Osteointegration analysis with serial radiography as a predictor of successful cementless bipolar hemiarthroplasty at surabaya orthopaedic and traumatology hospital
Keywords:
bipolar hemiarthroplasty cementless, osteointegration, bone pedestal, stem subsidence, pelvic or hip radiographyAbstract
Osteointegration is a direct structural relationship between the bone and the implant surface, a properly osseointegration implant can function without mobility. We aim to evaluate this process using serial radiological examinations, where characteristics such as bone sclerosis and cortical-periosteal thickening will be investigated. A retrospective analytic-observational study was conducted on 96 patients after cementless bipolar hemiarthroplasty operation from January 2012 to January 2021, examined for standing pelvic or hip anterior-posterior radiographs after six weeks, six months, and a year post-procedure at Surabaya Orthopaedic and Traumatology Hospital. Two musculoskeletal radiology consultants blindly evaluated for bone sclerosis, femoral stem positioning or stem angulation, cortical-periosteal thickening, and leg length discrepancy. The study was conducted on 24 male subjects (25%) and 72 female subjects (75%). Bone sclerosis significantly appeared in the six-month evaluation. There was no difference in femoral stem positioning. Cortical-periosteal thickening was found on the medial side according to the valgus position of the stem and began to appear in the 6-month evaluation and became more prominent after one year. No significant leg length discrepancy was found.
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