دورية أكاديمية
Short versus conventional straight stem in uncemented total hip arthroplasty: functional outcomes up to 5 years and survival up to 12 years: secondary results of a randomized controlled trial
| العنوان: | Short versus conventional straight stem in uncemented total hip arthroplasty: functional outcomes up to 5 years and survival up to 12 years: secondary results of a randomized controlled trial |
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| المؤلفون: | Loes W A H van Beers, Esther Scheijbeler, Jakob van Oldenrijk, Carel H Geerdink, Bob B A M Niers, Nienke W Willigenburg, Rudolf W Poolman |
| المصدر: | Acta Orthopaedica, Vol 95 (2024) |
| بيانات النشر: | Medical Journals Sweden, 2024. |
| سنة النشر: | 2024 |
| المجموعة: | LCC:Orthopedic surgery |
| مصطلحات موضوعية: | Orthopedic surgery, RD701-811 |
| الوصف: | Background and purpose: To date, the mid- and long-term outcomes of the Collum Femoris Preserving (CFP) stem compared with conventional straight stems are unknown. We aimed to compare physical function at a 5-year follow-up and implant survival at an average of 10-year follow-up in an randomized controlled trial (RCT). Methods: This is a secondary report of a double-blinded RCT in 2 hospitals. Patients aged 18–70 years with hip osteoarthritis undergoing an uncemented primary THA were randomized to a CFP or a Zweymüller stem. Patient-reported outcomes, clinical tests, and radiographs were collected at baseline, 2, 3, 4, and 5 years postoperatively. Primary outcome was the Hip disability and Osteoarthritis Outcome Score (HOOS) function in activities of daily living (ADL) subscale. Secondary outcomes were other patient-reported outcomes, clinical tests, adverse events, and implant survival. Kaplan–Meier and competing risk survival analyses were performed with data from the Dutch Arthroplasty Registry. Results: We included 150 patients. Mean difference between groups on the HOOS ADL subscale at 5 years was –0.07 (95% confidence interval –5.1 to 4.9). Overall survival was 92% for the CFP and 96% for the Zweymüller stem. No significant difference was found. Conclusion: No significant differences were found in physical function at 5-year and implant survival at 10-year follow-up between the CFP and Zweymüller stems. When taking cup revisions into account, the CFP group showed clinically inferior survival. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 17453674 1745-3674 1745-3682 |
| Relation: | https://actaorthop.org/actao/article/view/39964; https://doaj.org/toc/1745-3674; https://doaj.org/toc/1745-3682 |
| DOI: | 10.2340/17453674.2024.39964 |
| URL الوصول: | https://doaj.org/article/03c6c4c2f9ae499e9448de73bf6e3d6c |
| رقم الأكسشن: | edsdoj.03c6c4c2f9ae499e9448de73bf6e3d6c |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 17453674 17453682 |
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| DOI: | 10.2340/17453674.2024.39964 |