Results of a Hydroxyapatite-Coated Modular Femoral Stem in Primary Total Hip Arthroplasty. A Minimum 5-Year Follow-Up
Abstract
The use of a modular metaphyseal-diaphyseal femoral stem in primary total hip arthroplasty is infrequent. We analyze 94 ESOP (Fournitures Hospitalieres, Heimsbrunn, France) cementless 2-piece modular stems after a minimum 5 years of follow-up. There were 2 aseptic femoral stem loosenings and no cases with thigh pain. Mean femoral canal filling was 90%. Radiographic ingrowth was obtained in 83 (P < .001). At 7 years, the survival rate for femoral aseptic loosening was 97.8% and no stem was at risk for revision (95% confidence interval, 94.8%-100%). This prosthesis provides good clinical results with absence of pain and excellent radiographic results. It is an option in femora with good bone quality. Femoral osteopenia and cortical widening were infrequent, and the modular metaphyseal-diaphyseal junction was not a problem in vivo.
Key words: primary total hip arthroplasty, femoral stem, hydroxyapatite
To access this article, please choose from the options below
No benefits or funds were received in support of the study.
PII: S0883-5403(07)00607-9
doi:10.1016/j.arth.2007.10.012
© 2008 Elsevier Inc. All rights reserved.
