Jove
Visualize
Contact Us

Related Experiment Videos

Custom total hip arthroplasty

J M Bert1

  • 1Landmark Orthopedics, St, Paul, MN 55102, USA.

The Journal of Arthroplasty
|December 1, 1996
PubMed
Summary
This summary is machine-generated.

Custom total hip arthroplasty (THA) offers excellent fit but does not improve survivorship over standard implants. Further research is needed to justify the higher cost of custom THA components.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Roughly fixed rhizome spondylosis early on.

Languedoc medical·2010
Same author

Infectious arthroneurotropism and arthrotropic neuritis.

Revue du rhumatisme et des maladies osteo-articulaires·2010
Same author

Lymphogranulomatosis with prolonged pure febrile illness.

Languedoc medical·2010
Same author

On the current frequency of stretch marks in the male sex; Possible role of a deficient dysendocrine state.

Languedoc medical·2010
Same author

Micromic dwarfism of exostosic origin.

Revue du rhumatisme et des maladies osteo-articulaires·2010
Same author

The winds of Languedoc and their biological action.

Montpellier medical·2010
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Area of Science:

  • Orthopedic Surgery
  • Biomaterials Engineering
  • Medical Device Design

Background:

  • Custom total hip arthroplasty (THA) aims for optimal proximal fit and fill.
  • The higher cost necessitates demonstrating improved survivorship compared to standard prostheses.

Purpose of the Study:

  • To evaluate the survivorship and clinical outcomes of custom titanium uncemented THA components.
  • To compare the success rates of custom THA with conventional off-the-shelf implants.

Main Methods:

  • Review of 64 primary and revision custom titanium uncemented THA cases.
  • Assessment using the Harris hip scoring system at a mean 6.5-year follow-up.
  • Analysis of complications including thigh pain and osteolysis.

Related Experiment Videos

Main Results:

  • Good to excellent results achieved in 90.9% of primary and 80% of revision cases.
  • Thigh pain reported in 17% and significant osteolysis in 4.7% of cases.
  • Average failure times were 4.1 years for primary and 2.4 years for revision custom THA.

Conclusions:

  • Despite excellent proximal fit, custom THA did not demonstrate improved success rates over standard implants in this series.
  • Short-term results do not currently justify the increased cost of custom components for primary THA.
  • Further investigation into long-term outcomes and cost-effectiveness is warranted.