Incomplete seating of press-fit porous-coated acetabular components: the fate of zone 2 lucencies

J Arthroplasty. 2008 Sep;23(6 Suppl 1):121-6. doi: 10.1016/j.arth.2008.04.011. Epub 2008 Jun 13.

Abstract

The purpose of this study was to asses the fate of incomplete seating of press-fit acetabular components. From 1990 to 2002, 587 hip arthroplasties were performed using a single-design acetabular component inserted with a press-fit technique with no additional fixation. Complete radiographic follow-up at a mean 9.2 years was available for 343 cases. One hundred thirty-three acetabular components had incomplete seating on the initial postoperative radiograph and 210 cases had complete seating. Of 133 components, 125 (94%) had evidence of complete zone 2 filling. Zone 2 focal osteolysis was present in 22 patients. There were no intraoperative fractures. No acetabular components were revised for loosening. Incomplete seating of press-fit acetabular components is safe and effective in achieving initial and long-term fixation. Zone 2 lucencies when present initially are not associated with increased failure risks. Vigorous attempts to completely seat the acetabular component appear to be unwarranted.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acetabulum
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Arthroplasty, Replacement, Hip / instrumentation*
  • Female
  • Follow-Up Studies
  • Hip Prosthesis*
  • Humans
  • Male
  • Middle Aged
  • Prosthesis Design
  • Reoperation