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Convened under the auspicious of esteemed endorsers - ISTA

Convened under the auspicious of esteemed endorsers - ISTA

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Compactation. Evaluation <strong>of</strong> First 350 Cases.*Rinaldi Giampaolo - Niguarda Hospital - Milan, Italy*Email: f.pacio@fastwebnet.itCollo MIS is a new short stem created to achieve minimal metaepiphyseal invasiveness, torespect <strong>the</strong> joint physiology, to get optimal primary stability and osteointegration.This stem needs a subcapital osteotomy to respect and preserve <strong>the</strong> physiologic anteversion <strong>of</strong><strong>the</strong> femoral neck; <strong>the</strong> technique provide compactation <strong>of</strong> <strong>the</strong> cancellous bone <strong>of</strong> <strong>the</strong> greatertrochanter using just compactors and not rasps during <strong>the</strong> femur preparation and <strong>the</strong> stem has tomatch <strong>the</strong> calcar curvature to get <strong>the</strong> right position.This stem has been designed with a lateral wedge to ensure a great primary stability in <strong>the</strong>femoral neck.Since November 2008 at Niguarda Hospital we have implanted 350 pros<strong>the</strong>sis in cooperationwith Frankfurt Hospital.Patients age varies form 26 to 80 years old with a mean age <strong>of</strong> 61 y.o.This stem has to be implanted in patients with good bone quality to achieve <strong>the</strong> compactation <strong>of</strong><strong>the</strong> cancellous bone.We have operated patients affected mostly by coaxrthrosis and just in few cases by dysplasia(Crowe 1); contraindications are represented by a CCD angle less than 120° and more than 140°because <strong>of</strong> <strong>the</strong> stem morphology, severe osteoporosis, dymorphism, and dysplasia (Crowe2,3,4).We have evaluated <strong>the</strong> <strong>of</strong>fset and CCD angle pre and post op that resulted mostly increasedafter surgery (average CCD angle +6,15°, <strong>of</strong>fset + 5.95 mm).In <strong>the</strong> post-op we normally give partial weight bearing after 1 day and <strong>the</strong> full weight bearingafter 20 days.The mean HSS score before surgery was <strong>of</strong> 57.5 points and after 1 year <strong>of</strong> 98 points.The complications we have found in <strong>the</strong>se study were: 11 cases <strong>of</strong> dysmetrias less than 1 cm, 6cases <strong>of</strong> neck fissuration. No infection, mobilization, neck impingemen, subsidence,radiolucency have been evaluated.Thursday, October 7, 2010, 9:00-9:50Session A2: Alternate Bearings in THA 2Results <strong>of</strong> Metal on Metal Revision Hip Arthroplasty*Inder Gill - Wansbeck General Hospital - Ashington, United KingdomMurali Krishnan - Wansbeck General Hospital - Ashington, United Kingdomfile:///E|/<strong>ISTA</strong>2010-Abstracts.htm[12/7/2011 3:15:47 PM]

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