RT Journal Article
SR Electronic
T1 The cementless anatomic medullary locking femoral component: an independent clinical and radiographic assessment
JF Canadian Journal of Surgery
JO CAN J SURG
FD Canadian Medical Association
SP 389
OP 392
VO 39
IS 5
A1 David G. Chess
A1 R. Wayne Grainger
A1 Tom Phillips
A1 Zane D. Zarzour
A1 Bruce R. Sheppard
YR 1996
UL http://canjsurg.ca/content/39/5/389.abstract
AB Objective: To review the clinical performance of the anatomic medullary locking (AML) femoral stem in total hip arthroplasty.Design: A clinical and radiographic review.Setting: A tertiary lower limb joint replacement centre.Patients: Two hundred and twenty-one patients with noninflammatory gonarthrosis.Interventions: Two hundred and twenty-seven primary total hip arthroplasties with the noncemented AML component completed by two surgeons.Main Outcome Measures: Independent review by two experienced reviewers of the postoperative Harris hip score, radiographs of component fixation, size and degree of diaphyseal fill.Results: Harris hip score was 84 (range from 43 to 98); component fixation showed bone ingrowth in 41%, stable fixation with fibrous ingrowth in 56% and unstable fixation in 3%; severe thigh pain in 4% of cases correlated with unstable fixation, and there was mild thigh pain in 20% of cases.Conclusion: The AML femoral stem performs well in replacement arthroplasty compared with other noncemented stems.