JBJS, April 1, 2004, Volume 86, Issue 4

Prospective Matched-Pair Analysis of Hydroxyapatite-Coated and Uncoated Femoral Stems in Total Hip Arthroplasty

Javad Parvizi, MD, FRCS Peter F. Sharkey, MD William J. Hozack, MD Fabio Orzoco, MD Gina A. Bissett Richard H. Rothman, MD, PhD

Hip

This prospective study was performed to examine the results of total hip arthroplasty with a tapered uncemented femoral component with and without hydroxyapatite coating in a matched-pair group of patients. Since our original publication in 1996, no femoral component was revised in either group. After a mean clinical and radiographic follow-up of 9.8 years, all femoral components were stable, with no evidence of progressive radiolucency or osteolysis. Ten acetabular components were revised because of aseptic loosening and wear. Our study demonstrated no clinical or radiographic advantage, during the first decade after implantation, to the use of hydroxyapatite on this design of femoral component in primary total hip arthroplasty.

Level of Evidence: Therapeutic study, Level II-1 (prospective cohort study). See Instructions to Authors for a complete description of levels of evidence.

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