Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Arthroplasty - Hip
Abstract number: 26033
CEMENTLESS TOTAL HIP REPLACEMENT IN PATIENTS OLDER THAN 60
YEARS OF AGE
Octav RUSSU, Ors NAGY, Istvan GERGELY, Tudor Sorin POP
Clinic of Orthopaedics and Traumatology, Targu Mures (ROMANIA)
We reviewed 38 patients (45 hips) who were older than 60 years old in the moment
of cementless total hip replacement (THR). The mean age of patients was 67 years
(60 to 76) and the mean follow-up was 29.1 months (28 to 35). The diagnosis was
primary hip osteoarthritis in 55% of cases, avascular necrosis of femoral head in 12%
of cases and miscellaneous in the rest of the remaining 33% of cases. We used
Corail (DePuy, Johnson and Johnson), Omnifit (Stryker) and Versys (Zimmer) stems
and a variety of cementless acetabular components. Average preoperative Harris hip
score was 57.2 points and average postoperative score at the latest follow-up was
88.7 points. In one hip we found radiolucent line wider than 2 mm in Gruen zones 1
and 7; two patients complained of thigh pain, without any radiographic evidence of
components loosening; one patient sustained a traumatic periprosthetic fracture of
the femur treated with periprosthetic osteosynthesis (cables) 8 months after
operation. One dislocation occured 2 months after surgery and was conservative
treated. Comparison of the mean preoperative and postoperative Harris hip score (at
the latest follow-up) showed a major improvement and demonstrated a good effect of
cementless THR even in an elderly population.
100