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. 2005 Oct;29(5):268-71.
doi: 10.1007/s00264-005-0667-1. Epub 2005 Aug 5.

Prediction of Charnley femoral stem aseptic loosening by early post-operative radiological features

M H A Malik  1 , N Fisher, J Gray, B M Wroblewski, P R Kay
Affiliations

Prediction of Charnley femoral stem aseptic loosening by early post-operative radiological features

M H A Malik et al. Int Orthop. 2005 Oct.

Abstract
in English, French

We describe the association between immediate post-operative radiological appearances and early aseptic failure of total hip replacement. Sixty-three hips were entered into the aseptic failure group and 138 into the control group. Alignment of the femoral stem was not associated with failure (p=0.283). Thickness of the cement mantle was associated with failure in Gruen zones 6 (p=0.040) and 7 (p=0.003). A significant association for the presence of radiolucent lines was found for Gruen zones 3 (p=0.0001) and 5 (p=0.0001). Grade of cementation was associated with failure for Barrack grades C (p=0.001) and D (p=0.001). This study has demonstrated that easily applied radiological criteria can be used to identify 'hip arthroplasties at risk' from the immediate post-operative radiograph.

Nous décrivons l’association entre l’aspect radiologique postopératoire immédiat et l’échec aseptique précoce de l’arthroplastie totale de la hanche. Soixante-trois hanches sont entrées dans le groupe de l’échec aseptique et 138 dans le groupe témoin. L’alignement de la tige fémorale n’était associé à l› échec (p=0.283). L’épaisseur du manteau de ciment était associé à l› échec dans les zones de Gruen 6 (p=0.040) et 7 (p=0.003). Une association significative a été trouvée avec la présence de liserés dans les zones de Gruen 3 (p=0.0001) et 5 (p=0.0001). Le niveau de cimentation a été associé à l’échec pour les grades C (p=0.001) et D (p=0.001) de Barrack. Cette étude montre que des critères radiologiques simples peuvent être utilisés pour identifier les ‹ arthroplasties à risque› sur les clichés post-opératoires immédiats.

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References

    1. Archibeck MJ, Jacobs JJ, Roebuck KA, Glant TT. The basic science of periprosthetic osteolysis. Instr Course Lect. 2001;50:185–195. - PubMed
    1. Barrack RL, Mulroy RD, Jr, Harris WH. Improved cementing techniques and femoral component loosening in young patients with hip arthroplasties: a 12-year radiographic review. J Bone Joint Surg Br. 1992;74:385–389. - PubMed
    1. Chambers IR, Fender A, McCaskie AW, et al. Radiological features predictive of aseptic loosening in cemented Charnley femoral stems. J Bone Joint Surg Br. 2001;83:838–842. doi: 10.1302/0301-620X.83B6.11659. - DOI - PubMed
    1. Ebramzadeh E, Sarmiento A, McKellop HA, et al. The cement mantle in total hip arthroplasty: analysis of long-term radiographic results. J Bone Joint Surg Am. 1994;76:77–87. - PubMed
    1. Furnes O, Lie SA, Espehaug B, Vollset SE, Engesaeter LB, Havelin LI. Hip disease and the prognosis of total hip replacements. A review of 53, 698 primary total hip replacements reported to the Norwegian Arthroplasty Register 1987–99. J Bone Joint Surg Br. 2000;83:579–587. doi: 10.1302/0301-620X.83B4.11223. - DOI - PubMed

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