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Prospective Randomised Clinical Trial Assessing Subsidence and Rotation, Using Radiostereometric Analysis, of Two Modular Cementless Femoral Stems (Global K2 and Apex)

Overview
Journal J Orthop
Specialty Orthopedics
Date 2014 Aug 9
PMID 25104894
Citations 2
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Abstract

Aims: To accurately assess subsidence, rotation and clinical scores in two cementless femoral stems.

Methods: 260 patients received either K2 or Apex femoral stems and were studied over 2y, with RSA and clinical scores.

Results: Mean Oxford Hip score for both stems was excellent (45.78 and 46.76). Very little subsidence or rotation were noted on RSA in either stem. There were no statistically significant differences in clinical scores, or radiological motion between stems. Revision rate was 0.8% over the study period.

Conclusion: Excellent clinical and RSA scores over the 2y study period predict good long term outcomes for these stems.

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Greater early migration of a short-stem total hip arthroplasty is not associated with an increased risk of osseointegration failure: 5th-year results from a prospective RSA study with 39 patients, a follow-up study.

Floerkemeier T, Budde S, Lewinski G, Windhagen H, Hurschler C, Schwarze M Acta Orthop. 2020; 91(3):266-271.

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References
1.
Onsten I, Nordqvist A, Carlsson A, Besjakov J, Shott S . Hydroxyapatite augmentation of the porous coating improves fixation of tibial components. A randomised RSA study in 116 patients. J Bone Joint Surg Br. 1998; 80(3):417-25. DOI: 10.1302/0301-620x.80b3.7937. View

2.
Karrholm J, Herberts P, Hultmark P, Malchau H, Nivbrant B, Thanner J . Radiostereometry of hip prostheses. Review of methodology and clinical results. Clin Orthop Relat Res. 1997; (344):94-110. View

3.
Campbell D, Mercer G, Nilsson K, Wells V, Field J, Callary S . Early migration characteristics of a hydroxyapatite-coated femoral stem: an RSA study. Int Orthop. 2009; 35(4):483-8. PMC: 3066322. DOI: 10.1007/s00264-009-0913-z. View

4.
Ryd L, Lindstrand A, Stenstrom A, Selvik G . The influence of metal backing in unicompartmental tibial component fixation. An in vivo roentgen stereophotogrammetric analysis of micromotion. Arch Orthop Trauma Surg. 1992; 111(3):148-54. DOI: 10.1007/BF00388089. View

5.
Ryd L, Carlsson L, Herberts P . Micromotion of a noncemented tibial component with screw fixation. An in vivo roentgen stereophotogrammetric study of the Miller-Galante prosthesis. Clin Orthop Relat Res. 1993; (295):218-25. View