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Cip, J; von Strempel, A; Bach, C; Luegmair, M; Benesch, T; Martin, A.
Implication of femoral stem on performance of articular surface replacement (ASR) XL total hip arthroplasty.
J Arthroplasty. 2014; 29(11): 2127-2135. Doi: 10.1016/j.arth.2014.06.025
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Cip Johannes
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Abstract:
Taper junctions of large diameter metal-on-metal femoral heads and femoral stems were described as metal ion generator due to accelerated wear and corrosion. However, literature about the Articular Surface Replacement (ASR) total hip arthroplasty (THA) invariably deals with stems manufactured by DePuy Orthopedics (Warsaw, IN, USA). Nothing is known whether different stems with common 12/14 mm tapers affect failure rate or ion release. 99 ASR THA (88 patients) implanted with CoxaFit or ARGE Geradschaft stems (K-Implant, Hannover, Germany) were retrospectively analyzed. After a mean follow-up of 3.5 years revision rate was 24.5%, mostly due to adverse reaction to metal debris (ARMD). CT scan revealed component loosening in 10.3% and pseudotumoral lesions in 12.6%. Elevated ion concentrations (>7 μg/l) were found in 38.6%. Copyright © 2014 Elsevier Inc. All rights reserved.
Find related publications in this database (using NLM MeSH Indexing)
Adolescent -
Adult -
Aged -
Arthroplasty, Replacement, Hip - adverse effects
Arthroplasty, Replacement, Hip - instrumentation
Corrosion -
Female -
Femur - surgery
Hip Prosthesis - adverse effects
Humans -
Male -
Metal-on-Metal Joint Prostheses - adverse effects
Middle Aged -
Prosthesis Design -
Prosthesis Failure -
Reoperation -
Retrospective Studies -

Find related publications in this database (Keywords)
Articular Surface Replacement
ASR
total hip replacement
total hip arthroplasty
failure rate
femoral stem
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