| Literature DB >> 29657457 |
Takaaki Shishido1, Toshiyuki Tateiwa1, Yasuhito Takahashi1,2, Toshinori Masaoka1, Tsunehito Ishida1, Kengo Yamamoto1.
Abstract
We investigated the effects of varus-valgus alignment on the long-term outcomes after cementless total hip arthroplasty (THA) using a porous coated version of Bi-Metric® femoral stems. The Kaplan-Meier survival analysis was performed in 71 hips. The survival rate with femoral revision for aseptic loosening as the end point was 100% at 17 years. Nevertheless, the initial stem alignment was more valgus in patients with the Engh grade III-IV stress shielding than patients with the Engh grade I-II. Our results suggest that valgus misalignment of cementless Bi-Metric stem might be a potential risk factor for the progression of stress shielding.Entities:
Keywords: Cementless THA; Femoral stem; Stem alignment; Stress shielding; Survival rate
Year: 2018 PMID: 29657457 PMCID: PMC5895888 DOI: 10.1016/j.jor.2018.01.008
Source DB: PubMed Journal: J Orthop ISSN: 0972-978X