A Comparison of Two Metal Surface Finishes on Femoral Components in Hip Arthroplasty

A Comparison of Two Metal Surface Finishes (Proximal-Coated Titanium Surface Versus Mid-Coated Titanium Surface) on Femoral Components in Hip Arthroplasty

The purpose of this study is to compare metal surface finishes (proximal-coated titanium surface versus mid-coated titanium surface) on femoral components in hip arthroplasty.

In younger patients femoral components are most often implanted without the use of cement. A direct ingrowth of bone to the implant is crucial to the attainment of good results in those cases where cement is not employed.

The construction of a femoral implant, Versys Fiber Metal Taper®, by Zimmer includes a more extensive coating than previous femoral implants. The improved surface coating has been shown to provide these implants with better properties than those demonstrated by implants currently in general use.

Theoretically, the greater porous surface of mid-coated implants should:

• Encourage bone ingrowth through improved osteoconductive properties, however more extensive coating might change the loss of bone due to stress shielding later in time
• Improve anchorage of the implant due to the higher friction coefficient
• Result in fewer postoperative complaints measured with the Harris Hip Score and visual analog scale scores

The migration of femoral components will be evaluated by RSA, performing radiostereometric analyses at the Orthopaedic Center, Aarhus University Hospital. The follow-up RSA will be scheduled for week 1, as well as 3 months, 12 months and 2 years after surgery. Bone mineral density around the implanted femoral component will be examined by DEXA scan at week 1, as well as 1 year and 2 years after surgery.

Inclusion Criteria:

• Patients with primary arthritis in the hip.
• Patients with sufficient bone density to allow uncemented implantation of a femoral component.
• Informed patient consent in writing.

Exclusion Criteria:

• Patients with neuromuscular or vascular disease in the affected leg.
• Patients found upon operation to be unsuited for uncemented acetabulum component.
• Patients who regularly take non-steroid anti-inflammatory drugs (NSAID) and cannot interrupt intake for the postoperative phase of the study.
• Patients with fracture sequelae.
• Female patients of childbearing capacity.
• Hip joint dysplasia.
• Sequelae to previous hip joint disorder in childhood.