Hip Pelvis.  2013 Jun;25(2):95-101. 10.5371/hp.2013.25.2.95.

Ceramic on Ceramic Cementless Total Hip Arthroplasty with a 36 mm Diameter Femoral Head: More than Three Years Follow up

• Choo SK
• Oh HK
• Yoo SH
• Nam JH

• KMID: 2054145
• DOI: http://doi.org/10.5371/hp.2013.25.2.95

Abstract

PURPOSE
The purpose of this study was to analyze the results for clinical outcome and radiologic assessment of ceramic on ceramic cementless total hip arthroplasty using a 36 mm diameter femoral head.
MATERIALS AND METHODS
This study included a group of 40 patients of 43 cases who underwent ceramic on ceramic cementless total hip arthroplasty using a 36 mm diameter femoral head. The age range of this group was 28 to 82(mean 56); we monitored them over a period of 5.3 years(3-7.5 years). This clinical evaluation process included monitoring the degree of pain, range of motion, and the Harris hip score after three years since the surgery was performed. Radiographic evaluation and complication were confirmed as well.
RESULTS
The preoperative Harris hip score increased from 43.4(21-57) to 88.1(81-95) after the surgery. The average motion range of hip was 113degrees flexion, 30degrees abduction, 24degrees adduction, 36degrees external rotation, and 12degrees internal rotation. Subjective pain was zero or minimal in all cases. Among the complications, dislocation occurred in only one case by a fall from a height and was reduced by closed reduction. There was no occurrence of ceramic fracture, even though infection occurred in one hip.
CONCLUSION
The clinical outcome and radiologic assessment of the ceramic on ceramic cementless total hip arthroplasty using a 36 mm diameter femoral head showed a satisfactory result at three-year follow-up. Longer-term follow up is needed for further assessment.

Keyword

36 mm diameter femoral head; Cementless total hip arthroplasty; Ceramic on ceramic articulation

MeSH Terms

Arthroplasty
Ceramics
Dislocations
Follow-Up Studies
Head
Hip
Humans
Range of Motion, Articular
Ceramics

Figure

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  Fig. 1 53 years old male patient with intraoperative great trochanter fracture. (A) Preoperative radiology showed neglect femur neck fracture with secondary OA. (B) Immediate postoperative radiology showed THRA with wire fixation. (C) Radiology showed bone union after 2 month of surgery.

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  Fig. 2 Radiolopsy showed 3 cases Heterotropic ossifications. (A) 33 years old male showed islands of bone. (Class I heterotropic ossification). (B) 52 years old male showed bone spurs from pelvis and checked abduction 20° range of motion limitation. (Class II heterotropic ossification). (C) 62 years old male showed bone spurs from proximal femur. (Class II heterotropic ossification).

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