Evaluation of Implantation of Primary Cementless Total Hip Arthroplasty Using Anatomical Femoral Stem in Elderly Arthritic Patients
DOI:
https://doi.org/10.48047/scdmq718Keywords:
Osteoarthritis hip; hip prosthesis; anatomical femoral stem; Exception stem.Abstract
Introduction: Osteoarthritis is the most widespread chronic joint disease in the world, and total hip arthroplasty is one of the most successful surgical procedures. The success of this operation is its ability to relieve pain while preserving both the mobility and stability of the joint. The implant shapes determine cortical contact and stability, so the purpose of this study
was to evaluate the results of cementless anatomical femoral stem in total hip arthroplasty in elder patients suffering from osteoarthritis. Materials and methods: a prospective study of 43 cases in Beni-Suef university hospital and in Al-Helal hospital in Cairo who underwent hip arthroplasty using an atomical femoral stem (EXCEPTION from ZIMMER BIOMET). There were 43 patients including 22 females (51.2%) and 21 males (48.2%). Patients’ ages ranged from 65 years to 74 years with a mean age of 67.8 ± 2.8 years and 14 months mean time follow- up. Results: There were 92.99% of the patients who reported excellent or good satisfaction at the most recent follow-up. At the last evaluation, The Harris Hip Score significantly increased (P-value< 0.01). From preoperative evaluation: increasing from 35(±7) to 91(±6) points. Radiographically using
Gruens criteria, all protheses are stable, firmly fixed, showing good osteointegration without critical radiolucency (>2mm). Conclusion: Cementless anatomical stems are suitable for elderly patients with the following criteria: Active patients, good bone quality, and acceptance of complication and postoperative rehabilitation.
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References
A. Postler et al., (2018) “Prevalence and treatment of hip and knee osteoarthritis in people aged 60 years or older in Germany: an analysis based on health insurance claims data,” Clin. Interv. Aging, vol. Volume 13, pp. 2339–2349. [2] L. Shan, B. Shan, D. Graham, and A. Saxena, (2014)“Total hip replacement: a systematic review and meta-analysis on mid-term quality of life,” Osteoarthr. Cartil., vol. 22, no. 3, pp. 389–406.
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