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Failure of hydroxyapatite-coated acetabular cups. Ten-year follow-up of 85 Landos Atoll arthroplasties.

Failure of hydroxyapatite-coated acetabular cups. Ten-year follow-up of 85 Landos Atoll arthroplasties. Research Abstract Details 

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  • Failure of hydroxyapatite-coated acetabular cups. Ten-year follow-up of 85 Landos Atoll arthroplasties. Abstract Text:

    kuo-an laiKuo-An Lai,wun-jer shenWun-Jer Shen,chyun-hsiang chenChyun-Hsiang Chen,chyun-yu yangChyun-Yu Yang,wen-pin huWen-Pin Hu,guang-liang changGuang-Liang Chang,

    Between March 1990 and May 1991 we performed 85 primary total hip replacements in 74 patients using the Landos Atoll hydroxyapatite (HA)-coated cup and the Corail HA-coated stem. The patients were followed up for a mean of ten years. Of the 85 cups, 26 (31%) have already been revised and a further six are radiologically unstable and awaiting revision. Two femoral stems have been revised for infection without loosening. The retrieved acetabular cups were studied by SEM and image-processing techniques to quantify the amount of residual HA on the cup. This was correlated with the clinical variables and modes of failure. The residual HA (as a percentage of the surface) on the loose cups correlated negatively with the duration of implantation (r = -0.732, p < 0.001). Six cups were stable at revision and had more residual HA coating than those which were loose (p < 0.01). The rate of failure of the Landos Atoll HA-coated, smooth hemispherical cup with screw fixation is unacceptably high. Resorption of the HA coating is markedly increased in loose cups compared with stable cups. HA coating cannot substitute for stable mechanical fixation.

    Failure of hydroxyapatite-coated acetabular cups. Ten-year follow-up of 85 Landos Atoll arthroplasties. Publishing Authors By Initials

    ka laiKA Lai,wj shenWJ Shen,ch chenCH Chen,cy yangCY Yang,wp huWP Hu,gl changGL Chang,

    For similar surgical procedures, operative: reoperation research abstracts see: surgical procedures, operative: reoperation research

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    Failure of hydroxyapatite-coated acetabular cups. Ten-year follow-up of 85 Landos Atoll arthroplasties. Journal Published:

    PUBLICATION TYPE: Research Support, Non-U.S. Gov

    Journal: The Journal of bone and joint surgery. British vol

    VOLUME: 84

    Page Numbers: 641-6

    Journal Abbreviation:

    ISSN: 0301-620X

    DAY: 14

    MONTH: Jul

    YEAR: 2002

    Failure of hydroxyapatite-coated acetabular cups. Ten-year follow-up of 85 Landos Atoll arthroplasties. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 375355

    Failure of hydroxyapatite-coated acetabular cups. Ten-year follow-up of 85 Landos Atoll arthroplasties. Keywords Mesh Terms:

    KEYWORDS: Reoperation

    MESH TERMS: surgery

    Chemical & Substance for Abstract: Failure of hydroxyapatite-coated acetabular cups. Ten-year follow-up of 85 Landos Atoll arthroplasties. Information

    Substance Name: Durapatite

    Registry Number: 1306-06-5

    Grant and Affiliation Information for Failure of hydroxyapatite-coated acetabular cups. Ten-year follow-up of 85 Landos Atoll arthroplasties.

    AFFILIATION: National Cheng Kung University Medical Centre and the Institute of Biomedical Engineering, Tainan, Taiwan.

    Country: England

    England Research PublicationEngland Research Publication

    AGENCY:

    GRANT:

    ACRONYM:

    MEDLINETA: J Bone Joint Surg Br

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    Failure of hydroxyapatite-coated acetabular cups Ten-year follow-up of 85 Landos Atoll arthroplasties Related Publications

     

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