The Journal of Bone and Joint Surgery (American). 2006;88:2210-2215.
doi:10.2106/JBJS.E.00810
© 2006 The Journal of Bone and Joint Surgery, Inc.
Cementless Total Hip Arthroplasty with the Rectangular Titanium Zweymüller StemA Concise Follow-up, at a Minimum of Fifteen Years, of a Previous Report*
Alexander Grübl, MD1,
Catharina Chiari, MD1,
Alexander Giurea, MD1,
Martin Gruber, MD1,
Alexandra Kaider, MSc2,
Martina Marker, MD1,
Harald Zehetgruber, MD1 and
Florian Gottsauner-Wolf, MD3
1 Department of Orthopaedics, Medical University of Vienna, Währinger
Gürtel 18-20, A-1090 Vienna, Austria. E-mail address for A. Grübl:
alexander.gruebl{at}meduniwien.ac.at
2 Alexandra Kaider, MSc Core Unit for Medical Statistics and Informatics,
Medical University of Vienna, Spitalgasse 23, A-1090 Vienna, Austria
3 Florian Gottsauner-Wolf, MD Department of Orthopaedics, General Hospital
Krems, Mitterweg 10, A-3500 Krems, Austria
Investigation performed at Department of Orthopaedics, Medical
University of Vienna, Vienna, Austria
Grübl A, Chiari C, Gruber M, Kaider A, Gottsauner-Wolf F. Cementless
total hip arthroplasty with a tapered, rectangular titanium stem and a
threaded cup: a minimum ten-year follow-up. J Bone Joint Surg Am.
2002;84:425-31.
The authors did not receive grants or outside funding in support of their
research for or preparation of this manuscript. One or more of the authors
received payments or other benefits or a commitment or agreement to provide
such benefits from a commercial entity (Zimmer, Inc., Winterthur,
Switzerland). No commercial entity paid or directed, or agreed to pay or
direct, any benefits to any research fund, foundation, educational
institution, or other charitable or nonprofit organization with which the
authors are affiliated or associated.
* Original Publication
Between October 1986 and November 1987, 208 total hip arthroplasties were
performed with use of the cementless Zweymüller stem and a threaded cup
in 200 consecutive patients. Of 102 patients (108 hips) who were available for
follow-up at a minimum of 180 months postoperatively, eighty-three
(eighty-nine hips) had the primary joint replacement still intact. No stem had
been revised because of aseptic loosening, but we found various degrees of
osteolysis around sixteen (18%) of the implants. The probability of survival
of the stem at fifteen years was 0.98 (95% confidence interval, 0.96 to 1.00).
The probability of survival of the cup was 0.85 (95% confidence interval, 0.79
to 0.91).
Level of Evidence: Therapeutic Level IV. See Instructions
to Authors for a complete description of levels of evidence.

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