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Die totalendoprothetische Versorgung bei kortikoidinduzierter Hüftkopfnekrose

  • J. J. Neidel
  • M. H. Hackenbroch
  • J. Rütt
Conference paper

Summary

Alloarthroplasty for steroid-induced avascular necrosis of the femoral head has in the past been viewed with some scepticism due to reports indicating a comparatively high incidence of complications, above all loosening of the implant. We present data of 20 patients suffering from this condition, and of 104 controls, mostly with osteoarthritis, all of which received a cementless MR total hip prosthesis in our hospital. After a mean follow-up time of 3.5 years, there was no significant difference between the groups for either implant-loosening, physical activity, or pain-intensity. Radiomorphometric studies revealed a slightly elevated loss of femoral cortical bone in certain areas in the steroid-group, but since this phenomenon was not accompanied by a higher incidence of loosening, its clinical significance remains doubtful. The good results obtained with the cementless MR total hip system have encouraged us to continue its use in patients with steroid-induced femoral head necrosis.

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Copyright information

© Springer-Verlag · Heidelberg 1989

Authors and Affiliations

  • J. J. Neidel
    • 1
  • M. H. Hackenbroch
    • 1
  • J. Rütt
    • 1
  1. 1.Orthopädische UniversitätsklinikKöln 41Germany

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