Abstract
The survival of 77 cementless total hip arthroplasties using a Bi-Metric femoral stem and two types of acetabular components was analysed in 55 patients with juvenile chronic arthritis. The patients were treated between 1986 and 1996. Their mean age was 8.0 years at the onset of the disease and 28.1 years at the time of surgery. The mean follow-up period was 9.6 years. Follow-up evaluations were conducted 3 months and 1, 4, 8, 12 and 16 years post-operatively. The endpoints of survival analysis were revision surgery, death of the patient or the end of the year 2002. The 10-year survival was 77.6% for the Romanus cup and 49.1% for the TTAP-ST cup. In contrast to these inadequate outcomes, the cementless Bi-Metric stem yielded excellent results with a survival rate of 100% for aseptic loosening during a mean follow-up period of 10 years.
Résumé
La survie de 77 arthroplasties de la hanche totale non cimentée qui utilise un tige fémorale Bi-Métrique et deux types de composants acétabulaires a été analysé chez 55 malades avec une arthrite chronique juvénile. Les malades ont été opérés entre 1986 et 1996. Leur âge moyen était 8.0 années au début de la maladie et 28.1 années à la chirurgie. La période de suivi moyen était 9.6 années. Les évaluations des résultats ont été conduites à 3 mois et 1, 4, 8, 12 et 16 années postopératoires. Le point final de l’analyse de la survie était la chirurgie de révision, le décés du malade ou la fin de l’année 2002. La survie à 10 années était 77.6% pour la cupule acétabulaire Romanus et 49.1% pour le cupule acétabulaire TTAP-ST. Par contraste avec ces résultats insuffisants, la tige Bi-Métrique non cimentée a montré des résultats excellents avec un taux de survie de 100% pour le descellement aseptique pendant une période de suivi moyenne de 10 années.
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Footnotes
No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.
The study was conducted at the Rheumatism Foundation Hospital.
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