Revision of the acetabulum with a contemporary cementless component

J Arthroplasty. 2009 Sep;24(6 Suppl):58-63. doi: 10.1016/j.arth.2009.02.011. Epub 2009 Mar 17.

Abstract

We evaluated the performance of a contemporary cementless acetabular component at a minimum of 5 years postoperatively. One hundred eighty-seven consecutive acetabular component revisions were performed using a hemispherical porous-coated component. Patients were followed prospectively with radiographs and Harris hip scores. Twenty patients died, leaving 158 patients (166 hips) available for follow-up at a mean of 91 months. No patients were lost. Eleven acetabular components (7%) required repeated revision, including 4 (2%) for aseptic loosening. Seven of the 145 unrevised acetabular components with radiographic follow-up (5%) were loose. The results of acetabular revision with this contemporary acetabular component were good but inferior to those of earlier-generation implants. This difference is likely multifactorial.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acetabulum / surgery*
  • Adult
  • Aged
  • Aged, 80 and over
  • Arthroplasty, Replacement, Hip / instrumentation*
  • Arthroplasty, Replacement, Hip / methods*
  • Bone Cements
  • Device Removal
  • Female
  • Follow-Up Studies
  • Hip Joint / diagnostic imaging
  • Hip Joint / surgery
  • Hip Prosthesis*
  • Humans
  • Kaplan-Meier Estimate
  • Male
  • Middle Aged
  • Prospective Studies
  • Prosthesis Failure*
  • Radiography
  • Regression Analysis
  • Reoperation
  • Retrospective Studies

Substances

  • Bone Cements