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Survival of the Cementless Spotorno® Stem in the Second Decade
High survival rates have been reported for the uncemented CLS ® Spotorno ® stem up to 10 years. To confirm survival at longer followup we report the minimum 15-year (mean, 17 years; range, 15–20 years) for 257 hips using this stem. We retrospectively evaluated the clinical and radiographic results o...
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| Published in: | Clinical orthopaedics and related research 2009-09, Vol.467 (9), p.2297-2304 |
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| container_issue | 9 |
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| container_title | Clinical orthopaedics and related research |
| container_volume | 467 |
| creator | Aldinger, Peter R. Jung, Alexander W. Breusch, Steffen J. Ewerbeck, Volker Parsch, Dominik |
| description | High survival rates have been reported for the uncemented CLS
®
Spotorno
®
stem up to 10 years. To confirm survival at longer followup we report the minimum 15-year (mean, 17 years; range, 15–20 years) for 257 hips using this stem. We retrospectively evaluated the clinical and radiographic results of all 326 patients (354 THAs) operated between 1985 and 1989. The patients had a mean age of 57 years using an uncemented grit-blasted, tapered titanium femoral stem. Eighty-six patients (89 hips) died and eight patients (eight hips) were lost to followup, leaving 240 patients (257 hips) for evaluation. The femoral component was revised in 35 hips: eight for infection, nine for periprosthetic fracture, one for traumatic loosening, and 17 for aseptic loosening. Survival of the stem was 88% at 17 years (95% confidence interval, 84%–92%), and survival with femoral revision for aseptic loosening as an end point was 94% (95% confidence interval, 91%–97%). The median Harris hip score at followup was 80 points. No thigh pain was reported. Small osteolytic lesions ( |
| doi_str_mv | 10.1007/s11999-009-0906-7 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2866918</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2027553341</sourcerecordid><originalsourceid>FETCH-LOGICAL-c563t-237ffb6191ba878db6eb9e52d2658ff10ed06b73bfc036954f5488a17b1b3da43</originalsourceid><addsrcrecordid>eNp1kc2KFDEUhYMoTs_oA7iRQnB2pblJ5W-jSPsLAy5awV1IUslMDVVJm1Q1-FI-hE9merqZUcFFCOF8OfdcDkJPAL8AjMXLAqCUajGuR2HeintoBYzIFoCS-2iF94oi8O0EnZZyXZ-0Y-QhOgHFcAccVuj1Zsm7YWfGJoVmvvLN2k8-zqMvpdls05xyTL9-NpvZT80Qb4iNdyn2zVvvTO8foQfBjMU_Pt5n6Ov7d1_WH9uLzx8-rd9ctI5xOreEihAsBwXWSCF7y71VnpGecCZDAOx7zK2gNjhMuWJdYJ2UBoQFS3vT0TP06uC7Xezke1czZjPqbR4mk3_oZAb9txKHK32ZdppIzhXIanB-NMjp--LLrKehOD-OJvq0FM0FozWMqOCzf8DrtORYl9OEUs46wUmF4AC5nErJPtwmAaz33ehDN7o2oPfd6L3x0z9XuPtxLKMCz4-AKc6MIZvohnLLEZBEsZtVyIErVYqXPt8l_P_036n2pys</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>233654762</pqid></control><display><type>article</type><title>Survival of the Cementless Spotorno® Stem in the Second Decade</title><source>PubMed (Medline)</source><creator>Aldinger, Peter R. ; Jung, Alexander W. ; Breusch, Steffen J. ; Ewerbeck, Volker ; Parsch, Dominik</creator><creatorcontrib>Aldinger, Peter R. ; Jung, Alexander W. ; Breusch, Steffen J. ; Ewerbeck, Volker ; Parsch, Dominik</creatorcontrib><description>High survival rates have been reported for the uncemented CLS
®
Spotorno
®
stem up to 10 years. To confirm survival at longer followup we report the minimum 15-year (mean, 17 years; range, 15–20 years) for 257 hips using this stem. We retrospectively evaluated the clinical and radiographic results of all 326 patients (354 THAs) operated between 1985 and 1989. The patients had a mean age of 57 years using an uncemented grit-blasted, tapered titanium femoral stem. Eighty-six patients (89 hips) died and eight patients (eight hips) were lost to followup, leaving 240 patients (257 hips) for evaluation. The femoral component was revised in 35 hips: eight for infection, nine for periprosthetic fracture, one for traumatic loosening, and 17 for aseptic loosening. Survival of the stem was 88% at 17 years (95% confidence interval, 84%–92%), and survival with femoral revision for aseptic loosening as an end point was 94% (95% confidence interval, 91%–97%). The median Harris hip score at followup was 80 points. No thigh pain was reported. Small osteolytic lesions (< 1 cm
2
) were found in the proximal Gruen zones (1 or/and 7) in 28 hips (15%). No distal femoral osteolysis was found. The long-term survival with this type of femoral component remains high in the second decade.
