Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_
Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_ Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_
Poster Topic: Arthroplasty - Hip Abstract number: 23707 OPTIMAL BEARING SURFACES FOR TOTAL HIP REPLACEMENT IN THE YOUNG, ACTIVE PATIENTS Vijay SHETTY Hiranandani Orthopaedic Medical Education (HOME), Mumbai (INDIA) Although there is general consensus about the efficacy of total hip replacement (THR) in young patients, the most appropriate bearings in young patients remain highly debated. The three most popular bearings in use include metal-on-poly (MOP), metal-on-metal (MOM) and ceramic-on-ceramic (COC). We conducted a systematic review and meta-analysis of literature to summaries the best available evidence on relative success of the three most popular bearings used in THR in young active patients. Our findings support the use of MOM bearings in the management of the young arthritic hip. These findings, largely based upon observational studies should be taken in context to the limitations of such non-randomized study designs. 20
Poster Topic: Arthroplasty - Hip Abstract number: 23717 FOUR YEAR FOLLOW UP RESULTS OF PINNACLE METAL ON METAL TOTAL HIP REPLACEMENT AT A DISTRICT GENERAL HOSPITAL Sandeep TIWARI, Umesh NAGARE, Govind SINGHANIA Grantham & District Hospital, Grantham (UNITED KINGDOM) Introduction: Metal-on-metal cementless total hip replacement (THR) has been widely used as an alternative to cemented total hip arthroplasty. It has several benefits including greater range of motion and reduced risk of dislocation. We performed a study in our hospital to find out 4-year follow-up clinical results of uncemented hips operated between June 2005-June 2009 with an emphasis on 2 year follow up results of cementless pinnacle implants.Patients & Methods: The medical records of 73 consecutive patients who underwent cementless THR between June 2005 and June 2009 were evaluated retrospectively. The clinical data including implant used and post-operative complications was collected. Harris Hip and D'Aubigné & Postel hip scores were used for functional assessment. Results: 52% were females and 48% were males in the age group of 55-81 years with a mean age of 66. The overall mean for postoperative Harris hip score was 84 and 15 for D'Aubigné & Postel hip score. 55 Pinnacle and 18 Zimmer implants were used. There was no difference in the follow up x rays of the patients with good and poor functional outcomes. Conclusion: Our study has shown very good postoperative results using metal-onmetal total hip replacements with minimal complications. Survival rate at the end of four year was 100% for both femoral and acetabular component. This is just two year follow up but it would be valuable to report the midterm results (5-10 years) of cementless pinnacle hip implant. Harris hip scores should be introduced routinely in pre op assessments. 21
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Poster<br />
Topic: Arthroplasty - Hip<br />
Abstract number: 23707<br />
OPTIMAL BEARING SURFACES FOR TOTAL HIP REPLACEMENT IN THE<br />
YOUNG, ACTIVE PATIENTS<br />
Vijay SHETTY<br />
Hiranandani Orthopaedic Medical Education (HOME), Mumbai (INDIA)<br />
Although there is general consensus about the efficacy of total hip replacement<br />
(THR) in young patients, the most appropriate bearings in young patients remain<br />
highly debated. The three most popular bearings in use include metal-on-poly (MOP),<br />
metal-on-metal (MOM) and ceramic-on-ceramic (COC). We conducted a systematic<br />
review and meta-analysis of literature to summaries the best available evidence on<br />
relative success of the three most popular bearings used in THR in young active<br />
patients. Our findings support the use of MOM bearings in the management of the<br />
young arthritic hip. These findings, largely based upon observational studies should<br />
be taken in context to the limitations of such non-randomized study designs.<br />
20
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