J Korean Hip Soc.  2008 Dec;20(4):252-257. 10.5371/jkhs.2008.20.4.252.

Short Term Results of Cementless Total Hip Arthroplasty with Using a Accolade TMZF Femoral Stem

• Yoon HK
• Ahn CS
• Nam KS
• Han SC

• KMID: 2162607
• DOI: http://doi.org/10.5371/jkhs.2008.20.4.252

Abstract

PURPOSE
We wanted to evaluate the short term clinical and radiological results and the complications of primary total hip arthroplasty with using a Accolade TMZF femoral stem.
MATERIALS AND METHODS
66 cases among 80 cases underwent total hip arthroplasty by one surgeon with using an Accolade TMZF femur stem from January 2002 to August 2006. The minimum follow-up was 30 months and we retrospectively analyzed these 66 patients.
RESULTS
The mean Harris Hip Score improved from 54 to 92 at the last follow up. On the last follow-up X-ray, all the femoral stems (100%) showed stable fixation and there was no osteolysis or loosening, but there were 34 cases of stress shields and 20 cases of cortical hypertrophy. The acetabular component revealed stable fixation in 65 cases (98.5%) and loosening in one case (1.5%). There was no acetabular osteolysis, but 22 cases of radiolucency were observed in the Dee Lee and Charnley zone II. As complications, there were 5 cases of heterotrophic ossification, 1 case of greater trochanteric bursitis, 2 cases of thigh pain and 1 case with a squeaking sound.
CONCLUSION
Primary total hip arthroplasty using a cementless Accolade TMZF femoral stem showed good results in the short term, but long term follow up is needed.

Keyword

Total hip replacement arthroplasty; Femoral stem; Cementless; Accolade

MeSH Terms

Arthroplasty
Bursitis
Femur
Follow-Up Studies
Hip
Hypertrophy
Osteolysis
Retrospective Studies
Thigh