Primary total hip reconstruction with a titanium fiber-coated prosthesis inserted without cement

A prospective study was done of the intermediate-term clinical and radiographic results of 121 total hip arthroplasties in which a Harris-Galante porous titanium-fiber-coated prosthesis was inserted without cement in 110 patients. The average age at the time of the operation was forty-nine years (ra...

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Bibliographic Details
Published in:Journal of bone and joint surgery. American volume 1993-04, Vol.75 (4), p.554-571
Main Authors: Martell, J M, Pierson, R H, Jacobs, J J, Rosenberg, A G, Maley, M, Galante, J O
Format: Article
Language:English
Subjects:
Acetabulum - diagnostic imaging
Acetabulum - surgery
Adult
Aged
Alloys - chemistry
Biological and medical sciences
Bone Cements
Bone Remodeling
Cohort Studies
Female
Femoral Fractures - etiology
Femur - diagnostic imaging
Femur - surgery
Follow-Up Studies
Hip Prosthesis - adverse effects
Hip Prosthesis - methods
Humans
Male
Medical sciences
Middle Aged
Orthopedic surgery
Ossification, Heterotopic - etiology
Osteoarthritis - surgery
Osteonecrosis - surgery
Prospective Studies
Prosthesis Design
Prosthesis Failure
Radiography
Reoperation
Surface Properties
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Titanium - chemistry
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Summary:A prospective study was done of the intermediate-term clinical and radiographic results of 121 total hip arthroplasties in which a Harris-Galante porous titanium-fiber-coated prosthesis was inserted without cement in 110 patients. The average age at the time of the operation was forty-nine years (range, twenty to seventy years). The average duration of follow-up was sixty-seven months (range, fifty-five to seventy-nine months). The average preoperative Harris hip score was 55 points, and the average postoperative score was 93 points. One acetabular component was revised due to recurrent dislocation. Eleven femoral implants were unstable, and of these, four were revised. Cortical erosion was present around the distal part of the femoral stem in nine patients (8 per cent) who had stable implants, and one of these femoral implants was revised because the erosion was extensive. Survivorship analysis at five years revealed a 97 per cent chance of survival (95 per cent confidence limit, 0.937 to 1.0) of the Harris-Galante femoral-stem implant inserted without cement.
ISSN:0021-9355
1535-1386
DOI:10.2106/00004623-199304000-00010