Skip to main content
Erschienen in: European Journal of Orthopaedic Surgery & Traumatology 4/2018

03.01.2018 | Original Article • HIP - ARTHROPLASTY

Longitudinal morphological change of acetabular subchondral bone cyst after total hip arthroplasty in developmental dysplasia of the hip

verfasst von: Ryohei Takada, Tetsuya Jinno, Kazumasa Miyatake, Yuki Yamauchi, Daisuke Koga, Kazuyoshi Yagishita, Atsushi Okawa

Erschienen in: European Journal of Orthopaedic Surgery & Traumatology | Ausgabe 4/2018

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The purpose of this study is to clarify morphological changes of acetabular subchondral bone cyst after total hip arthroplasty for osteoarthritis secondary to developmental dysplasia of the hip.

Methods

Two hundred and sixty-one primary cementless total hip arthroplasties of 208 patients, 18 males, 190 females, were retrospectively reviewed. Morphological changes of subchondral bone cyst were evaluated by computed tomography (CT). The mean cross-sectional area of the cyst from CT scans at 3 months postoperatively and after 7–10 years (average 8.4 years) were compared.

Results

Acetabular subchondral bone cysts were found in 49.0% of all cases in preoperative CT scans. There was no cyst which was newly recognized in CT scan performed after postoperative 7–10 years. All the cross-sectional areas of the cysts evaluated in this study were reduced postoperatively.

