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Official Journal of the Italian Society of Orthopaedics and Traumatology

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Duofit total hip arthroplasty: a medium- to long-term clinical and radiographic evaluation

Abstract

We report the retrospective analysis of 716 cases of Duofit total hip arthroplasty performed from 1994 to 2005. Since 2004, both standard and lateralized stems were used, while previously only the standard type was available. The results show a low occurrence of complications and a good medium-to long-term survival. The good functional outcome, measured with the Harris hip score, confirms the validity of the prosthetic design and materials.

References

  1. Massin P, Geais L, Astoin E et al (2000) The anatomic basis for the concept of lateralized femoral stems. A frontal plane radiographic study of the proximal femur. J Arthroplasty 15:93–101

    Article  PubMed  Google Scholar 

  2. Noble PC, Alexander JW, Lindahl LJ et al (1988) The anatomic basis of femoral component design. Clin Orthop Relat Res 235:148–165

    PubMed  Google Scholar 

  3. Yanagimoto S (1991) Basic study of cementless hip prosthesis design: analysis of the proximal emur in Japanese patients with osteoarthritis of the hip. Nippon Seikeigeka Gakkai Zasshi 65:731–744

    PubMed  Google Scholar 

  4. Abraham WD, Dimon JH III (1992) Leg length discrepancy in total hip arthroplasty. Orthop Clin North Am 23:201–209

    PubMed  Google Scholar 

  5. Steimberg B, Harris WH (1992) The offset problem in total hip arthroplasty. Contemp Orthop 24:556–562

    Google Scholar 

  6. Davey JR, O’Connor DO, Burke DW, Harris WH (1993) Femoral component offset: its effect on strain in bonecement. J Arthroplasty 8:23–26

    Article  PubMed  Google Scholar 

  7. Sakalkale DP, Sharkey PF, Eng K et al (2001) Effect of femoral component offset on polyethylene wear in total hip arthroplasty. Clin Orthop Relat Res 388:125–134

    Article  PubMed  Google Scholar 

  8. Sakalkale DP, Lombardi AV Jr, Mallory TH, Fada RA (2000) Correlation between prosthetic offset and polyethylene wear in total hip arthroplasty. In: 67th Annual meeting of the American Academy of Orthopaedic Surgeons, 15–19 March, Orlando, Florida

  9. Fackler CD, Poss R (1980) Dislocation in total hip arthroplasties. Clin Orthop 151:169–178

    PubMed  Google Scholar 

  10. Charnley J (1979) Biomechanics in low friction arthroplasty of the hip. Springer, Berlin Heidelberg New York

    Book  Google Scholar 

  11. Hardinge K (1982) The direct lateral approach to the hip. J Bone Joint Surg Br 64:17

    PubMed  Google Scholar 

  12. Mahoney OM, Chamnongkich S, Asayama I, Simpson KJ, Kinsey T (2005) The effects of femoral offset on hip abductor muscle strength and gait stability after THA. Presented at: the AAOS, 72nd Annual Meeting, 23–27 February 2005, Washington DC

  13. McGrory BJ, Morre BF, Cahalan TD et al (1995) Effect of femoral offset on range of motion and abductor muscle strength after THA. J Bone Joint Surg Br 77:865–869

    PubMed  Google Scholar 

  14. Incavo SJ, Havener T, Benson E et al (2004) Efforts to improve cementless femoral stems in THR. 2-to 5-Year follow-up of a high-offset femoral stem with distal stem modification (Secur-Fit Plus). J Arthroplasty 19:61–67

    Google Scholar 

  15. Randelli G, Randelli P, Romanò C, Visentin O (2000) L’accoppiamento metallo-metallo: oggi e domani. G Ital Ortop Traum 26[Suppl 1]:583–591

    Google Scholar 

  16. Gualtieri G, Calderoni P, Ferruzzi A et al (2000) L’accoppiamento ceramicaceramica: l’esperienza italiana. G Ital Ortop Traum 26[Suppl 1]:586–591

    Google Scholar 

  17. Widmer, KH, Zurfluh B (2004) Compliant positioning of total hip components for optimal range of motion. J Orthop Res 22:815–821

    Article  PubMed  Google Scholar 

  18. Laurenza F, Lispi A, Ruo R (2001) Angolo cervico-diafisario e off-set femorale: indici qualificanti nella biomeccanica della protesi d’anca. G Ital Ortop Traum 27:168–172

    Google Scholar 

  19. Sakai T, Sugano N, Ohzono K et al (2002) Femoral anteversion, femoral offset, and abductor lever arm after total hip arthroplasty using a modula femoral neck system. J Orthop Sci 7:62–67

    Article  PubMed  Google Scholar 

  20. Ranawat CS, Rajesh RR, Rodriguez JA, Bhende HS (2001) Correction of limb-length inequality during total hip arthroplasty. J Arthroplasy 16:715–720

    Article  Google Scholar 

  21. Lindgren JU, Rysavy J (1992) Restoration of femoral offset during hip replacement. A radiographic cadaver study. Acta Orthop Scand 63:407–410

    Article  PubMed  Google Scholar 

  22. Konyves A, Bannister GC (2005) The importance of leg length discrepancy after total hip arthroplasty. J Bone Joint Surg Br 87:155–157

    Article  PubMed  Google Scholar 

  23. Bergman G, Craichen F, Rohlman A (1993) Hip joint loading during walking and running, measured in two patients. J Biomechanics 26:969–990

    Article  Google Scholar 

  24. Kleemann RU, Heller MO, Stoeckle U et al (2003) THA loading arising from increased femoral anteversion and offset may lead to critical cement stresses. J Orthopaedic Res 21:767–774

    Article  Google Scholar 

  25. Cahalan TD, Johnson ME, Liu S, Chao EY (1989) Quantitative measurement of hip strength in different age groups. Clin Orthop Relat Res 246:136–145

    PubMed  Google Scholar 

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Correspondence to F. De Palma.

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De Palma, F., Erriquez, A., Rossi, R. et al. Duofit total hip arthroplasty: a medium- to long-term clinical and radiographic evaluation. J Orthopaed Traumatol 8, 117–122 (2007). https://doi.org/10.1007/s10195-007-0164-y

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  • DOI: https://doi.org/10.1007/s10195-007-0164-y

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