Acetabular Cup Revision With the Use of the Medial Protrusio Technique at an Average Follow-up of 6.6 Years

We retrospectively reviewed the clinical, radiographic, and survivorship outcomes in a series of 180 patients that underwent 204 primary Total Hip Arthroplasties with the use of a second generation threaded hydroxyapatite-coated acetabular cup that was implanted without any supplementary supporting screws. At an average follow-up period of 10.2 (range: 8–14) years, one hundred and seventy-four patients (198 cups) were available for assessment. All patients underwent detailed physical and radiographic examination; their functional status was evaluated according to the Harris Hip Score (HHS). Following their digitization, all radiographs were further reviewed in order to determine the existence of any migration of the acetabular cup. Osteolytic lesions, radiolucent lines or zones of increased bone density were also recorded and classified according to the system of DeLee & Charnley. The modified Engh's criteria were used in order to evaluate the stability of the prosthesis. The patients' mean HHS at their latest follow-up visit (97.24 points) was statistically significantly better than the preoperative mean score of 40.31 points (p<0.001). Radiographic analysis showed “stable with bone ingrowth” fixation (modified Engh's criteria) of all implants with no significant migration of the cup (mean cranial migration: 0.597 mm, mean horizontal migration: 0.607 mm, mean observed difference of the cup's inclination angle: 0.26 degrees). No areas of significant osteolysis were found. The cumulative survival rate of the implants was 97.05%. Our results suggest that second generation hydroxyapatite-coated threaded acetabular cups can be successfully implanted (and achieve excellent results) without the use of any supplementary supporting screws.

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Clinical and Radiological Results over the Medium Term of Isolated Acetabular Revision

The Scientific World JOURNAL ◽

10.1155/2014/148592 ◽

2014 ◽

Vol 2014 ◽

pp. 1-7 ◽

Cited By ~ 4

Author(s):

Nicola Piolanti ◽

Lorenzo Andreani ◽

Paolo Domenico Parchi ◽

Enrico Bonicoli ◽

Francesco Niccolai ◽

...

Keyword(s):

Groin Pain ◽

Large Diameter ◽

Acetabular Revision ◽

Acetabular Cup ◽

Medium Term ◽

Retrospective Design ◽

Radiological Results ◽

Functional Scores ◽

Clinical And Radiological Results

Acetabular cup loosening is associated with pain, reduced function, and instability of the implant. If such event happens while the femoral implant is in a satisfactory position and is well fixed to the bone, isolated acetabular revision surgery is indicated. The aim of this single-center retrospective study was to evaluate the clinical and radiological results over the medium term (12-month follow-up mean 36, max 60) of isolated acetabular revisions surgery using a porous hemispheric revision shell matched with a cemented all-poly cup and large diameter femoral head (>32). 33 patients were enrolled. We collect any relevant data from the clinical board. Routine clinical and radiographic examinations were performed preoperatively; the postoperative follow-up was made at 1, 3, and 6 months and yearly thereafter. At the last available follow-up, we report satisfactory improvement of functional scores in all the patients; 2 patients (6.1%) showed thigh pain and only 4 hips (12.11%) presented mild groin pain; all the femoral components are well fixed and there were no potential or pending rerevisions. With bias due to the follow-up and to the retrospective design of the study, we report clinical, functional, and radiological satisfactory results.

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The minimalinvasive direct anterior approach in aseptic cup revision hip arthroplasty: a mid-term follow-up

Archives of Orthopaedic and Trauma Surgery ◽

10.1007/s00402-018-3062-2 ◽

2018 ◽

Vol 139 (1) ◽

pp. 121-126 ◽

Cited By ~ 5

Author(s):

Marc Dominique Horsthemke ◽

Christoph Koenig ◽

Georg Gosheger ◽

Jendrik Hardes ◽

Steffen Hoell

Keyword(s):

Hip Arthroplasty ◽

Anterior Approach ◽

Direct Anterior Approach ◽

Revision Hip Arthroplasty ◽

Cup Revision

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Use of a New Off-the-shelf 3D-printed Trabecular Titanium Acetabular Cup in Chinese Patients Undergoing Hip Revision Surgery: Short- to Mid-term Clinical and Radiological Outcomes

10.21203/rs.3.rs-900433/v2 ◽

2021 ◽

Author(s):

Guangqian Shang ◽

Shuai Xiang ◽

Cuicui Guo ◽

Jianjun Guo ◽

Peng Wang ◽

...

