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Title of Journal: International Orthopaedics SICOT

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Abbravation: International Orthopaedics

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Springer-Verlag

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DOI

10.1007/s10584-009-9587-1

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1432-5195

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Clinical and biological assessment of cemented tit

Authors: Patrick Boyer JeanYves Lazennec Joel Poupon MarcAntoine Rousseau Philippe Ravaud Yves Catonné
Publish Date: 2008/10/28
Volume: 33, Issue: 5, Pages: 1209-1215
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Abstract

This study prospectively assessed the outcome of 134 cemented titanium stems and serum ion levels The stems were polished 01 μm Ra with circular cross section At the end point only one stem revision was performed for aseptic loosening and two were planned due to subsidence greater than 5 mm Nonprogressive radiolucencies in zones 1 and 7 were observed in 16 hips at the cementbone interface without osteolysis Median serum titanium concentrations were below the detection limit 30 nmol/l except in patients with failed stems The overall stem survival rate was 977 at nine years which is comparable to other series of cemented stems The protective layer of titanium oxide coating the stem and a thick cement mantle may help resist aseptic loosening In addition satisfactory monitoring of the stem was reached using titanium serum level determinationCette étude rapporte le suivi clinique prospectif d’une série de 134 tiges fémorales titane cimentées et l’évolution des taux de titane sérique Les implants étaient en titane anodisé lisses 01microm Ra et de section circulaire Au recul moyen de 9 ans le taux de survie était de 977 ce qui est comparable aux autres séries de tiges cimentées On notait une reprise pour descellement et deux révisions prévisibles pour un enfoncement supérieur à 5 mm Des liserés non évolutifs étaient observés en zones 1 et 7 pour 16 hanches sans ostéolyse La médiane du titane sérique était inférieure à la limite de détection 30 nmol/l à l’exception des 3 échecs où les taux sont étaient nettement plus élevés La couche protectrice d’oxyde de titane et l’épaisseur du manteau de ciment peuvent expliquer la résistance au descellement aseptique Le taux de titane sérique semble intéressant pour la surveillance des tiges titanes cimentées

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