Skip to main content
Erschienen in: International Orthopaedics 1/2014

01.01.2014 | Original Paper

Press-fit cementless acetabular fixation with and without screws

verfasst von: Sheng-Hui Ni, Lei Guo, Tian-Long Jiang, Jie Zhao, Yan-Gang Zhao

Erschienen in: International Orthopaedics | Ausgabe 1/2014

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Cementless acetabular fixation for total hip arthroplasty (THA) is widely used. The question of using screws for a better primary and secondary acetabular fixation has been discussed in the literature in recent years. The aim of this meta-analysis was to compare fixation of acetabular cups with and without screws in total hip arthroplasty.

Methods

Electronic databases Embase, PubMed and Cochrane Library were used to search for randomised controlled trials reported through May 2013 of cementless acetabular fixation for THA with and without screws. Two independent reviewers assessed the trials for eligibility and quality. All related data matching our standards were abstracted for meta-analysis by RevMan 5.0. Evaluation criteria included revisions, migration and osteolysis.

Results

A total of 1,130 THAs enrolled into five trials were included in this meta-analysis. All studies compared fixation of acetabular cups with and without screws, and our pooled data showed no statistical significance between the two surgical methods in revision, migration and osteolysis.

Conclusion

There is no significant difference between cementless acetabular fixation for THA with and without screws in revisions, migration or osteolysis.
Literatur
1.
Zurück zum Zitat Mulroy RD Jr, Harris WH (1990) The effect of improved cementing techniques on component loosening in total hip replacement. An 11-year radiographic review. J Bone Joint Surg Br 72(5):757–760PubMed Mulroy RD Jr, Harris WH (1990) The effect of improved cementing techniques on component loosening in total hip replacement. An 11-year radiographic review. J Bone Joint Surg Br 72(5):757–760PubMed
2.
Zurück zum Zitat Wroblewski BM (1988) Wear and loosening of the socket in the Charnley low-friction arthroplasty. Orthop Clin North Am 19(3):627–630PubMed Wroblewski BM (1988) Wear and loosening of the socket in the Charnley low-friction arthroplasty. Orthop Clin North Am 19(3):627–630PubMed
3.
Zurück zum Zitat Pulido L, Rachala SR, Cabanela ME (2011) Cementless acetabular revision: past, present, and future. Revision total hip arthroplasty: the acetabular side using cementless implants. Int Orthop 35(2):289–298PubMedCentralPubMedCrossRef Pulido L, Rachala SR, Cabanela ME (2011) Cementless acetabular revision: past, present, and future. Revision total hip arthroplasty: the acetabular side using cementless implants. Int Orthop 35(2):289–298PubMedCentralPubMedCrossRef
4.
Zurück zum Zitat Sadoghi P, Janda W, Agreiter M, Rauf R, Leithner A, Labek G (2013) Pooled outcome of total hip arthroplasty with the CementLess Spotorno (CLS) system: a comparative analysis of clinical studies and worldwide arthroplasty register data. Int Orthop 37(6):995–999PubMedCrossRef Sadoghi P, Janda W, Agreiter M, Rauf R, Leithner A, Labek G (2013) Pooled outcome of total hip arthroplasty with the CementLess Spotorno (CLS) system: a comparative analysis of clinical studies and worldwide arthroplasty register data. Int Orthop 37(6):995–999PubMedCrossRef
5.
Zurück zum Zitat Yamada H, Yoshihara Y, Henmi O, Morita M, Shiromoto Y, Kawano T, Kanaji A, Ando K, Nakagawa M, Kosaki N, Fukaya E (2009) Cementless total hip replacement: past, present, and future. J Orthop Sci 14(2):228–241PubMedCentralPubMedCrossRef Yamada H, Yoshihara Y, Henmi O, Morita M, Shiromoto Y, Kawano T, Kanaji A, Ando K, Nakagawa M, Kosaki N, Fukaya E (2009) Cementless total hip replacement: past, present, and future. J Orthop Sci 14(2):228–241PubMedCentralPubMedCrossRef
6.
Zurück zum Zitat Litsky AS, Pophal SG (1994) Initial mechanical stability of acetabular prostheses. Orthopedics 17(1):53–57PubMed Litsky AS, Pophal SG (1994) Initial mechanical stability of acetabular prostheses. Orthopedics 17(1):53–57PubMed
7.
Zurück zum Zitat Schwartz JT Jr, Engh CA, Forte MR, Kukita Y, Grandia SK (1993) Evaluation of initial surface apposition in porous-coated acetabular components. Clin Orthop Relat Res 293:174–187PubMed Schwartz JT Jr, Engh CA, Forte MR, Kukita Y, Grandia SK (1993) Evaluation of initial surface apposition in porous-coated acetabular components. Clin Orthop Relat Res 293:174–187PubMed
8.
Zurück zum Zitat Szmukler-Moncler S, Salama H, Reingewirtz Y, Dubruille JH (1998) Timing of loading and effect of micromotion on bone-dental implant interface: review of experimental literature. J Biomed Mater Res 43(2):192–203PubMedCrossRef Szmukler-Moncler S, Salama H, Reingewirtz Y, Dubruille JH (1998) Timing of loading and effect of micromotion on bone-dental implant interface: review of experimental literature. J Biomed Mater Res 43(2):192–203PubMedCrossRef
9.
Zurück zum Zitat Udomkiat P, Dorr LD, Wan Z (2002) Cementless hemispheric porous-coated sockets implanted with press-fit technique without screws: average ten-year follow-up. J Bone Joint Surg Am 84-A(7):1195–1200PubMed Udomkiat P, Dorr LD, Wan Z (2002) Cementless hemispheric porous-coated sockets implanted with press-fit technique without screws: average ten-year follow-up. J Bone Joint Surg Am 84-A(7):1195–1200PubMed
