The Journal of Arthroplasty
Volume 25, Issue 5 , Pages 741-747 , August 2010

Bone Remodeling Around Porous Metal Cementless Acetabular Components

  • R. Michael Meneghini, MD

      Affiliations

    • Department of Orthopaedic Surgery, New England Musculoskeletal Institute, University of Connecticut Health Center, Farmington, Connecticut
    • Corresponding Author InformationReprint requests: R. Michael Meneghini, MD, Department of Orthopaedic Surgery, University of Connecticut Health Center, Medical Arts and Research Building, 4th Floor, #4016, 263 Farmington Ave, Farmington, CT 06034-4037.
    • ,
  • Kerry S. Ford, MD

      Affiliations

    • Department of Orthopaedic Surgery, Mayo Clinic, Rochester, Minnesota
    • ,
  • Cynthia H. McCollough, PhD

      Affiliations

    • Department of Radiology, Mayo Clinic, Rochester, Minnesota
    • ,
  • Arlen D. Hanssen, MD

      Affiliations

    • Department of Orthopaedic Surgery, Mayo Clinic, Rochester, Minnesota
    • ,
  • David G. Lewallen, MD

      Affiliations

    • Department of Orthopaedic Surgery, Mayo Clinic, Rochester, Minnesota

Received 8 September 2008 ,Accepted 18 April 2009.

References 

  1. Engh CA, et al. Porous-coated total hip replacement. Clin Orthop Relat Res. 1994;89
  2. Engh CA, et al. A quantitative evaluation of periprosthetic bone-remodeling after cementless total hip arthroplasty. J Bone Joint Surg Am. 1992;74:1009
  3. Engh CA, et al. Quantification of implant micromotion, strain shielding, and bone resorption with porous-coated anatomic medullary locking femoral prostheses. Clin Orthop Relat Res. 1992;1:13
  4. Engh CA, et al. Clinical consequences of stress shielding after porous-coated total hip arthroplasty. Clin Orthop Relat Res. 2003;157
  5. Jacobs JJ, Sumner DR, Galante JO. Mechanisms of bone loss associated with total hip replacement. Orthop Clin North Am. 1993;24:583
  6. Kiratli BJ, et al. Determination of bone mineral density by dual x-ray absorptiometry in patients with uncemented total hip arthroplasty. J Orthop Res. 1992;10:836
  7. Ritter MA, Fechtman RW. Distal cortical hypertrophy following total hip arthroplasty. J Arthroplasty. 1988;3:117
  8. Trevisan C, et al. Dual x-ray absorptiometry for the evaluation of bone density from the proximal femur after total hip arthroplasty: analysis protocols and reproducibility. Calcif Tissue Int. 1993;53:158
  9. Huiskes R. Finite element analysis of acetabular reconstruction. Noncemented threaded cups. Acta Orthop Scand. 1987;58:620
  10. Levenston ME, et al. Computer simulations of stress-related bone remodeling around noncemented acetabular components. J Arthroplasty. 1993;8:595
  11. Beaupre GS, Orr TE, Carter DR. An approach for time-dependent bone modeling and remodeling—theoretical development. J Orthop Res. 1990;8:651
  12. Carter DR, Fyhrie DP, Whalen RT. Trabecular bone density and loading history: regulation of connective tissue biology by mechanical energy. J Biomech. 1987;20:785
  13. Digas G, Karrholm J, Thanner J. Different loss of BMD using uncemented press-fit and whole polyethylene cups fixed with cement: repeated DXA studies in 96 hips randomized to 3 types of fixation. Acta Orthop. 2006;77:218
  14. Field RE, et al. Bone remodeling around the Cambridge cup: a DEXA study of 50 hips over 2 years. Acta Orthop. 2006;77:726
  15. Kim YH, Yoon SH, Kim JS. Changes in the bone mineral density in the acetabulum and proximal femur after cementless total hip replacement: alumina-on-alumina versus alumina-on-polyethylene articulation. J Bone Joint Surg Br. 2007;89:174
  16. Korovessis P, Piperos G, Michael A. Periprosthetic bone mineral density after Mueller and Zweymueller total hip arthroplasties. Clin Orthop Relat Res. 1994;214
  17. Laursen MB, Nielsen PT, Soballe K. Bone remodelling around HA-coated acetabular cups: a DEXA study with a 3-year follow-up in a randomised trial. Int Orthop. 2007;31:199
  18. Sabo D, et al. Periprosthetic mineralization around cementless total hip endoprosthesis: longitudinal study and cross-sectional study on titanium threaded acetabular cup and cementless Spotorno stem with DEXA. Calcif Tissue Int. 1998;62:177
  19. Brown TD, Poggie RA, Pederson DR. Finite element analysis of peri-acetabular stress of cemented, metal-backed, and porous tantalum backed acetabular components. Trans Orthop Res Soc. 1999;24:747
  20. Wright JM, et al. Bone density adjacent to press-fit acetabular components. A prospective analysis with quantitative computed tomography. J Bone Joint Surg Am. 2001;83-A:529
  21. Lewallen DG. Acetabular revision: technique and results. In:  Morrey BF editors. Joint Replacement Arthroplasty. 3rd ed.. Philadelphia: Churchill Livingstone; 2003;p. 824
  22. Bobyn JD, et al. Characteristics of bone ingrowth and interface mechanics of a new porous tantalum biomaterial. J Bone Joint Surg Br. 1999;81:907
  23. Cohen R. A porous tantalum trabecular metal: basic science. Am J Orthop. 2002;31:216

 While the authors did not receive any benefits for this part of the study, benefits were received by Implex for the original study from which this cohort was taken. Therefore, it should be noted that benefits were received in support of this study from Implex. Also it should be noted that one or more of the authors have received royalties and payments from Implex/Zimmer.

PII: S0883-5403(09)00127-2

doi: 10.1016/j.arth.2009.04.025

The Journal of Arthroplasty
Volume 25, Issue 5 , Pages 741-747 , August 2010

Article Tools

* Image Usage & Resolution