Ceramic on Ceramic Cementless Total Hip Arthroplasty with a 36 mm Diameter Femoral Head - More than Three Years Follow up -

Suk Kyu Choo; Hyoung Keun Oh; Si Hoon Yoo; Ji Ho Nam

doi:10.5371/hp.2013.25.2.95

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Choo, Oh, Yoo, and Nam: Ceramic on Ceramic Cementless Total Hip Arthroplasty with a 36 mm Diameter Femoral Head - More than Three Years Follow up -

Original Article

Hip & Pelvis 2013; 25(2): 95-101.

Published online: 30 June 2013

DOI: https://doi.org/10.5371/hp.2013.25.2.95

Ceramic on Ceramic Cementless Total Hip Arthroplasty with a 36 mm Diameter Femoral Head - More than Three Years Follow up -

Suk Kyu Choo, MD, Hyoung Keun Oh, MD, Si Hoon Yoo, MD, Ji Ho Nam, MD

Department of Orthopedic Surgery, Ilsan Paik Hospital, College of Medicine, Inje University, Goyang, Korea.

Address reprint request to Hyoung Keun Oh, MD. Department of Orthopedic Surgery, Ilsan Paik Hospital, College of Medicine, Inje University, 2240 Daehwa-dong, Ilsanseo-gu, Goyang 411-706, Korea. TEL: +82-31-910-7968, FAX: +82-31-910-7967, osd11@paik.ac.kr

Received 7 February 2013 Revised 19 June 2013 Accepted 25 June 2013

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The purpose of this study was to analyze the results for clinical outcome and radiologic assessment of ceramic on ceramic cementless total hip arthroplasty using a 36 mm diameter femoral head.

Materials and Methods

This study included a group of 40 patients of 43 cases who underwent ceramic on ceramic cementless total hip arthroplasty using a 36 mm diameter femoral head. The age range of this group was 28 to 82(mean 56); we monitored them over a period of 5.3 years(3-7.5 years). This clinical evaluation process included monitoring the degree of pain, range of motion, and the Harris hip score after three years since the surgery was performed. Radiographic evaluation and complication were confirmed as well.

Results

The preoperative Harris hip score increased from 43.4(21-57) to 88.1(81-95) after the surgery. The average motion range of hip was 113° flexion, 30° abduction, 24° adduction, 36° external rotation, and 12° internal rotation. Subjective pain was zero or minimal in all cases. Among the complications, dislocation occurred in only one case by a fall from a height and was reduced by closed reduction. There was no occurrence of ceramic fracture, even though infection occurred in one hip.

Conclusion

The clinical outcome and radiologic assessment of the ceramic on ceramic cementless total hip arthroplasty using a 36 mm diameter femoral head showed a satisfactory result at three-year follow-up. Longer-term follow up is needed for further assessment.

Keywords: 36 mm diameter femoral head, Cementless total hip arthroplasty, Ceramic on ceramic articulation

Figures and Tables

Fig. 1

53 years old male patient with intraoperative great trochanter fracture. (A) Preoperative radiology showed neglect femur neck fracture with secondary OA. (B) Immediate postoperative radiology showed THRA with wire fixation. (C) Radiology showed bone union after 2 month of surgery.

Fig. 2

Radiolopsy showed 3 cases Heterotropic ossifications. (A) 33 years old male showed islands of bone. (Class I heterotropic ossification). (B) 52 years old male showed bone spurs from pelvis and checked abduction 20° range of motion limitation. (Class II heterotropic ossification). (C) 62 years old male showed bone spurs from proximal femur. (Class II heterotropic ossification).

Table 1

Preoperative Diagnosis

Table 2

Clinical & Radiologic Outcomes

HSS: Harris hip score, VAS: visual analogue scale, ROM: range of motion, LLD: leg length discrepancy.

Table 3

Radiologic Finding around the Implant.

1 case multiple zone in femoral implant (2,6,7).

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