PMID- 23453292 OWN - NLM STAT- MEDLINE DCOM- 20140512 LR - 20161125 IS - 1532-8406 (Electronic) IS - 0883-5403 (Linking) VI - 28 IP - 8 DP - 2013 Sep TI - Randomized comparison between the cemented Scientific Hip Prosthesis and Omnifit: 2-year DEXA and minimum 10-year clinical follow-up. PG - 1354-61 LID - S0883-5403(13)00058-2 [pii] LID - 10.1016/j.arth.2012.09.024 [doi] AB - Radiostereometry (RSA) of the cemented Scientific Hip Prosthesis (SHP) reported excessive migration and predicted high failure rates. In a prospective randomized clinical trial we compared minimum 10 years results of the SHP (n=38) with the Omnifit-stem (n=37). Two-year bone remodelling, compared with dual energy x-ray absorptiometry and assessed in regions of interest A-D based on the 7 Gruen zones, showed better periprosthetic bone preservation around the SHP in all but one regions (P<.05). At 10 years Harris Hip Score was better for the SHP (P=.0001) but Oxford Hip Score was the same (P=.79). There were no revisions in either group, but radiographic loosening was definite in 1 SHP and 1 Omnifit. Based on earlier RSA studies, the rough surface finish of the SHP was expected to cause cement abrasion, osteolysis and inferior survival. However our clinical and remodelling results could not confirm these expectations, suggesting that the link of early migration and mid-term clinical results is not sufficiently clear for the SHP. CI - Copyright (c) 2013 Elsevier Inc. All rights reserved. FAU - Broeke, Rene H M Ten AU - Broeke RH AD - Department of Orthopaedic Surgery, Maastricht University Medical Centre, 6202 AZ Maastricht, The Netherlands. FAU - Harings, Steffie E J M AU - Harings SE FAU - Emans, Pieter J AU - Emans PJ FAU - Jutten, Liesbeth M C AU - Jutten LM FAU - Kessels, Alfons G H AU - Kessels AG FAU - Geesink, Rudolph G T AU - Geesink RG LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20130227 PL - United States TA - J Arthroplasty JT - The Journal of arthroplasty JID - 8703515 RN - 0 (Bone Cements) SB - IM MH - Absorptiometry, Photon MH - Aged MH - Arthroplasty, Replacement, Hip/*instrumentation MH - Bone Cements MH - Bone Density/physiology MH - Female MH - Follow-Up Studies MH - Hip Joint/diagnostic imaging/physiopathology MH - Hip Prosthesis/*adverse effects/*classification MH - Humans MH - Incidence MH - Kaplan-Meier Estimate MH - Longitudinal Studies MH - Male MH - Middle Aged MH - Osteolysis/diagnostic imaging/*epidemiology/physiopathology MH - Prospective Studies MH - *Prosthesis Design MH - *Prosthesis Failure MH - Risk Factors MH - Treatment Outcome OTO - NOTNLM OT - bone densitometryy OT - bone mineral density OT - cemented OT - finite element analysis OT - hip arthroplasty OT - radiostereometry EDAT- 2013/03/05 06:00 MHDA- 2014/05/13 06:00 CRDT- 2013/03/05 06:00 PHST- 2012/04/19 00:00 [received] PHST- 2012/08/26 00:00 [revised] PHST- 2012/09/10 00:00 [accepted] PHST- 2013/03/05 06:00 [entrez] PHST- 2013/03/05 06:00 [pubmed] PHST- 2014/05/13 06:00 [medline] AID - S0883-5403(13)00058-2 [pii] AID - 10.1016/j.arth.2012.09.024 [doi] PST - ppublish SO - J Arthroplasty. 2013 Sep;28(8):1354-61. doi: 10.1016/j.arth.2012.09.024. Epub 2013 Feb 27.