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Movement pattern of the Exeter femoral stem: A radiostereometric analysis of 22 primary hip arthroplasties followed for 5 years

Stefansdottir, Anna LU ; Franzén, Herbert ; Johnsson, Ragnar ; Ornstein, Ewald LU and Sundberg, Martin LU orcid (2004) In Acta Orthopaedica Scandinavica 75(4). p.408-414
Abstract
Background The design of the Exeter stem may facilitate distal migration, but radiostereometric analysis (RSA) studies have been limited to 2 years of follow-up.



Patients and methods We followed migration of the Exeter femoral stems in 22 primary hip arthroplasties for 5 years with RSA.



Results All stems migrated distally and the median migration at 2 years was 1.34 mm, while at 5 years it was 1.77 mm. 7 stems migrated above accuracy between 3 and 5 years. (RSA) evaluation of the cement mantle could be performed in 14 cases, and in 5 slight migration was found. Most of the stems rotated towards retroversion and the median rotation at 2 years was 1.2°, while at 5 years it was 1.6°. We found 1 patient... (More)
Background The design of the Exeter stem may facilitate distal migration, but radiostereometric analysis (RSA) studies have been limited to 2 years of follow-up.



Patients and methods We followed migration of the Exeter femoral stems in 22 primary hip arthroplasties for 5 years with RSA.



Results All stems migrated distally and the median migration at 2 years was 1.34 mm, while at 5 years it was 1.77 mm. 7 stems migrated above accuracy between 3 and 5 years. (RSA) evaluation of the cement mantle could be performed in 14 cases, and in 5 slight migration was found. Most of the stems rotated towards retroversion and the median rotation at 2 years was 1.2°, while at 5 years it was 1.6°. We found 1 patient with impending clinical failure but no deviation in the RSA migration pattern, and 1 patient with unstable migration pattern but no clinical symptoms.



Interpretation We found a greater distal migration of the Exeter stem for longer periods of time than seen with other types of cemented implants. (Less)
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type
Contribution to journal
publication status
published
subject
in
Acta Orthopaedica Scandinavica
volume
75
issue
4
pages
408 - 414
publisher
Taylor & Francis
external identifiers
  • wos:000223745500006
  • pmid:15370583
  • scopus:4444287140
  • pmid:15260415
ISSN
0001-6470
DOI
10.1080/00016470410001169-1
language
English
LU publication?
yes
id
1bbdb4c2-f746-470a-92de-084d3ef32db7 (old id 127126)
alternative location
http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=Retrieve&db=PubMed&list_uids=15370583&dopt=Abstract
date added to LUP
2016-04-01 16:55:34
date last changed
2022-03-22 22:02:30
@article{1bbdb4c2-f746-470a-92de-084d3ef32db7,
  abstract     = {{Background The design of the Exeter stem may facilitate distal migration, but radiostereometric analysis (RSA) studies have been limited to 2 years of follow-up.<br/><br>
<br/><br>
Patients and methods We followed migration of the Exeter femoral stems in 22 primary hip arthroplasties for 5 years with RSA.<br/><br>
<br/><br>
Results All stems migrated distally and the median migration at 2 years was 1.34 mm, while at 5 years it was 1.77 mm. 7 stems migrated above accuracy between 3 and 5 years. (RSA) evaluation of the cement mantle could be performed in 14 cases, and in 5 slight migration was found. Most of the stems rotated towards retroversion and the median rotation at 2 years was 1.2°, while at 5 years it was 1.6°. We found 1 patient with impending clinical failure but no deviation in the RSA migration pattern, and 1 patient with unstable migration pattern but no clinical symptoms.<br/><br>
<br/><br>
Interpretation We found a greater distal migration of the Exeter stem for longer periods of time than seen with other types of cemented implants.}},
  author       = {{Stefansdottir, Anna and Franzén, Herbert and Johnsson, Ragnar and Ornstein, Ewald and Sundberg, Martin}},
  issn         = {{0001-6470}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{408--414}},
  publisher    = {{Taylor & Francis}},
  series       = {{Acta Orthopaedica Scandinavica}},
  title        = {{Movement pattern of the Exeter femoral stem: A radiostereometric analysis of 22 primary hip arthroplasties followed for 5 years}},
  url          = {{https://lup.lub.lu.se/search/files/4820626/624075.pdf}},
  doi          = {{10.1080/00016470410001169-1}},
  volume       = {{75}},
  year         = {{2004}},
}