Conclusions

This study revealed that acetabular subchondral bone cysts do not increase or expand after total hip arthroplasty and indicated that the longitudinal morphological change of acetabular bone cysts in patients of developmental dysplasia of the hip do not influence long-term implant fixation in total hip arthroplasty.
Literatur
1.
Zurück zum Zitat Jingushi S, Ohfuji S, Sofue M, Hirota Y, Itoman M, Matsumoto T et al (2011) Osteoarthritis hip joints in Japan: involvement of acetabular dysplasia. J Orthop Sci 16(2):156–164CrossRefPubMed Jingushi S, Ohfuji S, Sofue M, Hirota Y, Itoman M, Matsumoto T et al (2011) Osteoarthritis hip joints in Japan: involvement of acetabular dysplasia. J Orthop Sci 16(2):156–164CrossRefPubMed
2.
Zurück zum Zitat Landels JW (1953) The bone cysts of osteoarthritis. J Bone Joint Surg Br 35(4):643–649CrossRef Landels JW (1953) The bone cysts of osteoarthritis. J Bone Joint Surg Br 35(4):643–649CrossRef
3.
Zurück zum Zitat Rhaney K, Lamb DW (1955) The cysts of osteoarthritis of the hip; a radiological and pathological study. J Bone Joint Surg Br 37(4):663–675CrossRefPubMed Rhaney K, Lamb DW (1955) The cysts of osteoarthritis of the hip; a radiological and pathological study. J Bone Joint Surg Br 37(4):663–675CrossRefPubMed
4.
5.
Zurück zum Zitat Chiba K, Burghardt AJ, Osaki M, Majumdar S (2014) Three-dimensional analysis of subchondral cysts in hip osteoarthritis: an ex vivo HR-pQCT study. Bone 66:140–145CrossRefPubMedPubMedCentral Chiba K, Burghardt AJ, Osaki M, Majumdar S (2014) Three-dimensional analysis of subchondral cysts in hip osteoarthritis: an ex vivo HR-pQCT study. Bone 66:140–145CrossRefPubMedPubMedCentral
6.
Zurück zum Zitat Taljanovic MS, Graham AR, Benjamin JB, Gmitro AF, Krupinski EA, Schwartz SA, Hunter TB, Resnick DL (2008) Bone marrow edema pattern in advanced hip osteoarthritis: quantitative assessment with magnetic resonance imaging and correlation with clinical examination, radiographic findings, and histopathology. Skeletal Radiol 37(5):423–431CrossRefPubMed Taljanovic MS, Graham AR, Benjamin JB, Gmitro AF, Krupinski EA, Schwartz SA, Hunter TB, Resnick DL (2008) Bone marrow edema pattern in advanced hip osteoarthritis: quantitative assessment with magnetic resonance imaging and correlation with clinical examination, radiographic findings, and histopathology. Skeletal Radiol 37(5):423–431CrossRefPubMed
7.
Zurück zum Zitat Imbuldeniya AM, Walter WL, Zicat BA, Walter WK (2014) Cementless total hip replacement without femoral osteotomy in patients with severe developmental dysplasia of the hip: minimum 15-year clinical and radiological results. Bone Joint J 96(11):1449–1454CrossRefPubMed Imbuldeniya AM, Walter WL, Zicat BA, Walter WK (2014) Cementless total hip replacement without femoral osteotomy in patients with severe developmental dysplasia of the hip: minimum 15-year clinical and radiological results. Bone Joint J 96(11):1449–1454CrossRefPubMed
8.
Zurück zum Zitat Takada R, Jinno T, Koga D, Yamauchi Y, Asou Y, Muneta T, Okawa A (2016) Limited significance of screening computed tomography after cementless total hip arthroplasty with highly cross-linked polyethylene at 7–10 years of follow-up. Mod Rheumatol 26(5):757–760CrossRefPubMed Takada R, Jinno T, Koga D, Yamauchi Y, Asou Y, Muneta T, Okawa A (2016) Limited significance of screening computed tomography after cementless total hip arthroplasty with highly cross-linked polyethylene at 7–10 years of follow-up. Mod Rheumatol 26(5):757–760CrossRefPubMed
9.
Zurück zum Zitat Kobayashi S, Takaoka K, Saito N, Hisa K (1997) Factors affecting aseptic failure of fixation after primary Charnley total hip arthroplasty. Multivariate survival analysis. J Bone Joint Surg Am 79(11):1618–1627CrossRefPubMed Kobayashi S, Takaoka K, Saito N, Hisa K (1997) Factors affecting aseptic failure of fixation after primary Charnley total hip arthroplasty. Multivariate survival analysis. J Bone Joint Surg Am 79(11):1618–1627CrossRefPubMed
10.
Zurück zum Zitat Hozack WJ, Mesa JJ, Carey C, Rothman RH (1996) Relationship between polyethylene wear, pelvic osteolysis, and clinical symptomatology in patients with cementless acetabular components. A framework for decision making. J Arthroplasty 11(7):769–772CrossRefPubMed Hozack WJ, Mesa JJ, Carey C, Rothman RH (1996) Relationship between polyethylene wear, pelvic osteolysis, and clinical symptomatology in patients with cementless acetabular components. A framework for decision making. J Arthroplasty 11(7):769–772CrossRefPubMed
11.
Zurück zum Zitat Kelly MP, Kitamura N, Leung SB, Engh C (2007) The natural history of osteoarthritic bone cysts after uncemented total hip arthroplasty. J Arthroplasty 22(8):1137–1142CrossRefPubMed Kelly MP, Kitamura N, Leung SB, Engh C (2007) The natural history of osteoarthritic bone cysts after uncemented total hip arthroplasty. J Arthroplasty 22(8):1137–1142CrossRefPubMed
12.
Zurück zum Zitat Dougados M, Gueguen A, Nguyen M, Berdah L, Lequesne M, Mazières B, Vignon E (1997) Radiographic features predictive of radiographic progression of hip osteoarthritis. Rev Rhum Engl Ed 64(12):795–803PubMed Dougados M, Gueguen A, Nguyen M, Berdah L, Lequesne M, Mazières B, Vignon E (1997) Radiographic features predictive of radiographic progression of hip osteoarthritis. Rev Rhum Engl Ed 64(12):795–803PubMed
13.
Zurück zum Zitat Koyano G, Jinno T, Koga D, Yamauchi Y, Muneta T, Okawa A (2017) Comparison of bone remodeling between an anatomic short stem and a straight stem in 1-stage bilateral total hip arthroplasty. J Arthroplasty 32(2):594–600CrossRefPubMed Koyano G, Jinno T, Koga D, Yamauchi Y, Muneta T, Okawa A (2017) Comparison of bone remodeling between an anatomic short stem and a straight stem in 1-stage bilateral total hip arthroplasty. J Arthroplasty 32(2):594–600CrossRefPubMed
14.
Zurück zum Zitat Yamauchi Y, Jinno T, Koga D, Asou Y, Morita S, Okawa A (2012) Comparison of different distal designs of femoral components and their effects on bone remodeling in 1-stage bilateral total hip arthroplasty. J Arthroplasty 27(8):1538–1543CrossRefPubMed Yamauchi Y, Jinno T, Koga D, Asou Y, Morita S, Okawa A (2012) Comparison of different distal designs of femoral components and their effects on bone remodeling in 1-stage bilateral total hip arthroplasty. J Arthroplasty 27(8):1538–1543CrossRefPubMed
15.
Zurück zum Zitat Puri L, Wixson RL, Stern SH, Kohli J, Hendrix RW, Stulberg SD (2002) Use of helical computed tomography for the assessment of acetabular osteolysis after total hip arthroplasty. J Bone Joint Surg Am 84(4):609–614CrossRefPubMed Puri L, Wixson RL, Stern SH, Kohli J, Hendrix RW, Stulberg SD (2002) Use of helical computed tomography for the assessment of acetabular osteolysis after total hip arthroplasty. J Bone Joint Surg Am 84(4):609–614CrossRefPubMed
16.
Zurück zum Zitat Claus AM, Engh CA, Sychterz CJ, Xenos JS, Orishimo KF (2003) Radiographic definition of pelvic osteolysis following total hip arthroplasty. J Bone Joint Surg Am 85(8):1519–1526CrossRefPubMed Claus AM, Engh CA, Sychterz CJ, Xenos JS, Orishimo KF (2003) Radiographic definition of pelvic osteolysis following total hip arthroplasty. J Bone Joint Surg Am 85(8):1519–1526CrossRefPubMed
17.
Zurück zum Zitat DeLee JG, Charnley J (1976) Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop Relat Res 121:20–32 DeLee JG, Charnley J (1976) Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop Relat Res 121:20–32
18.
Zurück zum Zitat Massin P, Schmidt L, Engh CA (1989) Evaluation of cementless acetabular component migration. An experimental study. J Arthroplasty 4(3):245–251CrossRefPubMed Massin P, Schmidt L, Engh CA (1989) Evaluation of cementless acetabular component migration. An experimental study. J Arthroplasty 4(3):245–251CrossRefPubMed
19.
Zurück zum Zitat Engh CA, Massin P, Suthers KE (1990) Roentgenographic assessment of the biologic fixation of porous-surfaced femoral components. Clin Orthop Relat Res 257:107–128 Engh CA, Massin P, Suthers KE (1990) Roentgenographic assessment of the biologic fixation of porous-surfaced femoral components. Clin Orthop Relat Res 257:107–128
20.
Zurück zum Zitat Lewinnek GE, Lewis JL, Tarr R, Compere CL, Zimmerman JR (1978) Dislocations after total hip-replacement arthroplasties. J Bone Joint Surg Am 60(2):217–220CrossRefPubMed Lewinnek GE, Lewis JL, Tarr R, Compere CL, Zimmerman JR (1978) Dislocations after total hip-replacement arthroplasties. J Bone Joint Surg Am 60(2):217–220CrossRefPubMed
21.
Zurück zum Zitat Mechlenburg I, Nyengaard JR, Gelineck J, Soballe K, Troelsen A (2010) Cartilage thickness in the hip measured by MRI and stereology before and after periacetabular osteotomy. Clin Orthop Relat Res 468(7):1884–1890CrossRefPubMedPubMedCentral Mechlenburg I, Nyengaard JR, Gelineck J, Soballe K, Troelsen A (2010) Cartilage thickness in the hip measured by MRI and stereology before and after periacetabular osteotomy. Clin Orthop Relat Res 468(7):1884–1890CrossRefPubMedPubMedCentral
22.
Zurück zum Zitat Nakamura Y, Naito M, Akiyoshi Y, Shitama T (2007) Acetabular cysts heal after successful periacetabular osteotomy. Clin Orthop Relat Res 454:120–126CrossRefPubMed Nakamura Y, Naito M, Akiyoshi Y, Shitama T (2007) Acetabular cysts heal after successful periacetabular osteotomy. Clin Orthop Relat Res 454:120–126CrossRefPubMed
Metadaten
Titel
Longitudinal morphological change of acetabular subchondral bone cyst after total hip arthroplasty in developmental dysplasia of the hip
verfasst von
Ryohei Takada
Tetsuya Jinno
Kazumasa Miyatake
Yuki Yamauchi
Daisuke Koga
Kazuyoshi Yagishita
Atsushi Okawa
Publikationsdatum
03.01.2018
Verlag
Springer Paris
Erschienen in
European Journal of Orthopaedic Surgery & Traumatology / Ausgabe 4/2018
Print ISSN: 1633-8065
Elektronische ISSN: 1432-1068
DOI
https://doi.org/10.1007/s00590-017-2115-5

