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01.08.2012 | Original Article

Modular cementless cup for total hip arthroplasty: results at 4-year follow-up

verfasst von: Alessandro Bistolfi, Giuseppe Massazza, Federica Rosso, Stefano Ventura, Francesco Lagalla, Maurizio Crova

Erschienen in: MUSCULOSKELETAL SURGERY | Ausgabe 2/2012

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Abstract

The aim is to perform the assessment of a modular cementless acetabular cup with a tapered internal design for all bearing couplings. In 190 unselected consecutive patients, 207 total hip arthroplasties were implanted. The implants were clinically and radiographically evaluated. Follow-up was 49.7 ± 8.1 months. The average Harris hip score improved from 55.5 ± 5.7 to 94.7 ± 3.4 (P < 0.05). All cups were well-positioned and stable. The Kaplan–Maier cumulative survivorship was 98.5 ± 0.8%. No significant differences have been noted in dividing patients according to the different liner materials (P < 0.005). The study, whose rationale is the novelty of this kind of implant, suggests the efficacy of the Delta-PF acetabular cup.

Kurtz S, Mowat F, Ong K, Chan N, Lau E, Halpern M (2005) Prevalence of primary and revision total hip and knee arthroplasty in the United States from 1990 through 2002. J Bone Joint Surg Am 87-A(7):1487–1497CrossRef

Ritter MA, Albohm MJ (1997) Overview: maintaining outcomes for total hip arthroplasty. The past, present, and future. Clin Orthop Relat Res 344:81–87PubMedCrossRef

Petsatodis GE, Papadopoulos PP, Papavasiliou KA, Hatzokos IG, Agathangelidis FG, Christodoulou AG (2010) Primary cementless total hip arthroplasty with an alumina ceramic-on-ceramic bearing: results after a minimum of 20 years of follow-up. J Bone Joint Surg Am 92-A(3):639–644CrossRef

Jialiang T, Zhongyou M, Fuxing P, Zongke Z, Bin S, Jing Y (2009) Primary total hip arthroplasty with Duraloc cup in patients younger than 50 years: a 5- to 7-year follow-up study. J Arthroplast 24(8):1184–1187CrossRef

Meek RM, Allan DB, McPhillips G, Kerr L, Howie CR (2006) Epidemiology of dislocation after total hip arthroplasty. Clin Orthop Relat Res 447:9–18PubMedCrossRef

Berry DJ, von Knoch M, Schleck CD, Harmsen WS (2005) Effect of femoral head diameter and operative approach on risk of dislocation after primary total hip arthroplasty. J Bone Joint Surg Am 87-A:2456–2463CrossRef

Kluess D, Martin H, Mittelmeier W, Schmitz KP, Bader R (2007) Influence of femoral head size on impingement, dislocation and stress distribution in total hip replacement. Med Eng Phys 29(4):465–471PubMedCrossRef

Eingartner C (2007) Current trends in total hip arthroplasty. Orthop Traumatol Rehabil 9(1):8–14

Mahomed NN, Arndt DC, McGrory BJ, Harris WH (2001) The Harris hip score: comparison of patient self-report with surgeon assessment. J Arthroplast 16(5):575–580CrossRef

10.

Bryant MJ, Kernohan WG, Nixon JR, Mollan RA (1993) A statistical analysis of hip scores. J Bone Joint Surg Br 75-B(5):705–709

11.

Wright JG, Young NL, Waddell JP (2000) The reliability and validity of the self-reported patient-specific index for total hip arthroplasty. J Bone Joint Surg Am 82-A(6):829–837

12.

Wright J, Young NL (1997) The patient specific index: asking patients what they want. J Bone Joint Surg Am 79-A(7):974–983

13.

Merican AM, Randle R (2006) Early clinical and radiographic analysis of the fitmore cup. J Arthroplast 21(6):846–851CrossRef

14.

McGrory BJ, Shinar AA, Freiberg AA, Harris WH (1997) Enhancement of the value of hip questionnaire by telephone follow-up evaluation. J Arthroplast 12:340–343CrossRef

15.

Greene JW, Malkani AL, Kolisek FR, Jessup MN, Baker DL (2009) Ceramic-on-ceramic total hip arthroplasty. J Arthroplast 6(suppl 1):15–18CrossRef

16.