10.
Zurück zum Zitat Hsu JT, Chang CH, Huang HL, Zobitz ME, Chen WP, Lai KA, An KN (2007) The number of screws, bone quality, and friction coefficient affect acetabular cup stability. Med Eng Phys 29(10):1089–1095PubMedCrossRef Hsu JT, Chang CH, Huang HL, Zobitz ME, Chen WP, Lai KA, An KN (2007) The number of screws, bone quality, and friction coefficient affect acetabular cup stability. Med Eng Phys 29(10):1089–1095PubMedCrossRef
11.
Zurück zum Zitat Higgins JPT, Green S (eds) (2008) Cochrane handbook for systematic reviews of interventions version 5.0.1. Chichester, United Kingdom: The cochrane collaboration; 2008. Available at: http://www.cochrane-handbook.org Higgins JPT, Green S (eds) (2008) Cochrane handbook for systematic reviews of interventions version 5.0.1. Chichester, United Kingdom: The cochrane collaboration; 2008. Available at: http://​www.​cochrane-handbook.​org
12.
Zurück zum Zitat Iorio R, Puskas B, Healy WL, Tilzey JF, Specht LM, Thompson MS (2010) Cementless acetabular fixation with and without screws: analysis of stability and migration. J Arthroplasty 25(2):309–313PubMedCrossRef Iorio R, Puskas B, Healy WL, Tilzey JF, Specht LM, Thompson MS (2010) Cementless acetabular fixation with and without screws: analysis of stability and migration. J Arthroplasty 25(2):309–313PubMedCrossRef
13.
Zurück zum Zitat Pakvis D, Luites J, van Hellemondt G, Spruit M (2012) A cementless, elastic press-fit socket with and without screws. Acta Orthop 83(5):481–487PubMedCrossRef Pakvis D, Luites J, van Hellemondt G, Spruit M (2012) A cementless, elastic press-fit socket with and without screws. Acta Orthop 83(5):481–487PubMedCrossRef
14.
Zurück zum Zitat Röhrl SM, Nivbrant B, Ström H, Nilsson KG (2004) Effect of augmented cup fixation on stability, wear, and osteolysis: a 5-year follow-up of total hip arthroplasty with RSA. J Arthroplasty 19(8):962–971PubMed Röhrl SM, Nivbrant B, Ström H, Nilsson KG (2004) Effect of augmented cup fixation on stability, wear, and osteolysis: a 5-year follow-up of total hip arthroplasty with RSA. J Arthroplasty 19(8):962–971PubMed
15.
Zurück zum Zitat Roth A, Winzer T, Sander K, Anders JO, Venbrocks RA (2006) Press fit fixation of cementless cups: how much stability do we need indeed? Arch Orthop Trauma Surg 126(2):77–81PubMedCrossRef Roth A, Winzer T, Sander K, Anders JO, Venbrocks RA (2006) Press fit fixation of cementless cups: how much stability do we need indeed? Arch Orthop Trauma Surg 126(2):77–81PubMedCrossRef
16.
Zurück zum Zitat Thanner J, Kärrholm J, Herberts P, Malchau H (2000) Hydroxyapatite and tricalcium phosphate-coated cups with and without screw fixation: a randomized study of 64 hips. J Arthroplasty 15(4):405–412PubMedCrossRef Thanner J, Kärrholm J, Herberts P, Malchau H (2000) Hydroxyapatite and tricalcium phosphate-coated cups with and without screw fixation: a randomized study of 64 hips. J Arthroplasty 15(4):405–412PubMedCrossRef
17.
Zurück zum Zitat Pilliar RM, Lee JM, Maniatopoulos C (1986) Observations on the effect of movement on bone ingrowth into porous-surfaced implants. Clin Orthop Relat Res (208):108–113 Pilliar RM, Lee JM, Maniatopoulos C (1986) Observations on the effect of movement on bone ingrowth into porous-surfaced implants. Clin Orthop Relat Res (208):108–113
18.
Zurück zum Zitat Lachiewicz PF, Suh PB, Gilbert JA (1989) In vitro initial fixation of porous-coated acetabular total hip components. A biomechanical comparative study. J Arthroplasty 4(3):201–205PubMedCrossRef Lachiewicz PF, Suh PB, Gilbert JA (1989) In vitro initial fixation of porous-coated acetabular total hip components. A biomechanical comparative study. J Arthroplasty 4(3):201–205PubMedCrossRef
19.
Zurück zum Zitat Wasielewski RC, Cooperstein LA, Kruger MP, Rubash HE (1990) Acetabular anatomy and the transacetabular fixation of screws in total hip arthroplasty. J Bone Joint Surg Am 72(4):501–508PubMed Wasielewski RC, Cooperstein LA, Kruger MP, Rubash HE (1990) Acetabular anatomy and the transacetabular fixation of screws in total hip arthroplasty. J Bone Joint Surg Am 72(4):501–508PubMed
20.
Zurück zum Zitat Schmalzried TP, Akizuki KH, Fedenko AN, Mirra J (1997) The role of access of joint fluid to bone in periarticular osteolysis. A report of four cases. J Bone Joint Surg Am 79(3):447–452PubMed Schmalzried TP, Akizuki KH, Fedenko AN, Mirra J (1997) The role of access of joint fluid to bone in periarticular osteolysis. A report of four cases. J Bone Joint Surg Am 79(3):447–452PubMed
21.
Zurück zum Zitat Synder M, Drobniewski M, Sibiński M (2012) Long-term results of cementless hip arthroplasty with ceramic-on-ceramic articulation. Int Orthop 36(11):2225–2229PubMedCentralPubMedCrossRef Synder M, Drobniewski M, Sibiński M (2012) Long-term results of cementless hip arthroplasty with ceramic-on-ceramic articulation. Int Orthop 36(11):2225–2229PubMedCentralPubMedCrossRef
Metadaten
Titel
Press-fit cementless acetabular fixation with and without screws
verfasst von
Sheng-Hui Ni
Lei Guo
Tian-Long Jiang
Jie Zhao
Yan-Gang Zhao
Publikationsdatum
01.01.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
International Orthopaedics / Ausgabe 1/2014
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-013-2075-2

