A 10-year minimum follow-up of hydroxyapatite-coated threaded cups: Clinical, radiographic and survivorship analyses with comparison to the literature

Jean Alain Epinette, Michael T. Manley, James A. D'Antonio, Avram A. Edidin, William N. Capello

Research output: Contribution to journalArticle

46 Scopus citations


We evaluated the clinical, radiographic, and survivorship outcomes in a series of 418 threaded hydroxyapatite-coated acetabular cups (Arc2f; Osteonics, Allendale, NJ) implanted in a consecutive series of 384 patients undergoing primary total hip arthroplasty. In all cases, the cup was screwed into the prepared acetabulum. Bone screws were used to provide secondary fixation. At a minimum 10-year follow-up, 304 cups were available for analysis. The cumulative survivorship (mechanical failure as endpoint) at that time was 99.43% ± 0.0104. Two hundred seventy-six hips were available for full clinical and radiographic review at or after the tenth anniversary. No unstable implants were noted; all implant fixation interfaces were classified as "stable bone ingrown," and the cup migration rate was zero. Based on the survivorship achieved with this implant, our results compare favorably with survivorship reported for the best cemented and cementless acetabular implant designs.

Original languageEnglish (US)
Pages (from-to)140-148
Number of pages9
JournalJournal of Arthroplasty
Issue number2
StatePublished - Feb 2003



  • Acetabulum
  • Hydroxyapatite coating
  • Screw-in acetabular shell
  • Threaded cup
  • Total hip arthroplasty

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this