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Implant migration after early weightbearing in cementless hip replacement
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2005 (English)In: Clinical Orthopaedics and Related Research, ISSN 0009-921X, no 436, 132-137 p.Article in journal (Refereed) Published
Abstract [en]

Twenty-nine patients (five women and 24 men) with an average age of 47 years (range, 24-59 years) had 37 total hip arthroplasties using a hydroxyapatite-coated double-wedge press-fit femoral component. All patients had a Type A bone quality. Patients were either mobilized with weightbearing as tolerated or toe-touch weightbearing for 6 weeks postoperatively. After 6 weeks all patients were advanced to weightbearing as tolerated. Radiostereometric analysis radiographs were taken at 3 days, 6 weeks, and 6 months postoperatively to measure migration of the femoral component. Radiostereometric analysis revealed no difference in stem migration between the two groups as defined by maximal total point migration. There was a difference in the vertical (proximal-distal) migration within the first 6 weeks between groups (0.81 mm versus 0.13 mm), but not afterwards (0.17 mm versus 0.18 mm). Continuous migration after 6 weeks was observed in three patients from each group. There was no loosening in either group within a 2-year followup. Weightbearing as tolerated is recommended for young patients with excellent bone quality after cementless total hip arthroplasty with a double-wedge press-fit femoral component. Level of Evidence: Diagnostic study, Level I (testing of previously developed diagnostic criteria in series of consecutive patients-with previously applied reference gold standard). See the Guidelines for Authors for a complete description of levels of evidence.

Place, publisher, year, edition, pages
2005. no 436, 132-137 p.
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Medical and Health Sciences
URN: urn:nbn:se:liu:diva-46104DOI: 10.1097/ diva2:267000
Available from: 2009-10-11 Created: 2009-10-11 Last updated: 2011-01-12

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Palm, LarsRyd, Leif
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Faculty of Health SciencesOrthopaedics and Sports Medicine Department of Orthopaedics Linköping
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Clinical Orthopaedics and Related Research
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