Migration of the uncemented CLS acetabular component

Davies, M. S., Parker, B. C., Ward, D. A., Hern, E., Hua, Jia ORCID: https://orcid.org/0000-0003-3558-2058 and Walker, P. S. (1999) Migration of the uncemented CLS acetabular component. Orthopedics, 22 (2) . pp. 219-222. ISSN 0147-7447 [Article] (doi:10.3928/0147-7447-19990201-11)

Abstract

The migration of uncemented press-fit CLS (Cementless Total Hip Replacement System) acetabular cups was measured retrospectively from standard anteroposterior pelvic radiographs using a digitizer and software specifically developed for this study. A radiographic and clinical review also were undertaken. There were 96 patients in the study group. The mean follow-up for radiographic review was 2.23 years, and the mean follow-up for clinical review was 3 years. Migration was measured in the cranial and medial directions. Mean migration of the cup at 2 years was 1.35 mm in the cranial direction and 2.15 mm in the medial direction. Radiographic appearances altered little over the study period. Fifty-five (57.3%) patients demonstrated bone ingrowth onto the prosthesis, predominantly in DeLee and Charnley zone 1. Twenty-one patients demonstrated nonprogressive sclerotic lines; no lucent lines were encountered. Statistical analysis showed a significant correlation between acetabular ingrowth and reduced cup migration in the medial direction (P = .011 at 5 years). There was no statistical relationship between migration of the cup and radiographic features or clinical outcome.

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