Keyword(s):

Bone Ingrowth ◽

Chinese Patients ◽

Control Group ◽

Upward Movement ◽

Observation Group ◽

Acetabular Cup ◽

Sf 36 ◽

Revision Tha ◽

3D Printed

Abstract Background: Revision total hip arthroplasty (THA) has been a challenge for surgeons. The purpose of this study was to explore the short-to mid-term clinical and radiological outcomes of Chinese patients who underwent revision THA using a new off-the-shelf three-dimensional (3D)-printed trabecular titanium (TT) acetabular cup by comparison with a conventional porous coated titanium acetabular cup, to provide a reference for the recommendation of this prostheses.Methods: A retrospective analysis of 57 patients (57 hips) who received revision THA was performed from January 2016 to June 2019. A total of 23 patients received 3D-printed cups (observation group) and 34 patients received non-3D-printed cups (control group). Clinical scores including Visual Analogue Scale (VAS), Harris Hip Score (HHS) and Short Form 36 (SF-36), upward movement of the hip center of rotation（HCOR）and limb-length discrepancy (LLD), stabilization and bone ingrowth of cups were compared between two groups. The multivariate linear regression was used to determine the factors potentially influencing the HHS score. Postoperative complications in the two groups were also recorded. Results: All 57 patients were routinely followed up. The average follow-up durations in the control and observation groups were 43.57 ± 13.68 (24–65) months and 41.82 ± 11.44 (24–64) months, respectively (p = 0.618). The postoperative clinical scores significantly improved in both groups compared to the preoperative scores (p < 0.05). The VAS score did not significantly differ between the groups at 3 or 12 months postoperatively, or at the last follow-up (p > 0.05). The HHS and SF-36 scores did not significantly differ between the groups at 3 months postoperatively (p > 0.05) but differed at 12 months postoperatively and the last follow-up (p < 0.05). Compared with the control group, the postoperative recovery of HCOR and LLD was better in the observation group (p < 0.05). All cups remained stable, with no loosening throughout the follow-up period. But the observation group had a significantly better rate of bone ingrowth compared to the control group (p = 0.037). Multivariate linear regression analysis showed that different cup types, upward movement of the HCOR, and LLD influenced the HHS score at the last follow-up (p < 0.05). None of the patients exhibited severe postoperative complications.Conclusion: The new off-the-shelf 3D-printed TT acetabular cup demonstrated encouraging short-to mid-term clinical outcomes in Chinese patients. It can effectively relieve pain, improve hip function, provide satisfactory biological fixation and high survival rate. But further follow up is necessary to assess its long-term outcomes.

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Hip replacement with a threaded acetabular cup. A follow-up study.

The Journal of Bone and Joint Surgery (American) ◽

10.2106/00004623-199402000-00005 ◽

1994 ◽

Vol 76 (2) ◽

pp. 195-201 ◽

Cited By ~ 47

Author(s):

G M Fox ◽

A A McBeath ◽

J P Heiner

Keyword(s):

Hip Replacement ◽

Acetabular Cup ◽

Follow Up Study

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The Hemispherical Harris-Galante Acetabular Cup, Inserted without Cement. The Results of an Eight to Eleven-Year Follow-up of One Hundred and Sixty-Eight Hips*

The Journal of Bone and Joint Surgery (American) ◽

10.2106/00004623-199902000-00009 ◽

1999 ◽

Vol 81 (2) ◽

pp. 219-224 ◽

Cited By ~ 45

Author(s):

M. B. PETERSEN ◽

I. H. POULSEN ◽

J. THOMSEN ◽

S. SOLGAARD

Keyword(s):

Acetabular Cup

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Good mid-term results with the trident peripheral self-locking cup: a clinical evaluation and migration measurement with EBRA

Archives of Orthopaedic and Trauma Surgery ◽

10.1007/s00402-020-03639-5 ◽

2020 ◽

Author(s):

Dietmar Dammerer ◽

Philipp Blum ◽

David Putzer ◽

Andreas Tscholl ◽

Michael C. Liebensteiner ◽

...