Weitere Artikel der Ausgabe 1/2014

International Orthopaedics 1/2014 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Knie-TEP: Kein Vorteil durch antibiotikahaltigen Knochenzement

29.05.2024 Periprothetische Infektionen Nachrichten

Zur Zementierung einer Knie-TEP wird in Deutschland zu über 98% Knochenzement verwendet, der mit einem Antibiotikum beladen ist. Ob er wirklich besser ist als Zement ohne Antibiotikum, kann laut Registerdaten bezweifelt werden.

Häusliche Gewalt in der orthopädischen Notaufnahme oft nicht erkannt

28.05.2024 Häusliche Gewalt Nachrichten

In der Notaufnahme wird die Chance, Opfer von häuslicher Gewalt zu identifizieren, von Orthopäden und Orthopädinnen offenbar zu wenig genutzt. Darauf deuten die Ergebnisse einer Fragebogenstudie an der Sahlgrenska-Universität in Schweden hin.

Fehlerkultur in der Medizin – Offenheit zählt!

28.05.2024 Fehlerkultur Podcast

Darüber reden und aus Fehlern lernen, sollte das Motto in der Medizin lauten. Und zwar nicht nur im Sinne der Patientensicherheit. Eine negative Fehlerkultur kann auch die Behandelnden ernsthaft krank machen, warnt Prof. Dr. Reinhard Strametz. Ein Plädoyer und ein Leitfaden für den offenen Umgang mit kritischen Ereignissen in Medizin und Pflege.

Mehr Frauen im OP – weniger postoperative Komplikationen

21.05.2024 Allgemeine Chirurgie Nachrichten

Ein Frauenanteil von mindestens einem Drittel im ärztlichen Op.-Team war in einer großen retrospektiven Studie aus Kanada mit einer signifikanten Reduktion der postoperativen Morbidität assoziiert.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.