Arrêt de service programmé du vendredi 10 juin 16h jusqu’au lundi 13 juin 9h. Pour en savoir plus
Accéder directement au contenu Accéder directement à la navigation
Article dans une revue

Total hip arthroplasty using a modular ``short-stem'' femoral prosthesis vs. a standard prosthesis: a five-year follow-up study

Abstract : The objective of this study was to compare the results and radiological stability of a short stem with those of a standard stem. A series of 44 patients with a short stem Vitae (R) (Adler (R)) was compared to a control group of 33 patients who underwent the same procedure with a standard stem Hydra (R) (Adler (R)). Both cementless stems were modular. The surgical technique was identical and was performed by the same surgeon. The groups were comparable in terms of preoperative characteristics (age, sex, BMI, functional scores). The 5-year stem migration rate, its functional impact and risk factors for migration were was studied. Mean subsidence was 2.2 mm + 1.7 in group 1 and 3.1 mm + 2.2 in group 2 (p = 0.08). Mean varus tilt was 2.7 degrees +/- 2.2 in group 1 and 0.5 degrees +/- 0.5 in group 2 (p <0.05 x 10- 5). Repeat surgery for painful migration was performed in one case in group 1. All functional scores were improved with no significant difference between the two groups. Despite a higher radiological migration rate in the short stem group, functional results were comparable between the two groups, leading us to suspend the use of this short stem model.
Type de document :
Article dans une revue
Liste complète des métadonnées

https://hal-u-picardie.archives-ouvertes.fr/hal-03596694
Contributeur : Louise Dessaivre Connectez-vous pour contacter le contributeur
Soumis le : jeudi 3 mars 2022 - 18:39:26
Dernière modification le : vendredi 4 mars 2022 - 03:00:20

Identifiants

  • HAL Id : hal-03596694, version 1

Collections

Citation

Ramy Belhouane, Eric Havet, Antoine Gabrion, Massinissa Dehl, Yassine Bulaid, et al.. Total hip arthroplasty using a modular ``short-stem'' femoral prosthesis vs. a standard prosthesis: a five-year follow-up study. ACTA ORTHOPAEDICA BELGICA, 2020, 86 (S 1), pp.9-18. ⟨hal-03596694⟩

Partager

Métriques

Consultations de la notice

8