Hip & pelvis

  • 제34권4호
  • /
  • Pages.211-218
  • /
  • 2022
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  • 2287-3260(pISSN)
  • /
  • 2287-3279(eISSN)
대한고관절학회 (The Korean Hip Society)
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Results of Hip Arthroplasty Using a COREN Stem at a Minimum of Ten Years

  • Joon Soon Kang (Department of Orthopedic Surgery, Inha University Hospital) ;
  • Yoon Cheol Nam (Department of Orthopedic Surgery, Inha University Hospital) ;
  • Dae Gyu Kwon (Department of Orthopedic Surgery, Inha University Hospital) ;
  • Dong Jin Ryu (Department of Orthopedic Surgery, Inha University Hospital)
  • 투고 : 2022.08.10
  • 심사 : 2022.10.07
  • 발행 : 2022.12.31
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초록

Purpose: We report on the 10-year clinical hip function and radiologic outcomes of patients who underwent hip arthroplasty using a COREN stem. Materials and Methods: A consecutive series of 224 primary cementless hip arthroplasty implantations were performed using a COREN stem between 2009 and 2011; among these, evaluation of 128 hips was performed during a minimum follow-up period of 10 years. The mean age of patients was 65.4 years (range, 40-82 years) and the mean duration of follow-up was 10.8 years (range, 10-12 years). Evaluation of clinical hip function and radiologic implant outcomes was performed according to clinical score, thigh pain, and radiologic analysis. Results: Dramatic improvement of the mean Harris hip score (HHS) from 59.4 preoperatively to 93.5 was observed at the final follow-up (P≤0.01). Stable fixation was demonstrated for all implants with no change in position except for one case of Vancouver type B2 periprosthetic femur fracture. A radiolucent line (RLL) was observed in 16 hips (12.5%). Thigh pain was observed in only two hips (1.6%) at the final follow-up. There were no cases of osteolysis around the stem. The survival rate for the COREN stem was 97.7%. Conclusion: Good long-term survival with excellent clinical and radiological outcomes can be achieved using the COREN femoral stem regardless of Dorr type.

키워드

과제정보

This study was supported by an Inha University Research Grant.

