Femoral Revision with an Extensively Hydroxyapatite-Coated Femoral Component

Lawrence V. Gulotta, MD
Deaprtment of Orthopaedic Surgery, Hospital for Special Surgery

Andreas Baldini, MD
Deaprtment of Orthopaedic Surgery, Hospital for Special Surgery

Kristin Foote, MEd
Deaprtment of Orthopaedic Surgery, Hospital for Special Surgery

Stephen Lynman, PhD
Deaprtment of Orthopaedic Surgery, Hospital for Special Surgery

Bryan J. Nestor, MD
Deaprtment of Orthopaedic Surgery, Hospital for Special Surgery


Abstract
Between December 1996 and April 2003, 26 consecutive femoral component revisions in 24 patients were performed with an extensively hydroxyapatite-coated femoral stem. Two patients were lost to follow-up, and two patients died of unrelated causes. Of the 22 femoral revisions in 20 patients, there was a 0% incidence of mechanical loosening at average follow-up of 3.2 years (26.3 years). The Harris Hip Score improved from 59 (36 to 83) to 95 (84 to 100) postoperatively (p<0.001). Rate of revision was 18.2% (4.5% for sepsis, 9.1% for instability, and 4.5% for polyethelene wear). All 22 femoral components had evidence of bone ingrowth. The extensively coated hydroxyapatite stem in this series produced excellent clinical results with a low incidence of thigh pain (4.5%) and severe stress shielding (4.5%).

This article appears in HSS Journal: Volume 4, Number 1.
View the full article at springerlink.com.


About the HSS Journal
HSS Journal, an academic peer-reviewed journal, is published twice a year, February and September, and features articles by internal faculty and HSS alumni that present current research and clinical work in the field of musculoskeletal medicine performed at HSS, including research articles, surgical procedures, and case reports.


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