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[Migration analysis of cemented Müller polyethylene acetabular cups versus cement-free Zweymüller screw-attached acetabular cups]. / Migrationsanalyse zementierter Müller-Polyethylenpfannen versus zementfreier Zweymüller-Schraubpfannen.
Kordelle, J; Starker, M.
Afiliación
  • Kordelle J; Harvard Medical School, Department of Radiology, Brigham and Women's Hospital, Boston, MA, USA.
Z Orthop Ihre Grenzgeb ; 138(1): 46-51, 2000.
Article en De | MEDLINE | ID: mdl-10730363
OBJECTIVE: Is the cementless Zweymüller hip cup superior to the cemented Müller cup? METHOD: This article presents a radiographic analysis of 25 cemented Müller acetabular cups versus 22 cementless Zweymüller cups using the Einbildröntgenanalyse (EBRA), a software tool for radiographic measurement of acetabular cup migration. In addition, we determined the effects of the cup anteversion and inclination, the polyethylene wear, the lateral bone coverage of the acetabular cup, the position of the center of rotation, and individual factors on the incidence of cup migration. RESULTS: The incidence of cup migration was 64% in the cementless group and 48% in the cemented group after a mean follow-up of 6 years. The average migration rate was 0.33 mm/a for cementless Zweymüller cups and 0.38 mm/a for cemented Müller cups. Cup anteversion and inclination showed no effect on the incidence of cup migration. The combination metal-polyethylene (0.17 mm per year) demonstrated a significantly higher wear rate in comparison to the ceramic-polyethylene combination (0.11 mm per year). Incompletely lateral covered cups demonstrated a significantly higher incidence of cup migration. Cranial or medial deviations of the center of rotation up to 5 mm are tolerable, in contrast to caudal or lateral deviations that lead to a significantly higher incidence of cup migration. CONCLUSION: The superiority of the cementless Zweymüller cup was not observed. We recommend a complete lateral bone coverage of the hip cup. Cranial and medial deviations of the center of rotation up to 5 mm are tolerable. In the present study the polyethylene wear of the ceramic-polyethylene combination was significantly less as compared with the metal-polyethylene combination.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Cementos para Huesos / Tornillos Óseos / Análisis de Falla de Equipo / Artroplastia de Reemplazo de Cadera / Polietileno / Acetábulo Tipo de estudio: Etiology_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male / Middle aged Idioma: De Revista: Z Orthop Ihre Grenzgeb Año: 2000 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Alemania
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Cementos para Huesos / Tornillos Óseos / Análisis de Falla de Equipo / Artroplastia de Reemplazo de Cadera / Polietileno / Acetábulo Tipo de estudio: Etiology_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male / Middle aged Idioma: De Revista: Z Orthop Ihre Grenzgeb Año: 2000 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Alemania