Cementless Femoral Fixation in Total Hip Arthroplasty

نویسندگان

  • Harpal S. Khanuja
  • Jeffrey J. Vakil
  • Maria S. Goddard
  • Michael A. Mont
چکیده

In 1995, the NIH (National Institutes of Health) Consensus Development Panel on Total Hip Replacement supported the use of hybrid fixation with a cemented stem and a noncemented cup because of excellent long-term results. However, today, 60% to 90% of the approximately 200,000 total hip arthroplasties performed yearly in the United States involve both a cementless cup and a cementless stem. There are a variety of cementless femoral stems that have been associated with excellent long-term clinical and radiographic outcomes. We reviewed these stem designs and geometries and summarize their long-term outcomes. This review does not include prostheses that were designed for fixation in the femoral neck, as they are used less commonly and long-term follow-up data are not available.

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تاریخ انتشار 2011