Bony ingrowth fixation of newly designed acetabular components in a canine model.

Abstract

Implantation of a newly designed acetabular component with a porous coating has resulted in superior fixation when compared with acrylic cementation in the short term. Experiments in dogs demonstrate rapid ingrowth within the porous layers, resulting in rigid fixation of the acetabular components despite defects in the prepared bony bed. Acute infection prevents bony ingrowth and causes loosening. The absence of any foreign-body response to the titanium fiber mesh components suggests that this is a biocompatible metal. The fixation has been excellent; progressive or delayed loosening is not encountered once successful ingrowth is achieved. Progressive radiolucent zones generally do not appear in the short term but when visible soon after surgery, may consolidate and disappear. Ingrowth fixation of acetabular components appears to offer an attractive alternative to the use of acrylic cement and may even be feasible in patients with periarticular bony abnormalities.

• Authors: A K Hedley, M Kabo, W Kim, I Coster, H C Amstutz
• Journal: Clinical orthopaedics and related research (Clin Orthop Relat Res) Issue 176 Pg. 12-23 (Jun 1983) ISSN: 0009-921X [Print] United States
• PMID: 6851313 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, P.H.S.)

Chemical References

• Polyethylenes

Topics

• Acetabulum (physiology, surgery)
• Animals
• Bone Development
• Dogs
• Hip Joint (diagnostic imaging, physiology)
• Hip Prosthesis
• Joint Dislocations (diagnostic imaging)
• Models, Biological
• Orthopedic Fixation Devices
• Polyethylenes (therapeutic use)
• Postoperative Complications (diagnostic imaging)
• Radiography