Level of Evidence:
Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.</description><identifier>ISSN: 0009-921X</identifier><identifier>EISSN: 1528-1132</identifier><identifier>DOI: 10.1007/s11999-009-0906-7</identifier><identifier>PMID: 19504161</identifier><identifier>CODEN: CORTBR</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Arthroplasty, Replacement, Hip - instrumentation ; Arthroplasty, Replacement, Hip - methods ; Biological and medical sciences ; Bone Cements ; Conservative Orthopedics ; Diseases of the osteoarticular system ; Female ; Follow-Up Studies ; Hip Joint - diagnostic imaging ; Hip Joint - pathology ; Hip Joint - surgery ; Hip Prosthesis ; Humans ; Joint Diseases - pathology ; Joint Diseases - physiopathology ; Joint Diseases - surgery ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Middle Aged ; Orthopedics ; Pain ; Prosthesis Failure ; Radiography ; Range of Motion, Articular ; Retrospective Studies ; Severity of Illness Index ; Sports Medicine ; Surgery ; Surgical Orthopedics ; Symposium: Papers Presented at the Annual Closed Meeting of the International Hip Society ; Titanium ; Young Adult</subject><ispartof>Clinical orthopaedics and related research, 2009-09, Vol.467 (9), p.2297-2304</ispartof><rights>The Association of Bone and Joint Surgeons® 2009</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c563t-237ffb6191ba878db6eb9e52d2658ff10ed06b73bfc036954f5488a17b1b3da43</citedby><cites>FETCH-LOGICAL-c563t-237ffb6191ba878db6eb9e52d2658ff10ed06b73bfc036954f5488a17b1b3da43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2866918/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2866918/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,309,310,314,723,776,780,785,786,881,23909,23910,25118,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21829518$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19504161$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aldinger, Peter R.</creatorcontrib><creatorcontrib>Jung, Alexander W.</creatorcontrib><creatorcontrib>Breusch, Steffen J.</creatorcontrib><creatorcontrib>Ewerbeck, Volker</creatorcontrib><creatorcontrib>Parsch, Dominik</creatorcontrib><title>Survival of the Cementless Spotorno® Stem in the Second Decade</title><title>Clinical orthopaedics and related research</title><addtitle>Clin Orthop Relat Res</addtitle><addtitle>Clin Orthop Relat Res</addtitle><description>High survival rates have been reported for the uncemented CLS
®
Spotorno
®
stem up to 10 years. To confirm survival at longer followup we report the minimum 15-year (mean, 17 years; range, 15–20 years) for 257 hips using this stem. We retrospectively evaluated the clinical and radiographic results of all 326 patients (354 THAs) operated between 1985 and 1989. The patients had a mean age of 57 years using an uncemented grit-blasted, tapered titanium femoral stem. Eighty-six patients (89 hips) died and eight patients (eight hips) were lost to followup, leaving 240 patients (257 hips) for evaluation. The femoral component was revised in 35 hips: eight for infection, nine for periprosthetic fracture, one for traumatic loosening, and 17 for aseptic loosening. Survival of the stem was 88% at 17 years (95% confidence interval, 84%–92%), and survival with femoral revision for aseptic loosening as an end point was 94% (95% confidence interval, 91%–97%). The median Harris hip score at followup was 80 points. No thigh pain was reported. Small osteolytic lesions (< 1 cm
2
) were found in the proximal Gruen zones (1 or/and 7) in 28 hips (15%). No distal femoral osteolysis was found. The long-term survival with this type of femoral component remains high in the second decade.
