Preliminary Result of THA Using Interface Bioactive Bone Cement Technique Combined with Third Generation Cementing Technique

Abstract:

29 cases of primary total hip arthroplasty (THA) using interface bioactive bone cement technique (IBBC) combined with third generation cementing technique were evaluated clinically and radiologically. The present study includes 2 men 2 cases and 24 women 27 cases with an average age at operation of 63 years old (ranging 42 to 81). Mean postoperative follow up period was 17.3 months (ranging 12 to 23 months). Pre- and postoperative (1 year) evaluation using Japan Orthopaedic Association (JOA) hip score were 36.0, and 85.0 points, respectively. Postoperative cementing grade using Barrack’s classification was A in every case. At one year, radiolucent line at bone-cement interface was not observed, except one case of rheumatoid arthritis patient at zone 3 (Delee and Charnley) in the acetabular side. Neither osteolysis nor loosening was observed in every case. No major complications, such as infection, dislocation, pulmonary embolization, were observed. The present study revealed excellent short-term result was obtained by IBBC technique combined with third generation cementing technique for primary THAs.

• Periodical: Key Engineering Materials (Volumes 309-311)
• Pages: 1329-1332
• DOI: https://doi.org/10.4028/www.scientific.net/KEM.309-311.1329
• Online since: May 2006
• Authors: Hiroshi Fujita, Masahiko Miyata, Ryouichi Nagahara, Tomoo Okumura
• Keywords: Bioactive Bone Cement, Cementing Technique, Hydroxyapatite (HAP), Total Hip Arthroplasty (THA)

References

[1] Oonishi H, et al. J Arthroplasty 2001; 784-9.

[2] Oonishi H, et al. J Biomed Mater Res (Appl Biomater) 2000; 174-80.

[3] Oonishi H, et al. J. Bone Joint Surg [Br] 1997; 79-B: 87-92.

[4] Barrack RL, et al. J Bone Joint Surg Br. 1992 May; 74(3): 385-9.

[5] Hodgkinson JP, et al. Clin Orthop. 1988 (228): 105-9.

[6] Harris WH, et al. J Bone Joint Surg Am. 1982 Sep; 64(7): 1063-7.

[7] DeLee JG, et al. Clin Orthop. 1976 (121): 20-32.

[8] Gruen TA, et al. Clin Orthop. 1979 Jun; (141): 17-27.

[9] Iida H, et al. J Bone Joint Surg Br. 2000 Mar; 82(2): 176-84.

[10] Slooff TJJH et al. Acta Orthop Scand 1984, 55, 593-6.

[11] Knight WE et al. Clin Orthop. 1982; (163): 167-9.

[12] Fujita, H, et al. J Arthroplasty, vol. 18 (3), 2003, 367-70.

[13] Kobayashi S, et al. Lancet, vol 355, April 29, 2000, 1499-1504.

[14] Schmalzried TP, et al. J Bone Joint Surg Am 1992 Jul; 74(6): 849-63.

[15] Fujita H, et al. J. Biomed. Mater. Res., vol. 49, 2000, 273-288.