Failed christiansen total hip arthroplasty: A radiographic and histologic study
- 30 September 1989
- journal article
- Published by Elsevier BV in The Journal of Arthroplasty
- Vol. 4 (3), 207-215
- https://doi.org/10.1016/s0883-5403(89)80016-6
Abstract
Twenty-two consecutive cases of the Christiansen total hip arthroplasty revised because of aseptic loosening were analyzed with regard to radiographic changes and operative and histopathologic findings. This prosthesis was designed with a socket and a trunnion sleeve made of polyoxymethylene or Delrin. In 18 cases there was isolated socket loosening, in all cases there was obvious bone resorption beneath the collar of the stem, and in 20 cases the socket had migrated. The radiographic socket wear rate averaged 0.4 mm/year. In 18 cases a significant amount of debris material was found in the joint cavity. Light microscopy revealed a severe foreign body reaction with numerous plastic particles, most often engulfed by macrophages. Taken together, these findings indicate that socket wear leading to a foreign body reaction with bone resorption is the main cause of the poor results noted with this particular total hip prosthesis.Keywords
This publication has 17 references indexed in Scilit:
- A rat model of resorption of bone at the cement-bone interface in the presence of polyethylene wear particles.The Journal of Bone & Joint Surgery, 1988
- Wear of the Christiansen hip prosthesisActa Orthopaedica, 1986
- Wear of the acetabular socket: Comparison of polyacetat and polyethyleneActa Orthopaedica, 1986
- The Charnley Versus the Christiansen Total Hip Arthroplasty:A Comparative Clinical StudyActa Orthopaedica, 1983
- The Monk "soft top" endoprosthesis. Clinical, biomechanical and histopathological observationsThe Journal of Bone and Joint Surgery. British volume, 1980
- Wear of high-density polyethylene on bone and cartilageThe Journal of Bone and Joint Surgery. British volume, 1979
- Factors affecting the mechanical stability of the cemented acetabular component in total hip replacementThe Journal of Bone & Joint Surgery, 1977
- Morphological studies in tissues surrounding alloarthroplastic jointsVirchows Archiv, 1975
- TISSUE REACTIONS TO POLYTETRAFLUORETHYLENEThe Lancet, 1963
- Anatomische und histologische Untersuchungen von Arthroplastikgelenken mit Plexiglas-EndoprothesenArchives of orthopaedic and trauma surgery, 1956