Document Detail


Ten-year survival of the cemented MS-30 femoral stem: increased revision rate in male patients.
MedLine Citation:
PMID:  20166359     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This retrospective study evaluated the clinical and radiographic results of 337 consecutive matte surfaced, straight cemented MS-30 femoral stems implanted with first -to second-generation cementing technique. The median age of the patients at time of surgery was 72 (27-91) years. The median duration of follow-up was 10 (0.1-14) years. A Kaplan Meier survival analysis was performed. At follow-up, 113 patients (120 stems) had died and 13 (13 hips) were lost to follow-up. Twenty-one hips had undergone femoral revision, 13 for aseptic loosening, five for infection, two for dislocation and one for periprosthetic fracture. Survival analysis with revision of the femoral component for any reason as the end point was 91% (95% CI: 87-96) and for aseptic loosening 94% (95% CI: 90-97) at 12 years. Females (n = 245) with 99% (95% CI: 97-100) had significantly better survival compared to males (n = 92) showing 80% stem survival (95% CI: 67-91) at 12 years (p < 0.001). Median Harris Hip score (HHS) was 82 (25-100) points. Male patients had a higher activity score than female patients (p = 0.04). Femoral Dorr type A was associated with a higher risk of failure. THA with the MS-30 stem revealed satisfactory midterm results despite relatively crude cementing techniques. However, the higher revision rate in males and Dorr Type A is of concern.
Authors:
Daniela Witte; Michael Klimm; Dominik Parsch; Michael Clarius; Steffen Breusch; Peter R Aldinger
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta orthopaedica Belgica     Volume:  75     ISSN:  0001-6462     ISO Abbreviation:  Acta Orthop Belg     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2010-02-19     Completed Date:  2010-03-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985165R     Medline TA:  Acta Orthop Belg     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  767-75     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, University of Heidelberg, Germany.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Arthroplasty, Replacement, Hip*
Bone Cements
Female
Humans
Male
Middle Aged
Pain Measurement
Reoperation
Sex Factors
Treatment Outcome
Chemical
Reg. No./Substance:
0/Bone Cements

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


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