ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2019
Mid-term clinical results of the cementless R3 cup and Polarstem total hip arthroplasty.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Novel evaluation of bone reaction/growth around full hydroxyapatite-coated stem using digital tomosynthesis imaging: confirmation of very early bone growth around the stem.BMC musculoskeletal disorders · 2025Article
- Midterm Results of Total Hip Arthroplasty Using a Delta Ceramic Liner with a Titanium Taper Locking Band.Clinics in orthopedic surgery · 2025Article
- Performance of Cementless Hip Arthroplasty Stem Types Based on Consolidated Large Registry Data.Arthroplasty today · 2025Article
- Highly Porous Titanium Cups Frequently Presenting with Radiolucent Lines in Cementless Primary Total Hip Arthroplasty: A Retrospective Cohort Study.Journal of clinical medicine · 2024Article
- The influence of stem alignment on the bone mineral density around the Polarstem following total hip arthroplasty.Archives of orthopaedic and trauma surgery · 2023Article
- New Evaluation Method for Bone Formation around a Fully Hydroxyapatite-Coated Stem Using Digital Tomosynthesis: A Retrospective Cross-Sectional Study.Diagnostics (Basel, Switzerland) · 2021Article
- Use of a Plasma-Sprayed Titanium-Hydroxyapatite Femoral Stem in Hip Arthroplasty in Patients Older than 70 Years. Is Cementless Fixation a Reliable Option in the Elderly?Journal of clinical medicine · 2021Article
- Acetabular Liner Dissociation: A Comparative Study of Two Contemporary Uncemented Acetabular Components.Arthroplasty today · 2020Article
- Excellent midterm survival and functional outcomes of a fully hydroxyapatite-coated cementless stem: first results of a prospective multicenter study.Arthroplasty today · 2020Article
- The top 100 most cited articles on total hip arthroplasty: a bibliometric analysis.Journal of orthopaedic surgery and research · 2019Article
- Long-term outcomes of a dual-mobility cup and cementless triple-taper femoral stem combination in total hip replacement: a multicenter retrospective analysis.Journal of orthopaedic surgery and research · 2019Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere has been a shift from cemented to uncemented hip arthroplasty. One popular uncemented combination is the R3 acetabular cup with Polarstem, having the lowest revision rate in the UK National Joint Registry. However, there are no medium-term clinical outcomes on this combination in the literature. The aim of this study is to review our centre's outcomes with this combination using conventional bearings with a minimum of 7-year follow-up.
methodsUsing our centre's arthroplasty database, we identified all patients that underwent a total hip arthroplasty using these implants from August 2009 to December 2010. One hundred and forty-four procedures were performed. The primary outcome was revision rate, and the secondary outcomes were clinical and radiological evaluation.
resultsThe mean cohort age at surgery was 68.3 years. There were three revisions, of which only one underwent a cup revision. The mean Oxford Hip Score at 7-year follow-up was 38. Radiological evaluation of both acetabular and stem component did not show any radiolucency at 7-year follow-up. Kaplan-Meier survivorship analysis showed an implant survival rate of 97.69% at 7 years using revision for all causes as endpoint. The risk of revision was 1.47% at 7 years.
conclusionOur revision rates are comparable to the UK's National Joint Registry, with excellent clinical and radiological outcome. Our results correlate with the allocated rating of 7A* by the Orthopaedic Data Evaluation Panel for both R3 acetabular cup and Polarstem.
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