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Mid-term clinical outcomes of the uncemented Robert Mathys pressfit cup

World Journal of Clinical Cases 2024年第19期12卷 3684-3691页

作者： kishan.ritek ramsodit Inger N Sierevelt Esther R C Janssen Sjoerd Kaarsemaker Daniël Haverkamp Department of Orthopedic Surgery Xpert Clinics AmsterdamAmsterdam 1101EANorth-HollandNetherlands Department of Orthopedic Spaarne Gasthuis AcademyHoofddorp 2134 TMNetherlands Department of Orthopaedic Surgery Viecuri Medical CentreVenlo 5912 BLNetherlands Department of Orthopaedic Surgery Viecuri Medisch CentrumVenlo 5912 BLNetherlands

BACKGROUND The use of uncemented cups during total hip arthroplasty(THA)has gained popularity in recent *** Robert Mathys(RM)pressfit cup,an uncemented monoblock implant is expected to preserve bone density due to its composition and external surface,while reducing backside wear with its monoblock *** factors should lead to a high survival rate of the *** To evaluate the mid-term survival and functional outcome of the RM Pressfit cup in a large study *** Between 2011 and 2020,we included 1324 patients receiving a primary THA using the RM pressfit *** clinical follow-up was performed at 2 years postoperatively with the Dutch arthroplasty register used to assess implant status *** for acetabular failure and reason for revision were reported to evaluate implant survival,while the hip disability and osteoarthritis outcome score(HOOS)scores were used to assess functional *** The mean age at surgery was 64.9 *** mean follow-up was 4.6 *** the 1324 THAs performed,13 needed cup revisions within 5 years after index THA:5 due to aseptic loosening,6 due to infection,2 due to dislocation and 2 due to other *** resulted in a 5-year cup survival of 98.8%(95%CI:98.1-99.5).Nine of the cup revisions occurred within the first year after index *** scores increased significantly in all domains during the first year and levelled out during the second *** In the present study,the RM pressfit cup demonstrated excellent clinical outcomes at mid-term follow-up;however,future studies are needed to assess the long-term outcomes of this acetabular implant.

关键词： Total hip arthroplasty Uncemented RM pressfit cup Hip osteoarthritis Cup revision Pressfit Aseptic loosening

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