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• W2058740239 abstract "We measured the post-operative radiological fit and fill of two different femoral stem designs, one with a straight proximally porous-coated (Bi-Metric, n=50) and the other with a proximally anatomic, hydroxyapatite-coated and distally over-reamed stem (ABG, n=26). A comparison was then made between the clinical and radiological 5-year follow-up data of these two series and also of the bone remodeling changes around the stems. The observed differences in fit and fill parameters in the metaphyseal region were minute. However, in the diaphyseal bone the straight stem had substantially more cortical contact. The clinical results were excellent for both groups. Subsidence (>2 mm) was more frequent with the anatomical ABG stems, although the ABG stems had better bone ingrowth in the lower metaphyseal area. The present results indicate that the anatomical design may improve the fit and fill of a femoral stem in the metaphysis. On the other hand, a looser fill of the diaphyseal bone made the stems of this type more susceptible to subsidence. The straight stem with tight diaphyseal fit showed excellent stability, but the good bone ingrowth and remodeling around the distal part of the stem indicates stress transfer through this region and increased stress shielding of the proximal metaphyseal femur." @default.
• W2058740239 created "2016-06-24" @default.
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• W2058740239 date "2000-10-04" @default.
• W2058740239 modified "2023-10-01" @default.
• W2058740239 title "The effects of cementless femoral stem shape and proximal surface texture on ’fit-and-fill' characteristics and on bone remodeling" @default.
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• W2058740239 doi "https://doi.org/10.1007/s002640000150" @default.
• W2058740239 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/3619887" @default.
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