Early Learning Experience with a Neck Stabilized THA Stem for Treating Osteoarthritis
Total hip arthroplasty is one of the most effective orthopaedic procedures with a very high success rate as measured by pain relief, improved function and patient satisfaction. However, since the introduction of total hip arthroplasty in the 1940s, a range of design philosophies for femoral components have demonstrated variable clinical results. Aseptic loosening, joint dislocation, thigh pain, bone resorption and femoral component failure have been some of the complications that plague this procedure.1,2 The past few years has seen an influx of so-called short stems with very little clarification as to design features, required surgical technique and long-term clinical outcomes. Most devices, meet with some level of learning curve and most systems do little in the way of warning new surgeons as to the perils and pitfalls during the initial surgical phase. This paper is designed to review the lessons learned during the first year of surgical experience with a new neck stabilized implant stem.1,2,3,4
McTighe, T., et. al. “Design Considerations for Cementless THA” Encyclopedic Handbook of Biomaterials & Bioengineering, Part B, Applications Vol1, Marcel Dekker, Inc. 1995 pp. 587-609
McTighe, T., et. al., “A New Approach to Neck Sparing THA Stem” AAOS Poster 32- March 2008, San Francisco, CA
McTighe, T., et. al. “Neck Sparing Total Hip Arthroplasty-Lessons Learned” International Osteoporosis Foundation, May 2010, Florence Italy, Poster Exhibit
McTighe, T., Stulberg, S.D., “Lessons Learned: Tissue Sparing THA” Mini-Symposium held prior-to AAHKS 20th Annual Meeting, November 5, 2010, Dallas, TX.
Corbett, KL, Losine, E., et. al., (2010) “Population-Based Rates of Revision of Primary THA: A Systematic Review” www.plosone.org/article
Bechtol, C.O., “Failure of Femoral Implant Components In Total Hip Replacement Operations” Ortho Rev. Vol. IV, No. XI, Nov. 1975
Bechtol, C.O., “The many Faces of Total Hip Replacement” Ortho. Rev. Vol. III, No. 4, 1974
Freeman, M.A.R., et. al., “Cementless Fixation of Prosthetic Components in Total Hip Arthroplasty in The Young Patient with Degenerative Hip Disease”
McTighe, T., “Reference Book on Total Hip Modularity” third edition, JISRF pub. Jan. 2009 www.jisrf.org
“Metal on Metal Bearings in THA-Surgeon Interview”, May 2010 www.jisrf.org/activities/052010.htm
“British Orthopaedic Association: Advise to Patients with Metal On Metal Hips” www.jisrf.org/activities/052010.htm
Kutz, S., et.al., “Projections of Primary and Revision Hip and Knee Arthroplasty in the United Staes from 2005 to 2030” The Journal of Bone & Joint Surgery, Vol. 89, Issue 4, April 1, 2007.
Brazil, D., McTighe T., “FEA Analysis of the TSI™ Neck Stabilized Stem” Oral Paper Mini Symposium Held prior to AAHKS 20th Annual Meeting, November 5, 2010 jisrf.org/joint_replacement_video_publications.htm
Copyright (c) 2014 Timothy McTighe, Dr. H.S. (hc), Charles Bryant, MD, Declan Brazil, PhD, John Keggi, MD, Louis Keppler, MD
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