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EARLY SUBSIDENCE OF UNCEMENTED ACCOLADE STEM TOTAL HIP JOINT REPLACEMENT



Abstract

To measure for evidence of early subsidence of Accolade tapered uncemented femoral stems. To quantify any subsidence and to identify factors which may predispose to this.

A retrospective audit of patients who have received Accolade stem total hip joint replacement in Hawkes Bay Hospital from October 2003 to October 2004. Post operative and follow up x rays (within one year of surgery) were reviewed and position of femoral component in the femur was measured and adjusted for magnification and angulation.

Thirty-eight patients were identified. Patients age averaged 66 years old (44 – 82yo). Results show an mean subsidence of 2.8mm with a range of 0 – 13mm.

There is evidence of early subsidence of Accolade femoral stems. In cases of large subsidence under sizing of the femoral component was identified as the most significant contributing factor.

The abstracts were prepared by Editorial Secretary Jean-Claude Theis. Correspondence should be addressed to NZOA at Department of Orthopaedic Surgery, Dunedin Hospital, Private Bag 1921, Dunedin, New Zealand.