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Convened under the auspicious of esteemed endorsers - ISTA

Convened under the auspicious of esteemed endorsers - ISTA

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Introduction: The purpose <strong>of</strong> this prospective randomized study was to compare <strong>the</strong> 2-yearfollow-up penetration <strong>of</strong> Oxinium versus Metal on polyethylene in a consecutive series <strong>of</strong> lowfriction total hip arthroplasty.Methods: Between July 2006 and May 2006, 50 patients (27 females and 23 males) with amean age <strong>of</strong> 60.6 ± 11.4 years (21 to 75) were randomized to receive ei<strong>the</strong>r Oxinium (25 hips)or Metal (25 hips) femoral head. O<strong>the</strong>r parameters, including <strong>the</strong> femoral component and <strong>the</strong> allpolyethylene socket (EtO sterilized), were identical in both groups. The primary criterion forevaluation was linear head penetration measurement using <strong>the</strong> Martell system.Results: At <strong>the</strong> time <strong>of</strong> <strong>the</strong> 2-year follow-up evaluation, two patients were deceased, one waslost to follow-up, and radiographs were excluded by <strong>the</strong> s<strong>of</strong>tware in three patients, leaving 44hips (22 in each study group) with complete clinical and radiologic data available for analysis(median follow-up 2.01 years; 1.9 to 2.3). The median penetration rate was 0.16 mm/year in <strong>the</strong>Oxinium group versus 0.19 mm/year in <strong>the</strong> Metal group (Mann and Whitney test, p = 0.76).When using <strong>the</strong> one-year follow-up radiograph as <strong>the</strong> baseline (limiting <strong>the</strong> effect <strong>of</strong> creep),wear was 0.066mm/year in <strong>the</strong> Oxinium group versus 0.19 in <strong>the</strong> Metal group (Mann andWhitney test, p = 0.38).Discussion and Conclusion: This study demonstrated a reduction in <strong>the</strong> yearly linear wear <strong>of</strong>EtO sterilized polyethylene when using an Oxinium femoral head when compared to metal.Although <strong>the</strong> difference was not statistically significant, longer follow-up is necessary toevaluate <strong>the</strong> clinical significance <strong>of</strong> such a reduction.Saturday, October 9, 2010, 13:30-14:20Session B20: Hip ArthroplastyMid-Term Results <strong>of</strong> a Cementless Dual Mobility Socket in Primary THA:Concerns With <strong>the</strong> 3rd Articulation*Moussa Hamadouche - Hopital Cochin, APHP, Paris 5 - Paris, FranceBertrand Bouxin - Cochin - Paris, FranceHerve Arnould - Bourg en Bresse - Bourg en Bresse, France*Email: Moussah@club-internet.frIntroduction: Several devices based upon <strong>the</strong> dual mobility (DM) concept have recently beenFDA approved. However, little is available on <strong>the</strong> efficiency <strong>of</strong> current DM on THA instabilityprevention, and on specific complications. The aim <strong>of</strong> this retrospective study was to report on<strong>the</strong> minimal 5-year follow-up results <strong>of</strong> a cementless DM socket.Methods: Between January 2000 and June 2002, 168 primary consecutive non selected THAswere performed in 92 females and 76 males. The average age at surgery was 67.3 years. Asingle DM socket design was used (Tregor, Aston Medical, France) consisting <strong>of</strong> a Ti-sprayedand HA-coated CoCr shell with a highly polished inner surface articulating with a mobileintermediate polyethylene component. The opening diameter <strong>of</strong> <strong>the</strong> mobile insert was 6%smaller than that <strong>of</strong> <strong>the</strong> femoral head. In 115 hips, <strong>the</strong> modular femoral head completelycovered <strong>the</strong> Morse taper, whereas a long-neck option leaved <strong>the</strong> base <strong>of</strong> <strong>the</strong> Morse taperfile:///E|/<strong>ISTA</strong>2010-Abstracts.htm[12/7/2011 3:15:47 PM]

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