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Cementless short stem hip arthroplasty METHA® as an encouraging option in adults with osteonecrosis of the femoral head

  • Hip Arthroplasty
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

The implantation of a total hip arthroplasty is the standard treatment for patients with progressive osteonecrosis. However, there is uncertainty about the type of arthroplasty that provides the best outcome and whether short stem arthroplasty represents a reasonable alternative for young patients in order to have more options in case of revision. This uncertainty exists due to the lack of studies analysing contemporary short stem arthroplasty in osteonecrosis.

Aim

The aim of this study was to determine the outcome of the METHA® short stem arthroplasty in patients with progressive osteonecrosis.

Patients and methods

This study evaluated the clinical and radiological short- to midterm results after implantation of the cementless short stem arthroplasty METHA®. 73 hips in 64 patients with progessive osteonecrosis after implantation of the METHA® arthroplasty were investigated by measuring the clinical outcome, the Harris Hip Score (HHS) and visual analogue pain scale for the preoperative stage and follow-up. Radiological analyses of X-rays were conducted to assess the bone ingrowth as well as subsidence, osteolysis or fracture.

Results

The pain scale improved from preoperatively 7.8 to postoperatively 1.7, while the HHS increased from 41.4 to 90.6 points 34 months post-surgery. Complications associated with revision of the METHA® short stem included two traumatic femoral shaft fracture and one deep infection. The radiological assessment showed good bone ingrowth in all patients despite osteonecrosis.

Conclusion

The study confirms encouraging results as well as good bone ingrowth of the cementless short stem arthroplasty METHA® even in patients with osteonecrosis.

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Conflict of interest

Three of the authors (Floerkemeier T, Windhagen H and von Lewinski G) are paid instructors for the company B.Braun Aesculap, Tuttlingen.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Hannover Medical School, Anna-von-Borries-Str. 1-7, 30625, Hannover, Germany

    Thilo Floerkemeier, Nora Tscheuschner, Tilman Calliess, Marco Ezechieli, Stephanie Floerkemeier, Stefan Budde, Henning Windhagen & Gabriela von Lewinski

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  1. Thilo Floerkemeier
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  2. Nora Tscheuschner
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  3. Tilman Calliess
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Correspondence to Thilo Floerkemeier.

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The experiments comply with the current laws of Germany.

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Floerkemeier, T., Tscheuschner, N., Calliess, T. et al. Cementless short stem hip arthroplasty METHA® as an encouraging option in adults with osteonecrosis of the femoral head. Arch Orthop Trauma Surg 132, 1125–1131 (2012). https://doi.org/10.1007/s00402-012-1524-5

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  • DOI: https://doi.org/10.1007/s00402-012-1524-5

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