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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 209 - 215 (7page)
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초록· 키워드
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Purpose: The aim of this study was to report the long-term outcome and the failure mechanism of cementless total hip arthroplasty (THA) using hydroxyapatite (HA)-coated acetabular cup.
Materials and Methods: From January 1992 to May 1994, a total of 123 consecutive cementless primary THAs were performed using a HA-coated acetabular cup with metal-on-polyethylene articulation. We retrospectively evaluated 66 hips available for follow-up at a mean 18.3 years (range, 10.4-23.6 years). The survival analysis was performed by the Kaplan-Meier method. We defined end point as any failure that required a reoperation of acetabular component.
Results: Thirty-nine of 66 hips (59.1%) were defined as a failure for progressive acetabular osteolysis or aseptic loosening of the cup. Acetabular osteolysis was observed in 47 hips (71.2%) and 33 hips (50.0%) were revised because of cup loosening. The Kaplan-Meier method showed the survival rate of the acetabular cup to be 46.3% at 15 years and 34.8% at 20 years for any failure that required a reoperation of acetabular component.
Conclusion: The long-term survival rate of THA using HA-coated acetabular cup was unsatisfactory, and it was attributed to vulnerable property of HA coating and progressive osteolysis.
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참고문헌 (22)
참고문헌 신청
Bidar R / 2009 / Longterm results of the ABG-1 hydroxyapatite coated total hip arthroplasty : analysis of 111 cases with a minimum followup of 10 years / Orthop Traumatol Sur
Blacha J / 2004 / High osteolysis and revision rate with the hydroxyapatite-coated ABG hip prostheses : 65 hips in 56young patients followed for 5-9 years / Acta Orthop Scan
Capello WN / 1998 / Hydroxyapatite in total hip arthroplasty. Clinical results and critical issues / Clin Orthop Relat Res (355) : 200 ~ 211
Castoldi F / 2007 / Ten-year survivorship of the Anatomique Benoist Girard I total hip arthroplasty / J Arthroplasty 22 : 363 ~ 368
Chung YY / 2009 / High revision rate of hydroxyapatite-coated ABG-I prosthesis / J Orthop Sci 14 : 543 ~ 547
Blacha J / 2004 / High osteolysis and revision rate with the hydroxyapatite-coated ABG hip prostheses : 65 hips in 56young patients followed for 5-9 years / Acta Orthop Scan
Capello WN / 1998 / Hydroxyapatite in total hip arthroplasty. Clinical results and critical issues / Clin Orthop Relat Res (355) : 200 ~ 211
Castoldi F / 2007 / Ten-year survivorship of the Anatomique Benoist Girard I total hip arthroplasty / J Arthroplasty 22 : 363 ~ 368
Chung YY / 2009 / High revision rate of hydroxyapatite-coated ABG-I prosthesis / J Orthop Sci 14 : 543 ~ 547
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