Keyword(s):

Trial Registration ◽

Inclusion Criteria ◽

Acetabular Cup ◽

Term Outcome ◽

Long Term Outcome ◽

Press Fit ◽

Medical Histories ◽

Migration Analysis ◽

Radiological Analysis

Abstract Introduction The most common cause of failure in total hip arthroplasty (THA) is aseptic loosening. Uncemented cup migration analysis by means of Einzel–Bild–Roentgen–Analyse (EBRA) has shown to be a good predictive indicator for early implant failure if the cup migrates more than 2 mm within 4 years after surgery. In this study, we performed a migration analysis of an uncemented peripheral self-locking (PSL) press-fit cup after 4 years follow-up. Materials and methods We retrospectively reviewed all patients who received a trident PSL press-fit cup at our department between 2004 and 2017. A total of 636 patients were identified. As inclusion criteria for radiological analysis, a minimum follow-up of 2 years was defined. We reviewed medical histories and performed radiological analysis using EBRA software. EBRA measurements and statistical investigations were performed by two independent investigators. Results A total of 149 cups in 146 patients (female 82; male 64) met our inclusion criteria. Mean age at surgery was 65 years (33–89). We found a significant improvement in the WOMAC score pre- to postoperative (p < 0.0001). EBRA migration analysis showed a mean total migration of 0.6 mm (0.0–8.2) over our follow-up period of 4 years. Of the investigated cups, 69.8% showed a migration rate smaller than 2 mm in the investigated follow-up. Conclusion The acetabular cup used in our study provides low migration at final follow-up. Therefore, a good long-term outcome can be expected for the PSL cup. Trial registration Trial registration number is 20181024-1875 and date of registration is 2018-10-24.

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Analysis of Outcomes of Total Cementless Hip Joint Arthroplasty in the Treatment of Advanced Hip Osteoarthritis Following Childhood Perthes’ Disease

Ortopedia Traumatologia Rehabilitacja ◽

10.5604/01.3001.0014.4216 ◽

2020 ◽

Vol 22 (5) ◽

pp. 333-342

Author(s):

Marek Drobniewski ◽

Magdalena Krasińska ◽

Andrzej Grzegorzewski ◽

Marek Synder ◽

Andrzej Borowski

Keyword(s):

Hip Joint ◽

Hip Osteoarthritis ◽

Joint Arthroplasty ◽

Perthes Disease ◽

Acetabular Cup ◽

Kaplan Meier ◽

Long Term Follow Up ◽

The Mean ◽

Joint Arthroplasties

Background. The aim of this study is to analyse the outcomes of total cementless hip joint arthroplasty in the treatment of advanced hip osteoarthritis following Perthes’ disease in childhood. Material and methods. The study enrolled 56 patients (15 women and 41 men) who underwent a total of 61 hip joint arthroplasties for coxarthrosis following Perthes’ disease. The mean age of the patients at surgery was 46.7 years (range 21-67 years). The mean follow-up period was 13.7 years. Results. Pre-operative Merle d’Aubigne-Postel scores (modified by Charnley) of the study group were poor in all patients. Mean post-operative improvement was 6.7 points. The outcomes were classified as excellent in 25 cases, good in 16, satisfactory in 16 and poor in 9 cases. Poor results were always related to loosening of the acetabular cup. Heterotopic ossification was noted in 7 cases. According to the Kaplan-Meier estimator, 10 years’ survival probability was 85.24% for the whole implant and 100% for the stem. Conclusions. 1. Total cementless hip joint arthroplasty is an effective method in the treatment of advanced hip osteoarthritis following Perthes’ disease in childhood. 2. With good surgical technique and in the absence of complications, the risk of aseptic loosening is minimal. 3. Due to the patients’ young age, there may be more cases of loosening over time, requiring regular long-term follow-up.

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