کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
4061012 | 1604026 | 2012 | 5 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Modern Proximally Tapered Uncemented Stems Can Be Safely Used in Dorr Type C Femoral Bone Modern Proximally Tapered Uncemented Stems Can Be Safely Used in Dorr Type C Femoral Bone](/preview/png/4061012.png)
Cementless femoral fixation has become widely accepted in modern total hip arthroplasty. Treating patients who have a stovepipe-shaped femur (Dorr type C) with cementless implants has traditionally been challenging. We treated 53 consecutive patients (60 hips) who had type C bone with identical tapered, proximally coated implants and postoperative weight bearing as tolerated. At 6 weeks, all 60 hips had radiographically documented bony integration, and at 1 year, there was no evidence of fracture, subsidence, thigh pain, stress shielding, loose stems, or risk of failure. Of those patients, 40 (43 hips) had midterm follow-up (average, 6 years; range, 4-9 years); the findings were the same. We conclude that modern proximally tapered stems can be used with early weight bearing in patients with type C bone.
Journal: The Journal of Arthroplasty - Volume 27, Issue 6, June 2012, Pages 1014–1018