28-164
Artroplastia total de cadera no cementada Resultados a corto plazo con los componentes femorales de los modelos poro-palcar y PCA
UNCEMENTED TOTAL HIP ARTHROPLASTY. SHORT-TERM RESULTS WITH THE FEMORAL COMPONENT OF PORO-PALCAR AND PCA MODELS
R. CRESPO ROMERO y A. LOPEZ ALONSO Cátedra de Cirugía Ortopédica y Traumatología. Facultad de Medicina de la Universidad de Alcalá de Henares. Hospital Universitario «Príncipe de Asturias». Alcalá de Henares. Madrid.
Recepción:
13/01/2009
Aceptación:
13/01/2009
Publicación:
13/01/2009
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Resumen (ES)
The clinical and roentgenographic short-term results regarding femoral componentof 62 non cemented total hip arthroplasties were evaluated. In 33 cases PORO-PALCARmodel were implanted and in 29 cases PCA model were implanted. The average age of patientswas 62 years (sd = 9,6). The average follow-up was 2 years, ranging from 1,5 to 3 years.Clinical assesment was performed using the Harris' score. The total end score reached 88,7points (sd = 6,9) for the PCA model and 83,5 points (sd = 13,2) for the PORO-PALCAR model.Excellent clinical results (80 to 100 points) were found in 9 3% of the patients with PCA modeland in 67% of those with the PORO-PALCAR model (p<0,01). Pain was removed in morethan 90% of the cases independently of the femoral model implanted. As for radiologic results,PORO-PALCAR model presented an average vertical subsidence of 1,73 mm (p<0,05). Radiolucentlines were not detected in 80% of PCA models and in 48% of PORO-PALCAR modelsaround porous-surfaced (p < 0,01). In more of 75% of PORO-PALCAR models were observedradiolucent lines untill 2 mm of density in lower zones, and in 2 1% of cases radiolucent lineswas greater than 2 mm around of stem apex. Two cases of PORO-PALCAR stem presentedsings of aseptic loosening. Fixation and osteointegration seems to be better for the femoralcomponent of PCA model than for the PORO-PALCAR stem.
Palabras clave (ES):
No
Cementada
PCA
Prótesis
Vástago
Femoral
Artroplastia
Total
Cadera
Resumen (EN)
The clinical and roentgenographic short-term results regarding femoral componentof 62 non cemented total hip arthroplasties were evaluated. In 33 cases PORO-PALCARmodel were implanted and in 29 cases PCA model were implanted. The average age of patientswas 62 years (sd = 9,6). The average follow-up was 2 years, ranging from 1,5 to 3 years.Clinical assesment was performed using the Harris' score. The total end score reached 88,7points (sd = 6,9) for the PCA model and 83,5 points (sd = 13,2) for the PORO-PALCAR model.Excellent clinical results (80 to 100 points) were found in 9 3% of the patients with PCA modeland in 67% of those with the PORO-PALCAR model (p<0,01). Pain was removed in morethan 90% of the cases independently of the femoral model implanted. As for radiologic results,PORO-PALCAR model presented an average vertical subsidence of 1,73 mm (p<0,05). Radiolucentlines were not detected in 80% of PCA models and in 48% of PORO-PALCAR modelsaround porous-surfaced (p < 0,01). In more of 75% of PORO-PALCAR models were observedradiolucent lines untill 2 mm of density in lower zones, and in 2 1% of cases radiolucent lineswas greater than 2 mm around of stem apex. Two cases of PORO-PALCAR stem presentedsings of aseptic loosening. Fixation and osteointegration seems to be better for the femoralcomponent of PCA model than for the PORO-PALCAR stem.
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