Level of Evidence:
Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroplasty, Replacement, Hip - instrumentation</subject><subject>Arthroplasty, Replacement, Hip - methods</subject><subject>Biological and medical sciences</subject><subject>Bone Cements</subject><subject>Conservative Orthopedics</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hip Joint - diagnostic imaging</subject><subject>Hip Joint - pathology</subject><subject>Hip Joint - surgery</subject><subject>Hip Prosthesis</subject><subject>Humans</subject><subject>Joint Diseases - pathology</subject><subject>Joint Diseases - physiopathology</subject><subject>Joint Diseases - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Pain</subject><subject>Prosthesis Failure</subject><subject>Radiography</subject><subject>Range of Motion, Articular</subject><subject>Retrospective Studies</subject><subject>Severity of Illness Index</subject><subject>Sports Medicine</subject><subject>Surgery</subject><subject>Surgical Orthopedics</subject><subject>Symposium: Papers Presented at the Annual Closed Meeting of the International Hip Society</subject><subject>Titanium</subject><subject>Young Adult</subject><issn>0009-921X</issn><issn>1528-1132</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><recordid>eNp1kc2KFDEUhYMoTs_oA7iRQnB2pblJ5W-jSPsLAy5awV1IUslMDVVJm1Q1-FI-hE9merqZUcFFCOF8OfdcDkJPAL8AjMXLAqCUajGuR2HeintoBYzIFoCS-2iF94oi8O0EnZZyXZ-0Y-QhOgHFcAccVuj1Zsm7YWfGJoVmvvLN2k8-zqMvpdls05xyTL9-NpvZT80Qb4iNdyn2zVvvTO8foQfBjMU_Pt5n6Ov7d1_WH9uLzx8-rd9ctI5xOreEihAsBwXWSCF7y71VnpGecCZDAOx7zK2gNjhMuWJdYJ2UBoQFS3vT0TP06uC7Xezke1czZjPqbR4mk3_oZAb9txKHK32ZdppIzhXIanB-NMjp--LLrKehOD-OJvq0FM0FozWMqOCzf8DrtORYl9OEUs46wUmF4AC5nErJPtwmAaz33ehDN7o2oPfd6L3x0z9XuPtxLKMCz4-AKc6MIZvohnLLEZBEsZtVyIErVYqXPt8l_P_036n2pys</recordid><startdate>20090901</startdate><enddate>20090901</enddate><creator>Aldinger, Peter R.</creator><creator>Jung, Alexander W.</creator><creator>Breusch, Steffen J.</creator><creator>Ewerbeck, Volker</creator><creator>Parsch, Dominik</creator><general>Springer-Verlag</general><general>Springer</general><general>Lippincott Williams & Wilkins Ovid Technologies</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20090901</creationdate><title>Survival of the Cementless Spotorno® Stem in the Second Decade</title><author>Aldinger, Peter R. ; Jung, Alexander W. ; Breusch, Steffen J. ; Ewerbeck, Volker ; Parsch, Dominik</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c563t-237ffb6191ba878db6eb9e52d2658ff10ed06b73bfc036954f5488a17b1b3da43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroplasty, Replacement, Hip - instrumentation</topic><topic>Arthroplasty, Replacement, Hip - methods</topic><topic>Biological and medical sciences</topic><topic>Bone Cements</topic><topic>Conservative Orthopedics</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hip Joint - diagnostic imaging</topic><topic>Hip Joint - pathology</topic><topic>Hip Joint - surgery</topic><topic>Hip Prosthesis</topic><topic>Humans</topic><topic>Joint Diseases - pathology</topic><topic>Joint Diseases - physiopathology</topic><topic>Joint Diseases - surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Pain</topic><topic>Prosthesis Failure</topic><topic>Radiography</topic><topic>Range of Motion, Articular</topic><topic>Retrospective Studies</topic><topic>Severity of Illness Index</topic><topic>Sports Medicine</topic><topic>Surgery</topic><topic>Surgical Orthopedics</topic><topic>Symposium: Papers Presented at the Annual Closed Meeting of the International Hip Society</topic><topic>Titanium</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aldinger, Peter R.