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Archives of Orthopaedic and Trauma Surgery

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11.06.2019 | Hip Arthroplasty

Acetabular revision arthroplasty using press-fitted jumbo cups: an average 10-year follow-up study

verfasst von: Jun-Ki Moon, Jaejoon Ryu, Yeesuk Kim, Jae-Hyuk Yang, Kyu-Tae Hwang, Young-Ho Kim

Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 8/2019

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Abstract

Introduction

Acetabular revision arthroplasty using jumbo cups for moderate-to-severe acetabular defects has varied outcomes. We evaluated the clinical and radiological outcomes of acetabular revision arthroplasty using a press-fitted jumbo cup and sought to identify factors that influence outcomes during intermediate follow-up.

Materials and methods

Eighty patients (47 men, 33 women; 80 hips) who underwent acetabular revision arthroplasty using press-fitted jumbo cups were included. The mean follow-up period was 10.4 years. Harris hip score (HHS), presence of groin pain, radiographic results, and Kaplan–Meier survival curves were evaluated. Implant design and surgery-related and patient-related factors were assessed to identify influential factors for cup loosening. Migration and wear analyses were performed using Einzel-Bild-Röntgen-Analyse software.

Results

The mean preoperative HHS of 53 had improved to 77 at the final follow-up (p = 0.005). Nine patients experienced groin pain. Acetabular cup loosening was observed in seven cups (8.7%), and one jumbo cup was replaced with a reinforcement cage. The survival rate of the acetabular cup was 91% at 16 years according to the Kaplan–Meier analysis. Osteolysis was identified around the cup in six cases (7.5%). Acetabular cup loosening occurred more frequently in patients with conventional polyethylene liners than in those with highly cross-linked polyethylene liners (p = 0.045). The mean total migration was 1.52 mm, and the mean total wear was 0.98 mm. There was a positive correlation between total migration and total wear (p = 0.023; Spearman’s rho = 0.388). The mean wear rate of the patients with the cup inclination angle < 50° was significantly lower than those with the cup inclination angle > 50° (p = 0.001). There were four cases of complications (three dislocations and one infection) that did not require revision surgery.

Conclusion

Press-fitted jumbo cups for acetabular revision arthroplasty exhibited encouraging results during follow-up for an average of 10 years. Use of highly cross-linked polyethylene liners and proper placement of the acetabular component with an inclination angle < 50° may contribute to better clinical outcomes after acetabular revision arthroplasty with jumbo cups.

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Titel: Acetabular revision arthroplasty using press-fitted jumbo cups: an average 10-year follow-up study
verfasst von: Jun-Ki Moon
Jaejoon Ryu
Yeesuk Kim
Jae-Hyuk Yang
Kyu-Tae Hwang
Young-Ho Kim
Publikationsdatum: 11.06.2019
Verlag: Springer Berlin Heidelberg
Erschienen in: Archives of Orthopaedic and Trauma Surgery / Ausgabe 8/2019
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-019-03214-7

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Acetabular revision arthroplasty using press-fitted jumbo cups: an average 10-year follow-up study

Abstract

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Materials and methods

Results

Conclusion

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Materials and methods

Results

Conclusion

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