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Z Orthop Unfall 2007; 145: S13-S19
DOI: 10.1055/s-2007-965654
Original Article

© Georg Thieme Verlag KG Stuttgart · New York

12-Year Results with the Cementless Bicontact SD Stem in Dysplastic and Narrow Femoral Bone Conditions

S. Kohler1 , V. Nahmmacher1
  • 1HELIOS Clinic for Orthopaedics, Bleicherode, Germany
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Publication History

Publication Date:
16 October 2007 (online)

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Abstract

Aim: The aim of the study was the evaluation of the medium- to long-term results of the cementless Bicontact SD hip arthroplasty, which was designed specially for narrow femoral medullary cavities. Method: From February 1992 to December 1996 115 patients (123 joints) were treated with a Bicontact SD stem and various cup implants through a posterior approach. In one third of cases, the indication was dysplastic osteoarthritis of various degrees of severity. Results: Between November 2006 and May 2007 90 patients (98 hip joints) were followed up in a retrospective study after an average of 12.2 (10.1 - 15.1) years. The average Harris Hip Score was 93 (60 - 100) points and the Merle d'Aubigné score was 16.7 (5 - 18) points. A stem implant had to be regarded as loosened according to radiological criteria. One patient died 7 days postoperatively of a pulmonary embolism. Conclusion: The clinical and radiological results confirmed the proximal fixation concept in dysplastic femurs and narrow medullary cavities.

Key words

hip arthroplasty - dyplasia - narrow femoral bone conditions - cementless

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Dr. MD Steffen Kohler

HELIOS Klinik Bleicherode
Fachkrankenhaus für Orthopädie

Barbarastraße 11

99752 Bleicherode

Germany

Phone: + 49 3 63 38 6 52 74

Fax: + 49 3 63 38 6 52 84

Email: steffen.kohler@helios-kliniken.de