Logo of The Journal of Bone & Joint Surgery (Br)
Quick search:        
          Advanced Search
Guest Access | Sign In
Journal of Bone and Joint Surgery - British Volume, Vol 84-B, Issue 6, 825-831.
doi: 10.1302/0301-620X.84B6.13004  
Copyright © 2002 by British Editorial Society of Bone and Joint Surgery
This Article
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow My Folders
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by van Doorn, W. J.
Right arrow Articles by Verhaar, J. A. N.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by van Doorn, W. J.
Right arrow Articles by Verhaar, J. A. N.

Migration of the femoral stem after impaction bone grafting

FIRST RESULTS OF AN ONGOING, RANDOMISED STUDY OF THE EXETER AND ELITE PLUS FEMORAL STEMS USING RADIOSTEREOMETRIC ANALYSIS

W. J. van Doorn, MD1; B. L. E. F. ten Have, MD1; F. C. van Biezen, MD, Consultant Orthopaedic Surgeon1; W. C. J. Hop, PhD, Statistician1; A. Z. Ginai, MD, PhD, Radiologist1; and J. A. N. Verhaar, MD, PhD, Professor of Orthopaedic Surgery1

1 Department of Orthopaedics, Dijkzigt Hospital, PO Box 2040, 3000 CA Rotterdam, The Netherlands

Correspondence should be sent to Dr F. C. van Biezen.

We report the initial results of an ongoing randomised, prospective study on migration of the Exeter and Elite Plus femoral stems after impaction allografting, as measured by radiostereometry.

Clinically, the impaction technique gave good results for both stems. The mean subsidence in the first year was 1.30 mm and 0.20 mm for the Exeter and the Elite Plus stems, respectively. In the second year, the Exeter stem continued to subside further by a mean of 0.42 mm, while the Elite Plus stem did not do so. Subsidence of the Exeter stem correlated with deficiency of bone stock as graded on the Gustilo and Pasternak scale. This correlation was not found for the Elite Plus stem. None of the other parameters which were studied predisposed to subsidence. There was no significant association between the amount of subsidence and the radiological appearance of the graft for either stem. Our findings do not support the theory that radial compression, due to subsidence of the Exeter stem, is the essential stimulus for remodelling in impaction allografting.




This article has been cited by other articles:


Home page
 J Bone Joint Surg BrHome page
L. Kerboull, M. Hamadouche, and M. Kerboull
Impaction grafting in association with the Charnley-Kerboull cemented femoral component: OPERATIVE TECHNIQUE AND TWO- TO 16-YEAR FOLLOW-UP RESULTS
J Bone Joint Surg Br, March 1, 2009; 91-B(3): 304 - 309.
[Abstract] [Full Text] [PDF]

Home page
 J Bone Joint Surg BrHome page
M. Hassaballa, S. Mehendale, S. Poniatowski, G. Kalantzis, E. Smith, and I. D. Learmonth
Subsidence of the stem after impaction bone grafting for revision hip replacement using irradiated bone
J Bone Joint Surg Br, January 1, 2009; 91-B(1): 37 - 43.
[Abstract] [Full Text] [PDF]


(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General