Simultaneous bilateral total hip arthroplasty with a cementless femoral stem.

Authors:
Robert M Mihalich
Robert M Mihalich
Baylor University Medical Center
Dallas | United States
Stephen J Incavo
Stephen J Incavo
Houston Methodist Hospital
Houston | United States
John Martell
John Martell
The University of Chicago
Chicago | United States
Bruce Beynnon
Bruce Beynnon
McClure Musculoskeletal Research Center

Am J Orthop (Belle Mead NJ) 2005 Apr;34(4):177-82

McClure Musculoskeletal Research Center, Department of Orthopaedics and Rehabilitation, University of Vermont, Burlington, Vermont 05405, USA.

Simultaneous bilateral total hip arthroplasty (THA) is an increasingly common procedure. Although use of a cementless stem can eliminate cement complications, some surgeons limit application of cementless THA because of concerns about early implant loosening. In this article, we report on 30 cementless THA cases (15 patients) followed up for a minimum of 2 years (range, 26-50 months). Despite 73% of femoral bone being type B or type C, all stems showed stable bone ingrowth fixation and no evidence of subsidence. Polyethylene wear rates (left, 0.154 mm/y; right, 0.114 mm/y) did not differ significantly. The excellent clinical results obtained with simultaneous bilateral cementless THA are comparable with those obtained with unilateral THA.

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April 2005
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