关键词: Bone mass density Metha® short hip stem Physiological load transfer

Mesh : Absorptiometry, Photon Adult Aged Arthroplasty, Replacement, Hip / instrumentation methods Biomechanical Phenomena Bone Cements Bone Density / physiology Cementation Female Femur / diagnostic imaging physiopathology surgery Femur Head Necrosis / diagnostic imaging physiopathology surgery Follow-Up Studies Hip Prosthesis Humans Male Middle Aged Osseointegration Osteoarthritis, Hip / diagnostic imaging physiopathology surgery Prospective Studies Prosthesis Design

来  源:   DOI:10.1007/s00264-018-4126-1

Abstract:
The purpose of this study was to check the concept of the cementless Metha® short hip stem in order to find out whether proximal physiological load transfer can be achieved.
Fourty-three patients were included. Epidemiological factors were established. The Harris Hip Score was determined and measurement of bone mass density as well as osteodensitometric and radiological measurements was carried out pre-operatively, post-operatively, and after six, 12, 24, and 36 months.
Harris Hip Score improved from 55.9 ± 12.4 pre-operatively to 94.8 ± 8.2 after 36 months (p < 0.001). After initial reduction of bone density in zones 1 and 7 up to six months post-operatively, there was a steady approximation of bone density to the initial values (p < 0.05).
The Metha® short hip stem shows good clinical results. Furthermore, there is an increase of bone density in the proximal zones 1 and 7 between six and 36 months serving as a sign of physiological load transfer.
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