The Bimetric cementless total hip replacement: 7–18 year follow-up assessing the influence of acetabular design on survivorship

• Published in: International orthopaedics Vol. 33; no. 4; pp. 933 - 937
• Main Authors: Russell, R. C., Ghassemi, A., Dorrell, J. H., Powles, D. P.
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer-Verlag 01-08-2009
• Subjects: Acetabulum; Adult; Aged; Aged, 80 and over; Arthroplasty, Replacement, Hip - instrumentation; Equipment Failure Analysis; Female; Follow-Up Studies; Humans; Male; Medicine; Medicine & Public Health; Middle Aged; Original Paper; Orthopedics; Prosthesis Design; Prosthesis Failure; Quality Assurance, Health Care; Retrospective Studies; Time Factors; Aseptic Loosening; Femoral Stem; Uncemented Prosthesis; Heterotopic Calcification; Uncemented Femoral Stem
• ISSN: 0341-2695; 1432-5195
• DOI: 10.1007/s00264-008-0592-1

The purpose of this study was to evaluate the mid- to long-term survivorship of Bimetric cementless total hip replacement and assess how it is affected by the acetabular design. This was a retrospective analysis of 127 Bimetric cementless total hip replacements in 110 patients with a follow-up of 7–18 years. A single design stem and three different cementless metal-backed acetabular designs were used. Patients were assessed clinically using the Harris hip score and radiologically by independent review of current hip radiographs. There was only one case of aseptic loosening of the femoral stem. The earliest acetabular design showed a high failure rate whilst the latter two designs showed a 96% survivorship at a mean of 9.5 years. We conclude that a combination of the bimetric stem with either of the latter acetabular cup designs has a good mid- to long-term performance.