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Year 2011 Vol. 19 No 6

TRAUMATOLOGY AND ORTHOPEDICS

A.P. MASLOV, E.A. RUTSKAYA,

X-RAY ASSESSMENT OF THE BONE TISSUE PERIPROSTHETIC REACTION AT THE STABLE FEMORAL COMPONENTS OF SLPS ENDOPROSTHESIS

Objectives. To study X-ray parameters of the bone remodeling around the stable femoral components of the hip joint cementless fixation endoprosthesis of SLPS system.
Methods. The analysis of 230 digital X-rays was performed with the average terms of observation composing 7 years after the hip endoprosthesis of SLPS system implanting with the presence of components stable fixation.
Results. It was established that bone tissue adaptation is characterized by the equable contact with the endoprosthesis surface with lack of resorption lines in 80, 9% of observations and the opposition bone growth in 97, 3%. Local areas of the prosthesis connection with the diaphysis cortical layer were revealed in 64, 3% cases and in 70, 3% of cases they were localized around the distal part of the component. Bone tissue growing into the porous titanium inserts were revealed in the form of parallel lines of the bone balks condensation in 98% of observations.
Conclusions. The research results testify to the efficacy of endoprosthesis of SLPS system in loading redistribution and periprosthetic bone tissue saving.

Keywords: endoprosthesis, bone tissue, remodeling
p. 82 – 87 of the original issue
References
  1. Осложнения при эндопротезировании тазобедренного сустава / В. А. Филиппенко [и др.] // Ортопедия, травматология и протезирование. – 2010. – № 2. – С. 11-16.
  2. Dattani, R. Femoral osteolysis following total hip replacement / Postgrad. Med. J. – 2007. – Vol. 83, N 979. – P. 312-316.
  3. Medium- and long-term performance of 11516 uncemented primary femoral stems from the Norwegian arthroplasty register/ G. Hallan [et al.] // J. Bone Joint Surg. [Br.]. – 2007. – Vol. 89, N 12. – P. 1574-1580.
  4. Mechanical compatibility of noncemented hip prostheses with the human femur / A. R. Dujovne [et al.] // J. Arthroplasty. – 1993. – Vol. 8, N 7. – P. 22.
  5. Engh, C. A. Porous coated hip replacement: the factors governing bone ingrowth, stress shielding, and clinical results / C. A. Engh, J. D. Bobyn, A. H. Glassman // J. Bone Joint Surg. Br. – 1987. – Vol. 69. – P. 45-55.
  6. Engh, C. A. The influence of stem size and extent of porous coating on femoral bone resorption after primary cementless hip arthroplasty / C. A. Engh, J. D. Bobyn // Clin. Orthop. Relat Res. – 1988. – Vol. 231. – P. 7-28.
  7. Clinical consequences of stress-shielding after porous-coated hip arthroplasty: a mean 14 year follow-up / C. A. Jr. Engh [et al.] // Clin. Orthop. Relat. Res. – 2003. – Vol. 417. – P. 157-163.
  8. Van Rietbergen, B. Load transfer and stress shielding of the hydroxyapatite-ABG hip / B. Van Rietbergen, R. Huiskes // J. Arthroplasty. – 2001. – Vol. 16. – P. 55-63.
  9. Маслов, А. П. К вопросу эндопротезирования тазобедренного сустава / А. П. Маслов // Ортопедия, травматология и протезирование. – 2008. – № 2. – P. 10-14.
  10. Gruen, T. A. Modes of failures of cemented stem-type femoral components: a radiographic analysis of loosening / T. A. Gruen, G. M. McNeice, H. C. Amstutz // Clin. Orthop. – 1979. – Vol. 141. – P. 17-27.
  11. Producing and avoiding stress shielding: laboratory and clinical observations of noncemented total hip arthroplasty / J. D. Bobyn [et al.] // Clin. Orthop. Relat Res. – 1992. – Vol. 274. – P. 79-96.
  12. Руцкий, А. В. Биологическая интеграция эндопротеза тазобедренного сустава Руцкого / А. В. Руцкий, А. П. Маслов // Медицина. – 2001. – № 4 (35). – С. 34-35.
  13. A. Bilateral total hip arthroplasty comparing hydroxyapatite coating to porous-coated fixation / L. Dorr [et al.] // J. Arthroplasty. – 1998. – Vol. 13. – P. 729-736.
  14. Mon, M. A. Proximally coated ingrowth prostheses / M. A. Mont, D. S. Hungerford // Clin. Orthop. Relat. Res. – 1997. – Vol. 344. – P. 139-149.
  15. Clinical outcome and quantitative evaluation of periprosthetic bone-remodeling of an uncemented femoral component with taper design. A prospective study / R. P. Pitto [et al.] // Chir. Organi. Mov. – 2001. – Vol. 86, N 2. – P. 87-97.
  16. Kang, J. S. The effect of diaphyseal biologic fixation on clinical results and fixation of the APR-II stem / J. S. Kang, L. D. Dorr, Z. Wan // J. Arthroplasty. – 2000. – Vol. 15, N 6. – P. 730-735.
  17. Midterm results of the Synergy cementless tapered stem: stress shielding and bone quality / T. Nishino [et al.] // J. Orthop. Sci. – 2008. – N 13, N 6. – P. 498-503.
  18. Long-term clinical consequences of stress-shielding after total hip arthroplasty without cement / W. D. Bugbee [et al.] // J. Bone Joint Surg. [Am]. – 1997. – Vol. 79-A. – P. 1007-1012.
  19. Radiographic comparison of diaphyseal grit blasted with smooth surface stems by matched pair analysis / B. Min [et al.] // Clin. Orthop. Relat. Res. – 2000. – Vol. 81. – P. 156-167.
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