Thigh Pain Occurrence Rate in a Short, Tapered, Porous, Proximally-Coated Cementless Femoral Stem - Clinical and Radiological Results at 2-Year Follow-Up

Authors

  • Michele Ulivi IRCCS Istituto Ortopedico Galeazzi Milano, Italy
  • Luca Claudio Orlandini IRCCS Istituto Ortopedico Galeazzi Milano, Italy
  • Peter Fennema AMR Advanced Medical Research GmbH, Männedorf, Switzerland
  • Valentina Meroni IRCCS Istituto Ortopedico Galeazzi Milano, Italy
  • Daniele Castoldi Residency program in Orthopedics and Traumatology, University of Milan, Italy

DOI:

https://doi.org/10.15438/rr.7.1.167

Keywords:

hip osteoarthritis, osseointegration, radiographic evaluation, short stem prosthesis, thigh pain, total hip arthroplasty

Abstract

Abstract

Introduction:

Short stems have been designed with the purpose of preserving bone tissue, decreasing the incidence of thigh pain and facilitating surgical techniques. The aim of our study was to assess whether a shortened tapered conventional stem was able to reduce the incidence of thigh pain.

Methods:

Between March 2010 and December 2012, 200 patients were enrolled in the study. Visual analogue scale (VAS) that included mapping of the pain, Harris Hip Score (HHS), Short Form-12 (SF-12) and radiographic outcomes were evaluated prior to surgery as well as at 6, 12 and 24 months post-operatively.

Results:

After 6 months, 6 patients (3%) had thigh pain. After 12 months, 3 patients (1.5%) complained about thigh pain. After 2 years, 2 patients (1%) had thigh pain. There was no correlation between pain and clinical, radiological, or demographic variables.

Conclusion:

The shortened tapered conventional stem resulted in a lower incidence of thigh pain for up to 2-years following surgery, compared with conventional or other short stems.

References

References

Dorr LD. The appeal of the mini-incision. Orthopedics. 2004;27(9):937-8.

Sculco TP, Jordan LC. The mini-incision approach to total hip arthroplasty. Instr Course Lect. 2004;53:141-7.

Kalteis T, Handel M, Herold T, Perlick L, Baethis H, Grifka J. Greater accuracy in positioning of the acetabular cup by using an image-free navigation system. Int Orthop. 2005;29(5):272-6.

Learmonth ID. Conservative stems in total hip replacement. Hip Int. 2009;19(3):195-200.

Rometsch E, Bos PK, Koes BW. Survival of short hip stems with a "modern", trochanter-sparing design - a systematic literature review. Hip Int. 2012;22(4):344-54.

DiGioia AM, 3rd, Blendea S, Jaramaz B, Levison TJ. Less invasive total hip arthroplasty using navigational tools. Instr Course Lect. 2004;53:157-64.

Healy WL, Tilzey JF, Iorio R, Specht LM, Sharma S. Prospective, randomized comparison of cobalt-chrome and titanium trilock femoral stems. J Arthroplasty. 2009;24(6):831-6.

Burt CF, Garvin KL, Otterberg ET, Jardon OM. A femoral component inserted without cement in total hip arthroplasty. A study of the Tri-Lock component with an average ten-year duration of follow-up. J Bone Joint Surg Am. 1998;80(7):952-60.

Teloken MA, Bissett G, Hozack WJ, Sharkey PF, Rothman RH. Ten to fifteen-year follow-up after total hip arthroplasty with a tapered cobalt-chromium femoral component (tri-lock) inserted without cement. J Bone Joint Surg Am. 2002;84-A(12):2140-4.

Khanuja HS, Banerjee S, Jain D, Pivec R, Mont MA. Short bone-conserving stems in cementless hip arthroplasty. J Bone Joint Surg Am. 2014;96(20):1742-52.

Barrack RL, Paprosky W, Butler RA, Palafox A, Szuszczewicz E, Myers L. Patients' perception of pain after total hip arthroplasty. J Arthroplasty. 2000;15(5):590-6.

Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg Am. 1969;51(4):737-55.

Ware J, Jr., Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34(3):220-33.

Dorr LD, Faugere MC, Mackel AM, Gruen TA, Bognar B, Malluche HH. Structural and cellular assessment of bone quality of proximal femur. Bone. 1993;14(3):231-42.

Swanson RL, Evarts CM. Dual-lock total hip arthroplasty. A preliminary experience. Clin Orthop Relat Res. 1984(191):224-31.

Brooker AF, Bowerman JW, Robinson RA, Riley LH, Jr. Ectopic ossification following total hip replacement. Incidence and a method of classification. J Bone Joint Surg Am. 1973;55(8):1629-32.

Barreca S, Ciriaco L, Ferlazzo M, Rosa MA. Mechanical and biological results of short-stem hip implants: consideration on a series of 74 cases. Musculoskelet Surg. 2015;99(1):55-9.

Kim YH, Kim JS, Joo JH, Park JW. A prospective short-term outcome study of a short metaphyseal fitting total hip arthroplasty. J Arthroplasty. 2012;27(1):88-94.

Kim YH, Kim JS, Oh SH, Kim JM. Comparison of porous-coated titanium femoral stems with and without hydroxyapatite coating. J Bone Joint Surg Am. 2003;85-A(9):1682-8.

Min BW, Song KS, Bae KC, Cho CH, Kang CH, Kim SY. The effect of stem alignment on results of total hip arthroplasty with a cementless tapered-wedge femoral component. J Arthroplasty. 2008;23(3):418-23.

Pellegrini VD, Jr., Hughes SS, Evarts CM. A collarless cobalt-chrome femoral component in uncemented total hip arthroplasty. Five- to eight-year follow-up. J Bone Joint Surg Br. 1992;74(6):814-21.

Lavernia C, D'Apuzzo M, Hernandez VH, Lee DJ. Patient-perceived outcomes in thigh pain after primary arthroplasty of the hip. Clin Orthop Relat Res. 2005;441:268-7

Albers A, Aoude AA, Zukor DJ, Huk OL, Antoniou J, Tanzer M. Favorable Results of a Short, Tapered, Highly Porous, Proximally Coated Cementless Femoral Stem at a Minimum 4-Year Follow-Up. J Arthroplasty. 2016;31(4):824-9.

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Published

2017-04-17

How to Cite

Ulivi, M., Orlandini, L. C., Fennema, P., Meroni, V., & Castoldi, D. (2017). Thigh Pain Occurrence Rate in a Short, Tapered, Porous, Proximally-Coated Cementless Femoral Stem - Clinical and Radiological Results at 2-Year Follow-Up. Reconstructive Review, 7(1). https://doi.org/10.15438/rr.7.1.167

Issue

Vol. 7 No. 1 (2017)

Section

Original Article

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Copyright (c) 2017 Michele Ulivi, Luca Claudio Orlandini, Peter Fennema, Valentina Meroni, Daniele Castoldi

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