ArticleArchives of orthopaedic and trauma surgery2024
Mid-term outcomes of compaction autologous bone grafting in uncemented primary total hip replacement stems.
Article in Archives of orthopaedic and trauma surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionFixation and long-term stability of collared, uncemented stems, such as the CORAIL MATERIALS AND
methodsThis study retrospectively reviewed patients with primary THA using CORAIL
resultsA total of 140 cases (85% women, mean age: 63 years, mean follow-up: 72 months) were included. Autologous bone graft was used in 32 (23%) cases. No significant differences in terms of age, sex, diagnoses, follow-up duration, or operation time were observed between the groups. Stress shielding frequency remained stable at 9.4% between 1y and 5y in the bone graft group, but increased from 13.9 to 28.7% in the control group, resulting in the latter having a higher 5-y frequency than the bone graft group (p = 0.0004). Reactive lines increased from 1y to 5y in both groups (bone graft: 6.3-37.5%, p = 0.0015; control: 4.6-26.9%, p < 0.001) with no significant differences between groups. There were no instances of stem subsidence/loosening or stem revision in either group.
conclusionsAutologous compaction bone grafting achieved satisfactory fixation of the uncemented CORAIL
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