Nine porous-coated acetabular components were retrieved post mortem. All
components had been inserted at our institution and had been in situ for a
mean of fifty months (range, seventeen to eighty-seven months). Clinical
records revealed that all had been functioning well at the time of death,
and clinical radiographs showed signs that all had been stable. Standard
backscattered scanning electron microscopy was used to quantitate the
amount of bone ingrowth into the porous coating. For each component, the
histological appearance of the bone-metal interface was compared with the
appearance on clinical radiographs. Light microscopy was used to study the
non-ossified areas. Every component had growth of bone into the porous
coating, with the ingrowth occupying a mean of 32 per cent (range, 3 to 84
per cent) of the fields that were examined. In areas where bone ingrowth
had occurred, the mean area density was 48 per cent (range, 26 to 65 per
cent). Use of radiographs consistently led to an underestimation of the
presence of gap areas and an overestimation of the occurrence of bone
apposition. When fibrous tissue was present in non-ossified areas, it was
extremely dense and well organized. Within the limits of light microscopic
examination, there was no evidence of granulomatous formation in the
non-ossified regions. This is particularly encouraging since the fibrous
tissue-bone interfaces seem to prohibit the deposit of particulate
debris.