참고문헌

  1. Sanfilippo JA, Austin MS. Implants for total hip arthroplasty. Expert Rev Med Devices. 2006;3:769-76. https://doi.org/10.1586/17434440.3.6.769
  2. Suckel A, Geiger F, Kinzl L, Wulker N, Garbrecht M. Longterm results for the uncemented Zweymuller/Alloclassic hip endoprosthesis. A 15-year minimum follow-up of 320 hip operations. J Arthroplasty. 2009;24:846-53. https://doi.org/10.1016/j.arth.2008.03.021
  3. Korovessis P, Repantis T. High medium-term survival of Zweymuller SLR-plus stem used in femoral revision. Clin Orthop Relat Res. 2009;467:2032-40. https://doi.org/10.1007/s11999-009-0760-7
  4. Korovessis P, Repantis T, Zafiropoulos A. High medium-term survivorship and durability of Zweymuller-Plus total hip arthroplasty. Arch Orthop Trauma Surg. 2011;131:603-11. https://doi.org/10.1007/s00402-010-1176-2
  5. Kim HJ, Yoo JJ, Seo W, Kim MN, Kang T. Cementless total hip arthroplasty using the COREN hip system: a minimum five-year follow-up study. Hip Pelvis. 2018;30:162-7. https://doi.org/10.5371/hp.2018.30.3.162
  6. Zweymuller KA, Schwarzinger UM, Steindl MS. Radiolucent lines and osteolysis along tapered straight cementless titanium hip stems: a comparison of 6-year and 10-year follow-up results in 95 patients. Acta Orthop. 2006;77:871-6. https://doi.org/10.1080/17453670610013150
  7. Park YS, Kim YS, Lee JM, Sun DH, Moon YW, Lim SJ. Cementless total hip arthroplasty with use of the COREN hip system. J Korean Hip Soc. 2007;19:457-62. https://doi.org/10.5371/jkhs.2007.19.4.457
  8. Kim SM, Moon YW, Lim SJ, et al. Minimum seven-year follow-up of cementless total hip arthroplasty with the COREN hip system. Hip Pelvis. 2013;25:173-81. https://doi.org/10.5371/hp.2013.25.3.173
  9. Lim YW, Kwon SY, Sun DH, Kim HE, Kim YS. Enhanced cell integration to titanium alloy by surface treatment with microarc oxidation: a pilot study. Clin Orthop Relat Res. 2009;467:2251-8. https://doi.org/10.1007/s11999-009-0879-6
  10. Lee JM, Jeon JB. Result of a minimum five-year follow-up of hip arthroplasty using the Bencox® hip stem. J Korean Orthop Assoc. 2014;49:126-32. https://doi.org/10.4055/jkoa.2014.49.2.126
  11. Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg Am. 1969;51:737-55.
  12. Dorr LD, Faugere MC, Mackel AM, Gruen TA, Bognar B, Malluche HH. Structural and cellular assessment of bone quality of proximal femur. Bone. 1993;14:231-42. https://doi.org/10.1016/8756-3282(93)90146-2
  13. Engh CA, Bobyn JD. The influence of stem size and extent of porous coating on femoral bone resorption after primary cement-less hip arthroplasty. Clin Orthop Relat Res. 1988;(231):7-28. https://doi.org/10.1097/00003086-198806000-00002
  14. Gruen TA, McNeice GM, Amstutz HC. "Modes of failure" of cemented stem-type femoral components: a radiographic analysis of loosening. Clin Orthop Relat Res. 1979;(141):17-27. https://doi.org/10.1097/00003086-197906000-00002
  15. Davies MS, Parker BC, Ward DA, Hua J, Walker PS. Migration of the uncemented CLS femoral component. Orthopedics. 1999;22:225-8. https://doi.org/10.3928/0147-7447-19990201-12
  16. Strom H, Nilsson O, Milbrink J, Mallmin H, Larsson S. Early migration pattern of the uncemented CLS stem in total hip arthroplasties. Clin Orthop Relat Res. 2007;454:127-32. https://doi.org/10.1097/01.blo.0000238785.98606.9d
  17. Kubo T, Inoue S, Maeda T, et al. Cementless Lord total hip arthroplasty: cup loosening common after minimum 10-year follow-up of 103 hips. Acta Orthop Scand. 2001;72:585-90. https://doi.org/10.1080/000164701317268996
  18. Kang JS, Ko SH, Na Y, Youn YH. Clinical and radiological outcomes of rectangular tapered cementless stem according to proximal femoral geometry in elderly Asian patients. Hip Pelvis. 2019;31:224-31. https://doi.org/10.5371/hp.2019.31.4.224
  19. Belmont PJ Jr, Powers CC, Beykirch SE, Hopper RH Jr, Engh CA Jr, Engh CA. Results of the anatomic medullary locking total hip arthroplasty at a minimum of twenty years. A concise follow-up of previous reports. J Bone Joint Surg Am. 2008;90:1524-30. https://doi.org/10.2106/JBJS.G.01142
  20. Grant P, Nordsletten L. Total hip arthroplasty with the Lord prosthesis. A long-term follow-up study. J Bone Joint Surg Am. 2004;86:2636-41. https://doi.org/10.2106/00004623-200412000-00008
  21. Vresilovic EJ, Hozack WJ, Rothman RH. Incidence of thigh pain after uncemented total hip arthroplasty as a function of femoral stem size. J Arthroplasty. 1996;11:304-11. https://doi.org/10.1016/s0883-5403(96)80083-0
  22. Engh CA, Bobyn JD, Glassman AH. Porous-coated hip replacement. The factors governing bone ingrowth, stress shielding, and clinical results. J Bone Joint Surg Br. 1987;69:45-55. https://doi.org/10.1302/0301-620X.69B1.3818732
  23. Biemond JE, Pakvis DF, van Hellemondt GG, Buma P. Long-term survivorship analysis of the cementless Spotorno femoral component in patients less than 50 years of age. J Arthroplasty. 2011;26:386-90. https://doi.org/10.1016/j.arth.2009.12.017
  24. Muller LA, Wenger N, Schramm M, Hohmann D, Forst R, Carl HD. Seventeen-year survival of the cementless CLS Spotorno stem. Arch Orthop Trauma Surg. 2010;130:269-75. https://doi.org/10.1007/s00402-009-0969-7
  25. Keeling P, Howell JR, Kassam AM, et al. Long-term survival of the cemented exeter universal stem in patients 50 years and younger: an update on 130 hips. J Arthroplasty. 2020;35:1042-7. https://doi.org/10.1016/j.arth.2019.11.009
  26. Aldinger PR, Jung AW, Breusch SJ, Ewerbeck V, Parsch D. Survival of the cementless Spotorno stem in the second decade. Clin Orthop Relat Res. 2009;467:2297-304. https://doi.org/10.1007/s11999-009-0906-7
  27. Lim SJ, Lee KJ, Min BW, Song JH, So SY, Park YS. High incidence of stem loosening in association with periprosthetic femur fractures in previously well-fixed cementless grit-blasted tapered-wedge stems. Int Orthop. 2015;39:1689-93. https://doi.org/10.1007/s00264-014-2586-5