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TWO TO TWELVE YEAR EVALUATION OF CEMENTLESS BUECHEL-PAPPAS HIP REPLACEMENT

FREDERICK F. BUECHEL, SR., M.D.,*, FREDERICK F. BUECHEL, JR., M.D.**, THOMAS E. HELBIG, M.D.T, JERRY D’ALESSIO, MS† , MICHAEL J. PAPPAS, Ph.D†

ABSTRACT

A unique, straight-stemmed, proximally porous-coated, modular hip replacement system, coated with thin-film (5 to 9 microns) titanium-nitride-ceramic was used clinically in 130 hip replacements in 117 patients that were followed over a 2 to 12 year interval, mean 6.45 years. Harris Hip Scores demonstrated 82.3(%) excellent, 15.4 (%) good, 2.3 (%) fair and 0 (%) poor results. Thigh pain limiting activities of daily living was seen in 0.8% (1/130) hips. Kaplan-Meier Survival estimates using an end point of revision of any component for any reason demonstrated an overall survival of 95.5% in the 12-year interval. Cementless fixation survivorship of the acetabular and femoral components was 98.5% in the 12-year interval.

*Department of Orthopaedic Surgery, UMDNJ-New Jersey Medical School, Newark, NJ.
**Pennsylvania Hospital, University of Pennsylvania, Adult Reconstruction Fellow, Philadelphia, PA.
T South Mountain Orthopaedic Associates, South Orange, NJ.
†Department of Mechanical Engineering, New Jersey Institute of Technology, Newark, NJ

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