM    
Affiliation:
Department of Orthopedic Surgery, Gwangju Christian Hospital, Gwangju, Republic of Korea.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Arthroplasty, Replacement, Hip / adverse effects,  instrumentation*
Durapatite*
Equipment Failure Analysis*
Female
Follow-Up Studies
Hip Prosthesis*
Humans
Kaplan-Meiers Estimate
Male
Middle Aged
Prosthesis Failure*
Reoperation
Chemical
Reg. No./Substance:
1306-06-5/Durapatite

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


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