Long-term results of an anatomically implanted hip arthroplasty with a short stem prosthesis (MiniHip^(TM))
作者机构：Faculty of Health University of Witten/Herdecke Department of Trauma Surgery Orthopedics and Sports Medicine Katholisches Karl-Leisner Klinikum Department of Orthopedics Trauma Surgery and Sports MedicineJohanna Etienne Hospital Munich Ortho Center Department of Orthopaedics and Orthopaedic Surgery University Hospital Giessen and Marburg Department of Orthopaedics and Traumatology Waldburg-Zeil Clinic Tettnang
出 版 物：《World Journal of Orthopedics》 (世界骨科杂志（英文版）)
年 卷 期：2018年第9卷第10期
页 面：210-219页
学科分类：10[医学]
基 金：Supported by A sponsorship from Corin (Corin Group Cirencest United Kingdom)
主 题：Primary hip arthroplasty Long-term results Short stem endoprothesis Prospective follow-up study Stress-shielding
摘 要：AIM To evaluate the clinical and radiological outcome nineand ten years after short-stemmed, bone preserving and anatomical hip arthroplasty with the MiniHip^(TM) system. METHODS In a prospective study, 186 patients underwent hip arthroplasty with a partial neck preserving short stem(MiniHip^(TM), Corin). Elderly patients were not excluded from this study, thus the mean age at the time of surgery was 59.3 years(range 32 to 82 years). Surgery and the follow-up assessments were performed at two Centers. Up until now, the mean follow-up was 112.5 ± 8.2 mo. The Oxford Hip Score(OHS) and the Hip Dysfunction Osteoarthritis and Outcome Score(HOOS) was assessed pre-and each year after surgery. The clinical follow-up was accompanied by standardized a.p. and axial radiological examinations. Periprosthetic lucencies, hypertrophies within the Gruen zones one to fourteen were assessed. A subsidence of the stem was investigated according to Morray and heterotopic ossifications were assessed according to *** The OHS and HOOS improved from 18 ± 3.3 to 46 ± 2.0 and from 30 ± 8.3 to 95 ± 4.6 points, P 0.05). Two stems were revised due to a symptomatic subsidence four and twelve months postoperatively. Thus, the survivorship for aseptic loosening at nine to ten years was 98.66%. Including one stem revision due to a symptomatic exostosis, bursitis and thigh pain as well as one revision because of a septic stem loosening, the overall survival for the stem with revision for any reason was 97.32%. Besides one asymptomatic patient, radiological signs of a proximal stress-shielding, such as bone resorptions within the proximal Gruen zones, were not noticed. Findings suggesting a distal loading, e.g., bony hypertrophies or bone appositions of more than 2 mm, were also not detected. CONCLUSION Regarding these first long-term results on the MiniHip^(TM), the implant performed excee
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