The Journal of Arthroplasty
Volume 25, Issue 7 , Pages 1083-1090 , October 2010

Periprosthetic Bone Remodeling Using a Triple-Taper Polished Cemented Stem in Total Hip Arthroplasty

  • Aaron J. Buckland, MBBS, B Med Sci

      Affiliations

    • Department of Orthopaedics, St. Vincent's Hospital Melbourne, Victoria, Australia
  • ,
  • Michelle M. Dowsey, RN, BApplSc

      Affiliations

    • Department of Orthopaedics, St. Vincent's Hospital Melbourne, Victoria, Australia
    • University of Melbourne Department of Surgery, Victoria, Australia
  • ,
  • James D. Stoney, MBBS, FRACS, FAOrthA

      Affiliations

    • Department of Orthopaedics, St. Vincent's Hospital Melbourne, Victoria, Australia
    • University of Melbourne Department of Surgery, Victoria, Australia
  • ,
  • Andrew J. Hardidge, MBBS, FRACS, FAOrthA

      Affiliations

    • Department of Orthopaedics, St. Vincent's Hospital Melbourne, Victoria, Australia
  • ,
  • Kong Wah Ng, MBBS, MD, FRACP, FRCP

      Affiliations

    • Department of Endocrinology, St. Vincent's Hospital Melbourne, Victoria, Australia
    • University of Melbourne Department of Medicine, Victoria, Australia
  • ,
  • Peter F.M. Choong, MBBS, MD, FRACS, FAOrthA

      Affiliations

    • Department of Orthopaedics, St. Vincent's Hospital Melbourne, Victoria, Australia
    • University of Melbourne Department of Surgery, Victoria, Australia
    • Corresponding Author InformationReprint requests: Peter F. M. Choong, MBBS, MD, FRACS, FAOrthA, C/-Department of Orthopaedics, St Vincent's Hospital Melbourne, PO Box 2900, Fitzroy 3065, Victoria, Australia.

Received 20 January 2009 ,Accepted 12 September 2009.

