The Results of a Press-Fit-Only Technique for Acetabular Fixation in Hip Dysplasia

The purpose of the present study was to evaluate the 6- to 11-year follow-up results of hemispherical porous-coated cups implanted into dysplastic hips using press-fit technique without screws focusing on the amount of host bone coverage. There were 87 patients who underwent 98 primary total hip arthroplasties. Bony coverage was measured as the angle between the vertical line and the line drawn from the cup center to the lateral edge of the acetabulum, which was named the cup center-edge angle (cup-CE angle). All 98 cups were judged to be bone ingrown. The minimum cup-CE angle was 8.4 degrees (mean, 26.3 degrees). Bone-cup contact of more than 8.4 degrees of the cup-CE angle was large enough for press-fit cups to resist superior directed loads during this follow-up period.