Patterns of failure in the original Besser bipolar prosthesis
- PMID: 2200146
Patterns of failure in the original Besser bipolar prosthesis
Abstract
Fourteen original Besser endoprostheses inserted in young patients with osteonecrosis of the femoral head were reviewed. Two cups dislocated early and 1 other required replacement due to acetabular degeneration. Component disassembly occurred in 4 hips, which had exhibited persistently vertical cups. Their stems revealed notching medially and the cups showed gross erosion and failure. The remaining 5 hips were mobile and pain free, but in 3 of these the cups exhibited a persistently vertical orientation and, as such, are predisposed to failure. Only one article reporting early good results using this prosthesis has been published. The failure rate of 50% in this series is disappointing.