Long-Term Outcomes of a New Model of Anatomical Hydroxyapatite-Coated Hip Prosthesis

• Published in: The Journal of arthroplasty 2013-08, Vol.28 (7), p.1160-1166
• Main Authors: Herrera, Antonio, MD, PhD, Mateo, Jesús, MD, PhD, Lobo-Escolar, Antonio, MD, PhD, Panisello, Juan José, MD, PhD, Ibarz, Elena, PhD, Gracia, Luis, PhD
• Format: Article
• Language: English
• Subjects: Adult; Aged; anatomical-THA; Arthroplasty, Replacement, Hip - methods; Bearing; Biomedical materials; Ceramics; Female; femur remodeling; Follow-Up Studies; Hip Prosthesis; Humans; Hydroxyapatite; hydroxyapatite coating; long term outcomes; Male; Metals; Middle Aged; Orthopedics; Polyethylene; polyethylene wear; Polyethylenes; Prospective Studies; Prosthesis Design; Prosthesis Failure; Prosthetics; Surgical implants; Survival; Survival Rate; Treatment Outcome
• ISSN: 0883-5403; 1532-8406
• DOI: 10.1016/j.arth.2012.06.033

Abstract This prospective study was designed to evaluate 196 Anatomique Benoist Giraud (ABG II) total hip arthroplasties which were implanted between September 1999 and December 2000. A minimum 11 years follow up was completed in 183 cases. The bearing surfaces were polyethylene–zirconia in 84 cases, polyethylene–metal in 42 and ceramic–ceramic in 57. Changes in the femoral stem design, in relation to the previous ABG I model, have led to a significant improvement in stress-shielding. Polyethylene wear rate was lower by more than 50% compared with non-crosslinked polyethylene. Excellent and good results were obtained in 90.32% of cases, and implant survival was 98.39% at the end of follow-up.