[KSCI] Korea Science Citation Index Service

http://dx.doi.org/10.5371/jkhs.2011.23.4.275

Cementless Total Hip Arthroplasty Using a Modular Femoral Component in Patients with Femoral Head Osteonecrosis : Comparison of Metal-on-Metal and Ceramic-on-Ceramic Articulation

Kang, Bun-Jung (Department of Orthopaedic Surgery, SM Christianity Hospital)
Lee, Jue-Hee (Department of ImmunoMicrobiology, College of Pharmacy, Dongduk Women's University)
Jung, Young-Bok (Department of Orthopaedic Surgery, College of Medicine, Chung-Ang University)
Kim, Jin-Hong (Department of Orthopaedic Surgery, College of Medicine, Chung-Ang University)
Han, Yong-Moon (Department of ImmunoMicrobiology, College of Pharmacy, Dongduk Women's University)
Jang, Eui-Chan (Department of Orthopaedic Surgery, College of Medicine, Chung-Ang University)
Kim, Kyoung-Woon (Department of Orthopaedic Surgery, College of Medicine, Chung-Ang University)

Publication Information

Hip & pelvis / v.23, no.4, 2011 , pp. 275-281 More about this Journal

Abstract

Purpose: The purpose of this study was to evaluate the clinical and radiological outcomes after total hip arthroplasty using the S-ROM modular system for osteonecrosis of the femoral head, and to compare the results between the groups using metal-on-metal articulation and ceramic-on-ceramic articulation. Materials and Methods: Sixty-six patients (78 hips) with osteonecrosis of the femoral head were evaluated after primary total hip arthroplasty between January 2001 and December 2004, using an S-ROM proximal modular femoral stem. The average follow-up was 77 months (range, 60 to 122 months) and all patients were followed for more than five years. Results: The average Harris hip score improved from 53 points to 88.5 points at the final follow-up. At the latest radiologic evaluation, sixty-seven stems had bony ingrowth stability, and 10 stems had stable fibrous ingrowth. However, one stem had diffuse extensive osteolysis and loosening, which was revised at 9 years. Postoperative complications included 4 cases of heterotrophic ossificiation, 1 case of linear fracture after insertion of the femoral stem, 1 case of dislocation, 2 cases of infection, and 1 case of extensive osteolysis and loosening. There were 3 cases of revision and Kaplan-Meier survivorship analysis with revision estimated at a 95.7% chance of survival for the femoral component during 122 months. Conclusion: Our study showed that total hip arthroplasty using the S-ROM modular system with metal-on-metal articulation or ceramic-on-ceramic articulation had favorable clinical and radiological mid- to long-term results.

Keywords

Femoral head; Osteonecrosis; Primary THRA; Cementless modular femoral stem;

Citations & Related Records

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