</creatorcontrib><creatorcontrib>Jung, Alexander W.</creatorcontrib><creatorcontrib>Breusch, Steffen J.</creatorcontrib><creatorcontrib>Ewerbeck, Volker</creatorcontrib><creatorcontrib>Parsch, Dominik</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Clinical orthopaedics and related research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aldinger, Peter R.</au><au>Jung, Alexander W.</au><au>Breusch, Steffen J.</au><au>Ewerbeck, Volker</au><au>Parsch, Dominik</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Survival of the Cementless Spotorno® Stem in the Second Decade</atitle><jtitle>Clinical orthopaedics and related research</jtitle><stitle>Clin Orthop Relat Res</stitle><addtitle>Clin Orthop Relat Res</addtitle><date>2009-09-01</date><risdate>2009</risdate><volume>467</volume><issue>9</issue><spage>2297</spage><epage>2304</epage><pages>2297-2304</pages><issn>0009-921X</issn><eissn>1528-1132</eissn><coden>CORTBR</coden><abstract>High survival rates have been reported for the uncemented CLS
®
Spotorno
®
stem up to 10 years. To confirm survival at longer followup we report the minimum 15-year (mean, 17 years; range, 15–20 years) for 257 hips using this stem. We retrospectively evaluated the clinical and radiographic results of all 326 patients (354 THAs) operated between 1985 and 1989. The patients had a mean age of 57 years using an uncemented grit-blasted, tapered titanium femoral stem. Eighty-six patients (89 hips) died and eight patients (eight hips) were lost to followup, leaving 240 patients (257 hips) for evaluation. The femoral component was revised in 35 hips: eight for infection, nine for periprosthetic fracture, one for traumatic loosening, and 17 for aseptic loosening. Survival of the stem was 88% at 17 years (95% confidence interval, 84%–92%), and survival with femoral revision for aseptic loosening as an end point was 94% (95% confidence interval, 91%–97%). The median Harris hip score at followup was 80 points. No thigh pain was reported. Small osteolytic lesions (< 1 cm
2
) were found in the proximal Gruen zones (1 or/and 7) in 28 hips (15%). No distal femoral osteolysis was found. The long-term survival with this type of femoral component remains high in the second decade.
Level of Evidence:
Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>19504161</pmid><doi>10.1007/s11999-009-0906-7</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0009-921X |
| ispartof | Clinical orthopaedics and related research, 2009-09, Vol.467 (9), p.2297-2304 |
| issn | 0009-921X 1528-1132 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2866918 |
| source | PubMed (Medline) |
| subjects | Adolescent Adult Aged Aged, 80 and over Arthroplasty, Replacement, Hip - instrumentation Arthroplasty, Replacement, Hip - methods Biological and medical sciences Bone Cements Conservative Orthopedics Diseases of the osteoarticular system Female Follow-Up Studies Hip Joint - diagnostic imaging Hip Joint - pathology Hip Joint - surgery Hip Prosthesis Humans Joint Diseases - pathology Joint Diseases - physiopathology Joint Diseases - surgery Male Medical sciences Medicine Medicine & Public Health Middle Aged Orthopedics Pain Prosthesis Failure Radiography Range of Motion, Articular Retrospective Studies Severity of Illness Index Sports Medicine Surgery Surgical Orthopedics Symposium: Papers Presented at the Annual Closed Meeting of the International Hip Society Titanium Young Adult |
| title | Survival of the Cementless Spotorno® Stem in the Second Decade |
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