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Volume 13 Journal of Orthopaedics Trauma Surgery & Related Research Arthroplasty 2018
September 24-25, 2018
ArthroplastySeptember 24-25, 2018 London, UK
11th International Conference on
Uncemented hips: Current status
Juned Salam Ansari, Tsuneari Takahashi and Hemant Pandit
Harrogate District Hospital, UK
Total Hip Replacement (THR) has been an established procedure for symptomatic end stage arthritis of hip to improve function and
alleviate pain thereby improving the quality of life of millions of patients. Of the range of possible joint replacements, it is suggested
that THR is a landmark surgery. Its success in the short-term as well as in the long-term has led to THR being performed in younger
and more active patients. Survival of THR in the young and active patients was suboptimal for many years and management of this
group continues to be a challenge. This paper provides an up to date review of relevant history of uncemented hips, key design features,
mechanisms of fixation, current status, guidance to use and long-term results of uncemented hips. THRs have long-term survival
rates of more than 90% for uncemented as well as cemented stems. Despite encouraging long-term fixation of the metallic shell,
long-term survival of uncemented cups is frequently compromised by excessive liner wear and peri-acetabular osteolysis particularly
in the young and active patients. Kearns et al. looked at the survival of femoral and acetabular components and noted that femoral
stem survival was 99.3% (range, 98.4-100%), 98.9% (range, 97.7-100%) and 96.8% (92.5-100%) at 5, 10 and 15 years, respectively.
Including all component designs acetabular survival was 98.7% (range, 97.4-100%), 84.6% (78.8-90.4%) and 52.5% (40.7-64.3%) at
5, 10 and 15 years, respectively and overall survival was 46.8% (33.5-58.1%) at 15 years. Uncemented THR is increasing globally as
a good option for young and active patients needing hip replacement. It provides long lasting good to excellent results provided the
indications are met.
Biography
Juned Salam Ansari is a Senior Hip research Fellow who completed his graduation of Medicine from Maulana Azad Medical College, New Delhi and completed
FRCS (Ortho & Trauma), London in 2014 while working in Singapore. He did his Fellowship in Hip and Knee Arthroplasty from Chapel Allerton Hospital, Leeds, UK.
Juned Salam Ansari et al., J Arthroplasty 2018, Volume 13