bone ingrowth, femoral component, Femur head, Harris Hip Score, Health, hip, Hip Replacement, Hip score, Journal of Bone & Joint Surgery, Medicine, Patient, PubMed, THA, Total Hip Arthroplasty
Cementless Modular Total Hip Arthroplasty in Patients Younger than Fifty with Femoral Head Osteonecrosis: Minimum Fifteen-Year Follow-Up.
This study aimed to report the outcome of total hip arthroplasty (THA) with a modular femoral component in patients younger than fifty years with osteonecrosis of femoral head.
Sixty-four osteonecrotic hips in fifty-five patients were available for clinical and radiographic analyses at minimum follow-up of fifteen-years. The mean Harris hip score improved from 36 points preoperatively to 92.7 points at final follow-up. Sixty-two (95.3%) hips demonstrated stable bone ingrowth.
No hips showed loosening or required revision for aseptic loosening. Survivorship with an end point of stem revision for any reason was 93.8% and for aseptic loosening was 100% at 16.8 years.
We believe that cementless THA with a modular stem is a promising procedure for young and active patients with osteonecrosis of the femoral head.
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