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| 2. |
- Kesteris, Uldis, et al.
(författare)
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Polyethylene wear and synovitis in total hip arthroplasty: a sonographic study of 48 hips
- 1999
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Ingår i: Journal of Arthroplasty. - 0883-5403. ; 14:2, s. 138-143
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Tidskriftsartikel (refereegranskat)abstract
- Forty-six patients (48 hips), operated on with cemented total hip arthroplasty (THA) because of arthrosis, were examined radiographically and sonographically at 10-year follow-up. Polyethylene wear of acetabular cups was measured on conventional non-weight-bearing pelvic radiographs, and the volume of polyethylene debris was calculated. Radiographic signs of loosening were identified. The capsular distance (ie, thickness of the synovium or synovial contents) was measured sonographically. We found a significant correlation between increased volumetric wear and increased capsular distance. Hips with radiographically loose acetabular components had significantly greater volumetric wear and capsular distance than those without signs of acetabular loosening. This relationship was not observed in hips with radiographically loose femoral components. In cemented THA, the volume of polyethylene wear debris and the thickness of the synovium and the synovial contents are related. In the event of radiographic loosening of the acetabular component, they are both increased.
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| 3. |
- Lewold, Stefan, et al.
(författare)
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Oxford meniscal bearing knee versus the Marmor knee in unicompartmental arthroplasty for arthrosis. A Swedish multicenter survival study
- 1995
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Ingår i: Journal of Arthroplasty. - 0883-5403. ; 10:6, s. 722-731
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Tidskriftsartikel (refereegranskat)abstract
- In the Swedish Knee Arthroplasty Study, all 699 Oxford meniscal bearing cemented unicompartmental prostheses (Biomet, Bridgend, UK) were identified and analyzed regarding failure pattern and compared with all Marmor prostheses (Smith & Nephew Richards, Orthez, France) and with a time-, age-, and sex-matched subset of Marmor prostheses using survival statistics expressed as cumulative revision rates. After 1 year there was already a higher rate, and after 6 years the rate of the Oxford group was more than twice that of the Marmor group. There were 50 revisions in the Oxford group: dislocating meniscus in 16, loosening of the femoral component in 6, tibial component in 4, both components in 4, contralateral arthrosis in 10, infection in 4, and technical failure with instability, pain, and/or impingement of the meniscal bearing anterior in the femoral condyle in 6. It is still unclear if the design with the sliding menisci will, in the long turn, reduce wear and loosening, thereby compensating for the initially inferior results. It is recommended that until this question is clarified, the Oxford knee should be used on a limited scale for long-term comparative studies only.
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| 4. |
- Robertsson, Otto, et al.
(författare)
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Intracapsular pressure and pain in coxarthrosis
- 1995
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Ingår i: Journal of Arthroplasty. - 0883-5403. ; 10:5, s. 632-635
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Tidskriftsartikel (refereegranskat)abstract
- Intracapsular hip pressure was measured before surgery in 17 patients (18 hips) with coxarthrosis. The results were correlated to pain as registered on a visual analog scale. With the hip in extension, the pressure was 49.5 mmHg (SD, 40.2); in 45 degrees of flexion, it was 21.3 mmHg (SD, 14.6); in extension and inward rotation, it was 105.7 mmHg (SD, 76.0); and in extension and outward rotation, it was 40.8 mmHg (SD, 32.0). A small amount, 0.7 mL (SD, 1.14), of joint fluid was aspirated following pressure registration. Pressure correlated significantly to pain at night, when starting to walk, and on walking. It is suggested that the increase in intracapsular hip pressure is a cause of pain in coxarthrosis, with subsequent limitation of movement and joint contracture.
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| 5. |
- Sanzén, Lennart, et al.
(författare)
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Radiographic wear assessment in a total knee prosthesis. 5- to 9-year follow-up study of 158 knees
- 1996
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Ingår i: Journal of Arthroplasty. - 0883-5403. ; 11:6, s. 738-742
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Tidskriftsartikel (refereegranskat)abstract
- One hundred fifty-eight Porous-Coated Anatomic (Howmedica, Rutherford, NJ) primary total knee prostheses were evaluated clinically and radiographically to measure the remaining thickness of the plastic insert. Anteroposterior radiographs were taken with the beam guided parallel to the tibial plate by a fluoroscope. The knees were forced into varus and valgus, and the heights of the medial and lateral joint spaces, respectively, were measured with a digitizing table. Plastic insert wear could be calculated after correction with a magnification error factor, established by dividing the projected width of the tibial plate by the true size of the used component. After a mean follow-up period of 84 months (range, 58-116 months), wear was significantly higher for patients with osteoarthritis than rheumatoid arthritis and was 1.4 mm versus 0.7 mm medially (P < .0001) and 0.7 mm versus 0.4 mm laterally (P = .01). Wear was not correlated to thickness of the plastic insert or length of follow-up period. Young age or varus alignment contributed slightly to the amount of wear.
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| 6. |
- Toksvig-Larsen, Søren, et al.
(författare)
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The Porous-Coated Anatomic Total Knee Experience. Special Emphasis on Complications and Wear
- 1996
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Ingår i: Journal of Arthroplasty. - 0883-5403. ; 1:11, s. 11-17
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Tidskriftsartikel (refereegranskat)abstract
- One hundred sixty knees in 141 patients with the Primary Porous-Coated Anatomic prosthesis (Howmedica, Rutherford, NJ) were evaluated after a follow-up period of 5.6 years (range, 1–10 years). One hundred six knees were in the latest follow-up evaluation, including clinical examination and a defined standing radiograph with a follow-up period of 6.3 years (range, 3–10 years). Survivorship analysis regarding the cumulative revision rate (including completion with a patellar component) was 0.88 at the 8-year and 0.84 at the 10-year follow-up examination. The clinical result was satisfying/good, with a mean Hospital for Special Surgery score of 83 (range, 39–97). Five percent had thinning greater than 30% of the tibial component. The wear was calculated to be 1.0 mm (range, 0–9 mm), including three revised tibial components with heavy wear. Excluding the revised cases, the wear was 0.7 mm.
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| 7. |
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| 8. |
- Önsten, Ingemar, et al.
(författare)
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Improved radiographic survival of the Charnley prosthesis in rheumatoid arthritis and osteoarthritis. Results of new versus old operative techniques in 402 hips
- 1994
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Ingår i: Journal of Arthroplasty. - : Elsevier BV. - 0883-5403. ; 9:1, s. 3-8
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Tidskriftsartikel (refereegranskat)abstract
- Two hundred one consecutive, primary, noninfected Charnley (Thackray, Leeds) hip arthroplasties, implanted from 1968 to 1985 due to adult-onset rheumatoid arthritis, were matched in pairs with respect to year of operation, age, and sex with 201 Charnley prostheses implanted due to osteoarthritis. The 10-year survival estimate for nonrevisions was 95% in the rheumatoid group and 89% in the osteoarthritic group. Using definite radiographic loosening as a determinant, the 7-year survival rate for stems increased from 80% to 96% for both groups after the introduction of new cementing techniques, and the relative risk for stem loosening was decreased to one fifth. In the rheumatoid arthritis group, the 7-year radiographic socket survival increased from 87% to 96%, an increase ascribed to the overall effect of the introduction of flanged sockets, bone-grafts in acetabular protrusion, the rejection of the pilot hole technique, and improvements in the cement handling technique. In the osteoarthritis group the radiographic socket survival rate at 7 years was 97% and at 10 years was 95%.
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