Gollwitzer H, Gerdesmeyer L, Horn C, Diehl P, Töpfer A, Gradinger R (2009) 8-year follow-up after cementless hip arthroplasty with a second generation spongy metal total hip replacement. Hip Int 19(4):359–366PubMed

17.

Soohoo NF, Farng E, Lieberman JR, Chambers L, Zingmond DS (2010) Factors that predict short-term complication rates after total hip arthroplasty. Clin Orthop Relat Res 468(9):2363–2371PubMedCrossRef

18.

Skyttä ET, Jarkko L, Antti E, Huhtala H, Ville R (2011) Increasing incidence of hip arthroplasty for primary osteoarthritis in 30- to 59-year-old patients. Acta Orthop 82(1):1–5PubMedCrossRef

19.

Daras M, Macaulay W (2009) Total hip arthroplasty in young patients with osteoarthritis. Am J Orthop 38(3):125–129PubMed

20.

D’Antonio JA, Capello WN, Manley MT (2005) Alumina ceramic bearings for total hip arthroplasty: 5 year results of a randomized study. Clin Orthop Relat Res 436:164–171PubMedCrossRef

21.

Bizot P, Nizard R, Hamadouche M, Hannouche D, Sedel L (2001) Prevention of wear and osteolysis: alumina-on-alumina bearing. Clin Orthop Relat Res 393:85–93PubMedCrossRef

22.

Harris WH (2001) Wear and periprosthetic osteolysis: the problem. Clin Orthop Relat Res 393:66–70PubMedCrossRef

23.

Costa L, Brach del Prever EM (2000) UHMWPE for arthroplasty. Minerva Medica Ed, Torino

24.

Brach del Prever EM, Crova M, Costa L, Dallera A, Camino G, Gallinaro P (1996) Unacceptable biodegradation of polyethylene in vivo. Biomaterials 17:873–878PubMedCrossRef

25.

Costa L, Luda MP, Trossarelli L, Brach del Prever EM, Crova M, Gallinaro P (1998) In vivo UHMWPE biodegradation of retrieved prosthesis. Biomaterials 19:1371–1385PubMedCrossRef

26.

Brach del Prever EM, Bistolfi A, Costa L, Bracco P, Linari A, Botto Micca F, Crova M, Gallinaro P (2003) The biological reaction to polyethylene wear debris can be related with oxidation of the UHMWPE cups. Chir Organi Mov 88(3):291–303PubMed

27.

Kurtz SM, Muratoglu OK, Evans M, Edidin AA (1999) Advances in the processing, sterilization, and crosslinking of ultra-high molecular weight polyethylene for total joint arthroplasty. Biomaterials 20(18):1659–1688PubMedCrossRef

28.

Harris W (2004) Highly cross-linked, electron-beam irradiated, melted polyethylene: some pros. Clin Orthop Relat Res 429:63–67PubMedCrossRef

29.

Brach Del Prever EM, Bistolfi A, Bracco P, Costa L (2009) UHMWPE for arthroplasty: past or future? J Orthop Traumatol 10(1):1–8PubMedCrossRef

30.

Costa L, Jacobson K, Bracco P, Brach del Prever EM (2002) Oxidation of orthopedic UHMWPE. Biomaterials 23(7):1613–1624PubMedCrossRef

31.

Costa L, Luda MP, Trossarelli L, Brach del Prever EM, Crova M, Gallinaro P (1998) Oxidation in orthopedic UHMWPE sterilized by gamma-radiation and ethylene oxide. Biomaterials 19:659–668PubMedCrossRef

32.

Bistolfi A, Crova M, Rosso F, Titolo P, Ventura S, Massazza G (2011) Dislocation rate after hip arthroplasty within the first postoperative year: 36 mm versus 28 mm femoral heads. Hip Int 21(5):559–564PubMedCrossRef

Titel: Modular cementless cup for total hip arthroplasty: results at 4-year follow-up
verfasst von: Alessandro Bistolfi
Giuseppe Massazza
Federica Rosso
Stefano Ventura
Francesco Lagalla
Maurizio Crova
Publikationsdatum: 01.08.2012
Verlag: Springer Milan
Erschienen in: MUSCULOSKELETAL SURGERY / Ausgabe 2/2012
Print ISSN: 2035-5106
Elektronische ISSN: 2035-5114
DOI: https://doi.org/10.1007/s12306-011-0177-9

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