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Cementless total hip replacement using second-generation components: a 12- to 16-year follow-up.

J R McLaughlin1, K R Lee

  • 1Mercy Medical Center, 2700 W Ninth Avenue, Suite 125, Oshkosh, Wisconsin 54904, USA. mjohnson@KChipandknee.com

The Journal of Bone and Joint Surgery. British Volume
|December 2, 2010
PubMed
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Second-generation uncemented total hip replacements show excellent long-term fixation. Refined component designs in these cementless hip arthroplasty procedures resulted in minimal osteolysis and loosening over 14 years.

Area of Science:

  • Orthopedic Surgery
  • Biomaterials Engineering
  • Medical Device Design

Background:

  • Cementless total hip replacement (THR) is a common orthopedic procedure.
  • Second-generation implants aimed to improve fixation and longevity.
  • Long-term outcomes of specific uncemented designs require continued evaluation.

Purpose of the Study:

  • To evaluate the long-term clinical and radiological outcomes of second-generation uncemented total hip replacements.
  • To assess the fixation, wear, and complication rates of specific titanium acetabular and femoral components.

Main Methods:

  • A retrospective review of 123 uncemented total hip replacements performed between 1993-1994.
  • Utilized T-Tap ST acetabular shells and Taperloc femoral components.

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  • Clinical and radiological follow-up was conducted for all patients at a mean of 14 years.

    • Main Results:

    • Overall revision rate was low (4/123), with one femoral fracture and three aseptic acetabular loosening.
    • No components were radiologically loose, with minimal osteolysis observed in a small number of hips.
    • Mean femoral head penetration rate was 0.036 mm/year, indicating low polyethylene wear.

    Conclusions:

    • Refined component designs in cementless primary total hip replacement are associated with excellent long-term fixation.
    • Second-generation uncemented THR components demonstrate durable performance with low complication rates.
    • These findings support the use of advanced implant designs for successful long-term hip arthroplasty outcomes.