References 

  1. Malchau H, Herberts P, Ahnfelt L. Prognosis of total hip replacement in Sweden: follow-up of 92,675 operations performed 1987-1990. Acta Orthop Scand. 1993;64:497
  2. Australian Orthopaedic Association. National Joint Replacement Registry Annual Report. Hip and knee replacement from September 1999 to December 2007. Adelaide:AOA. Available from: www.dmac.adelaide.edu.au/aoanjrr/publications.jsp. [Accessed 18/12/2008]
  3. Kobayashi S, Salto N, Horicuchi H, et al. Poor bone quality or hip structure as risk factors affecting survival of total-hip arthroplasty. Lancet. 2000;355:1499
  4. Carlsson AS, Gentz CF. Mechanical loosening of the femoral head prosthesis in the Charnley total hip arthroplasty. Clin Orthop. 1980;147:262
  5. Engh CA, Glassman AH, Suthers KE. The case for porous-coated hip implants. The femoral side. Clin Orthop. 1990;261:63
  6. Kerner J, Huiskes R, van Lenthe GH, et al. Correlation between pre-operative periprosthetic bone density and post-operative bone loss in THA can be explained by strain-adaptive remodelling. J Biomech. 1999;32:695
  7. Kroger H, Miettinen H, Arnala I, et al. Evaluation of periprosthetic bone using dual-energy x-ray absorptiometry: precision of the method and effect of operation on bone mineral density. J Bone Miner Res. 1996;11:1526
  8. Damborg F, Nissen N, Jorgensen HRI, et al. Changes in bone mineral density (BMD) around the cemented Exeter stem: a prospective study in 18 women with 5 years follow-up. Acta Orthop. 1998;79:494
  9. Cohen B, Rushton N. Bone remodelling in the proximal femur after Charnley total hip arthroplasty. J Bone Joint Surg (Br). 1995;77B:815
  10. Venesmaa P, Kroger HPJ, Jurvelin JS, et al. Periprosthetic bone loss after cemented total hip arthroplasty—a prospective 5-year dual energy radiographic absorptiometry study of 15 patients. Acta Orthop Scand. 2003;74:31
  11. Burchard R, Leppek R, Scmitt J, et al. Volumetric measurement of periprosthetic bone remodelling: prospective 5 years follow-up after cemented total hip arthroplasty. Arch Orthop Trauma Surg. 2007;127:361
  12. Turner AWL, Giles RM, Sekel R, et al. Computational bone remodelling simulations and comparison with DEXA results. J Orthop Res. 2005;23:705
  13. Wroblewski B, Siney P, Fleming P. Triple taper polished cemented stem in total hip arthroplasty; rationale for design, surgical technique and 7 years of clinical experience. J Arthroplasty. 2001;16:37
  14. Gruen T, McNiece G, Amstutz H. “Modes of failure” of cemented stem-type femoral components: a radiographic analysis of loosening. Clin Orthop. 1979;141:17
  15. Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty: an end-result study using a new method of result evaluation. J Bone Joint Surg (Am). 1969;51:737
  16. Barrack RL, Mulroy RD, Harris WH. Improved cementing techniques and femoral component loosening in young patients with hip arthroplasty. A 12-year radiographic review. J Bone Joint Surg (Br). 1992;74-B:385
  17. Ebramzadeh E, Normand P, Sangiorgio S, et al. Long-term radiological changes in cemented total hip arthroplasty with six designs of femoral components. Biomaterials. 2003;24:3351
  18. McCarthy CK, Steinberg GG, Agren M, et al. Quantifying bone loss from the proximal femur after total hip arthroplasty. J Bone Joint Surg (Br). 1991;73-B:774
  19. Wroblevski BM, Fleming PA, Hall RM, et al. Stem fixation in the Charnley low-friction arthroplasty in young patients using an intramedullary bone block. J Bone Joint Surg (Br). 1998;80:237
  20. Rahmy AIA, Gosens T, Blake GM, et al. Periprosthetic bone remodelling of two types of uncemented femoral implant with proximal hydroxyapatite coating: a 3-year follow-up study addressing the influence of prosthesis design and pre-operative bone density on periprosthetic bone loss. Osteoporosis Int. 2004;15:281
  21. Aldinger PR, Sabo D, Pritsch M, et al. Pattern of periprosthetic bone remodelling around stable uncemented tapered hip stems: a prospective 84-month follow-up study and a median 156-month cross-sectional study with DXA. Calcif Tissue Int. 2003;73:115
  22. Niinimaki T, Jalovaara P. Bone loss from the proximal femur after arthroplasty with an isoelastic femoral stem. Acta Orthop Scand. 1995;66:347
  23. Venesmaa P, Kroger HPJ, Miettinen HJA, et al. Monitoring of periprosthetic BMD after total hip arthroplasty with dual-energy x-ray absorptiometry—a 3-year follow-up study. J Bone Miner Res. 2001;16:1056
  24. Nixon M, Taylor G, Sheldon P, et al. Does bone quality predict loosening of cemented total hip replacements?. J Bone Joint Surg (Br). 2007;89:1303
  25. Munger P, Roder C, Ackermann-Liebrich U, et al. Patient-related risk factors leading to aseptic stem loosening in total hip arthroplasty—a case control study of 5,035 patients. Acta Orthop. 2006;77:567
  26. Roder C, Parvizi J, Eggli S, et al. Demographic factors affecting long-term outcome of total hip arthroplasty. Clin Orthop. 2003;417:62
  27. Perka C, Heller M, Wilke K, et al. Surgical approach influences periprosthetic femoral bone density. Clin Orthop. 2005;432:153
  28. Jolles BM, Bogoch ER. Posterior versus lateral surgical approach for total hip arthroplasty in adults with osteoarthritis. Cochrane Database Syst Rev. 2006;CD003828
  29. Gore DR, Murray MP, Sepic SB, et al. Anterolateral compared to posterior approach in total hip arthroplasty. Clin Orthop. 1982;165:180
  30. Arthursson AJ, Furnes O, Espehaug B, et al. Prosthesis survival after total hip arthroplasty—does surgical approach matter?. Acta Orthop. 2007;78:719

 Benefits or funds were received from DePuy International Limited in partial or total support of the research material described in this article.

PII: S0883-5403(09)00443-4

doi: 10.1016/j.arth.2009.09.003

The Journal of Arthroplasty
Volume 25, Issue 7 , Pages 1083-1090 , October 2010