ArticleAnnals of translational medicine2017
Midterm outcomes of titanium modular femoral necks in total hip arthroplasty.
Article in Annals of translational medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Outcomes of neck modularity in total hip arthroplasty: an Italian perspective.Musculoskeletal surgery · 2019Pooled it
- Mid-term results of titanium-titanium modular neck femoral stem in primary total hip arthroplasty.BMC musculoskeletal disorders · 2024Article
- Interaction of KRSR Peptide with Titanium Dioxide Anatase (100) Surface: A Molecular Dynamics Simulation Study.International journal of molecular sciences · 2021Article
- Modular neck stems in total hip arthroplasty: current concepts.EFORT open reviews · 2021Review
- Dual Modular Titanium Alloy Femoral Stem Failure Mechanisms and Suggested Clinical Approaches.Materials (Basel, Switzerland) · 2021Review
- What Factors Are Associated With Neck Fracture in One Commonly Used Bimodular THA Design? A Multicenter, Nationwide Study in Slovenia.Clinical orthopaedics and related research · 2019Article
- Mid-term outcomes of titanium modular neck femoral stems in revision total hip arthroplasty.Annals of translational medicine · 2019Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundModular femoral necks present surgical and biomechanical advantages in total hip arthroplasty (THA), but their benefits remain controversial due to risks of corrosion and fracture at the additional junction. This study aimed to report 10-year survival and clinical outcomes of a titanium femoral stem with a titanium modular neck in consecutive series.
methodsThe authors reviewed the records of 97 patients (99 THAs) using uncemented modular stem and ceramic-on-ceramic acetabular components. Patients were evaluated at minimum follow-up of 5 years using the Harris Hip Score (HHS) and Postel Merle-D'Aubigné score (PMA). Survival was calculated using the Kaplan-Meier (KM) method with any reoperation or revision as endpoint.
resultsFrom the original cohort, 14 patients died, 6 were lost to follow-up, and 5 had revision operations with exchange of the femoral stem. The KM survival at 10 years was 94.2% (CI, 86.5-97.5). Clinical assessment was performed on 67 of the 72 patients (69 of the 74 hips) presently living with their original THA components. At mean follow-up of 9.4±1.0 years (median, 10; range, 5-11), the HHS was 93.6±8.2 and the PMA score 17.0±1.6. The X-rays revealed no signs of adverse reactions or bone loss.
conclusionsThe uncemented titanium hip stem with modular titanium neck provided a satisfactory 10-year survival and clinical outcomes. Neck modularity enabled restoration of patient-specific femoral offset and limb length thanks to five possible neck configurations, though greater follow up is required to confirm the long-term benefits and safety of this design concept.
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