Early stabilization of the uncemented Symax hip stem in a 2-year RSA study

Dennis S.M.G. Kruijntjens (Corresponding author), Lennard Koster, Bart L. Kaptein, Liesbeth M.C. Jutten, Jacobus J.C. Arts, René H.M. Ten Broeke

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Background and purpose — The uncemented Symax hip stem has shown early proximal ingrowth as result of the BONIT-hydroxyapatite (HA) coating and the distal DOTIZE surface treatment. We evaluated 2-year postoperative radiostereometric analysis (RSA) migration of the Symax hip stem in THA patients. We also investigated the correlation between migration at 4 weeks and clinical outcomes after 2 years. Patients and methods — Patients in a 2-year clinical follow-up single-centre RSA randomized controlled trial were randomized to 2 different cup designs. All 45 patients received a Symax hip stem. RSA migration patterns of the Symax hip stem is presented here as a single cohort. RSA examinations were performed postoperatively, but before weight-bearing, and subsequently after 1, 3, 6, 12, and 24 months. Clinical outcomes and radiographic evaluations were assessed 3, 6, 12, and 24 months postoperatively. Results — During the first 4 weeks, the Symax hip stem subsided, rotated into retroversion, and translated posteriorly, after which the migration ceased and the prosthesis stabilized. All clinical outcomes improved from preoperatively to 2 years. There was no clinically or statistically significant correlation between subsidence and retroversion at 4 weeks and clinical outcomes after 2 years. Interpretation — RSA evaluation of the uncemented Symax hip stem confirms that the design principles and coating properties lead to early stabilization of the stem, as early as 4 weeks postoperatively. There was no correlation between subsidence and retroversion at 4 weeks and clinical outcomes after 2 years. Based on the predictive potential of the RSA technique, we anticipate excellent long-term survival of this hip stem.

Originele taal-2Engels
Pagina's (van-tot)159-164
Aantal pagina's6
TijdschriftActa Orthopaedica
Volume91
Nummer van het tijdschrift2
DOI's
StatusGepubliceerd - apr 2020

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Kruijntjens, D. S. M. G., Koster, L., Kaptein, B. L., Jutten, L. M. C., Arts, J. J. C., & Ten Broeke, R. H. M. (2020). Early stabilization of the uncemented Symax hip stem in a 2-year RSA study. Acta Orthopaedica, 91(2), 159-164. https://doi.org/10.1080/17453674.2019.1709956