Literature DB >> 17602233

Proximal loading of the femur leads to low subsidence rates: first clinical results of the CR-stem.

F Mazoochian1, F M Schrimpf, J Kircher, W Mayer, S Hauptmann, A Fottner, P E Müller, C Pellengahr, V Jansson.   

Abstract

INTRODUCTION: A new femoral stem was developed with a design that leads to compression of cancellous bone in the calcar region which results in proximal loading. The cross-sectional design of the implant provides rotational stability.
MATERIALS AND METHODS: In the first clinical investigation ten patients underwent uncemented total hip arthroplasty between January 1999 and May 1999 using the CR-stem((R)) (Implantcast GmbH, Buxtehude, Germany). Results were investigated using the Harris-hip-score (HHS) and antero-posterior and lateral radiographs. Migration was evaluated with the EBRA-FCA-method with a follow-up of 7 years.
RESULTS: We demonstrated a mean subsidence rate of 2.23 +/- 1.13 mm 7 years after implantation thus providing basic data for extensive testing in a clinical environment. DISCUSSION: As small subsidence rates are regarded as predictor for superior long-term results in uncemented total hip arthroplasty according to the literature, the CR-stem shows promise for excellent long-term results.

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Year:  2007        PMID: 17602233     DOI: 10.1007/s00402-007-0384-x

Source DB:  PubMed          Journal:  Arch Orthop Trauma Surg        ISSN: 0936-8051            Impact factor:   3.067


  5 in total

1.  High incidence of migration with poor initial fixation of the Accolade stem.

Authors:  Craig A White; Sasha Carsen; Kevin Rasuli; Robert J Feibel; Paul R Kim; Paul E Beaulé
Journal:  Clin Orthop Relat Res       Date:  2012-02       Impact factor: 4.176

2.  Early migration characteristics of a hydroxyapatite-coated femoral stem: an RSA study.

Authors:  David Campbell; Graham Mercer; Kjell G Nilsson; Vanessa Wells; John R Field; Stuart A Callary
Journal:  Int Orthop       Date:  2009-12-13       Impact factor: 3.075

3.  Radiographic Subsidence in Asymptomatic Patients After THR Using the Furlong Active HAP Stem.

Authors:  José Cordero-Ampuero; Pablo Peñalver; Rodrigo Antón; María Galán; Enrique Cordero
Journal:  HSS J       Date:  2013-06-21

4.  Subsidence in Collarless Corail Hip Replacement.

Authors:  Veenesh Selvaratnam; Vishwanath Shetty; Vishal Sahni
Journal:  Open Orthop J       Date:  2015-05-29

5.  Surrogate markers of long-term outcome in primary total hip arthroplasty: A systematic review.

Authors:  T T Malak; J A J Broomfield; A J R Palmer; S Hopewell; A Carr; C Brown; D Prieto-Alhambra; S Glyn-Jones
Journal:  Bone Joint Res       Date:  2016-06       Impact factor: 5.853

  5 in total

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