Weitere Artikel der Ausgabe 4/2018

European Journal of Orthopaedic Surgery & Traumatology 4/2018 Zur Ausgabe

Arthropedia

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

Aquatherapie bei Fibromyalgie wirksamer als Trockenübungen

03.05.2024 Fibromyalgiesyndrom Nachrichten

Bewegungs-, Dehnungs- und Entspannungsübungen im Wasser lindern die Beschwerden von Patientinnen mit Fibromyalgie besser als das Üben auf trockenem Land. Das geht aus einer spanisch-brasilianischen Vergleichsstudie hervor.

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

IT für Ärzte Nachrichten

Darauf haben viele Praxen gewartet: Das Zi hat eine Liste von Praxisverwaltungssystemen veröffentlicht, die von Nutzern positiv bewertet werden. Eine gute Grundlage für wechselwillige Ärzte und Psychotherapeuten.

Proximale Humerusfraktur: Auch 100-Jährige operieren?

01.05.2024 DCK 2024 Kongressbericht

Mit dem demographischen Wandel versorgt auch die Chirurgie immer mehr betagte Menschen. Von Entwicklungen wie Fast-Track können auch ältere Menschen profitieren und bei proximaler Humerusfraktur können selbst manche 100-Jährige noch sicher operiert werden.

Sind Frauen die fähigeren Ärzte?

30.04.2024 Gendermedizin Nachrichten

Patienten, die von Ärztinnen behandelt werden, dürfen offenbar auf bessere Therapieergebnisse hoffen als Patienten von Ärzten. Besonders scheint das auf weibliche Kranke zuzutreffen, wie eine Studie zeigt.

Update Orthopädie und Unfallchirurgie

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