Modular sleeves with ceramic heads in isolated acetabular cup revision in younger patients—laboratory and experimental analysis of suitability and clinical outcomes
详细信息 查看全文
- 作者：Peter Helwig (1)
Lukas Konstantinidis (1)
Anja Hirschmüller (1)
Anke Bernstein (1)
Oliver Hauschild (1)
Norbert P. Südkamp (1)
Bj?rn G. Ochs (2) - 刊名：International Orthopaedics
- 出版年：2013
- 出版时间：January 2013
- 年：2013
- 卷：37
- 期：1
- 页码：15-19
- 全文大小：160KB
- 参考文献：1. Clarke IC, Gustafson A (2000) Clinical and hip simulator comparisons of ceramic-on-polyethylene and metal-on-polyethylene wear. Clin Orthop Relat Res 379:34-0 CrossRef
2. Urban JA, Garvin KL, Boese CK, Bryson L, Pedersen DR, Callaghan JJ, Miller RK (2001) Ceramic-on-polyethylene bearing surfaces in total hip arthroplasty. Seventeen to twenty-one-year results. J Bone Joint Surg Am 83-A(11):1688-694
3. Sedrakyan A, Normand SL, Dabic S, Jacobs S, Graves S, Marinac-Dabic D (2011) Comparative assessment of implantable hip devices with different bearing surfaces: systematic appraisal of evidence. BMJ 343:d7434. doi:10.1136/bmj.d7434 CrossRef
4. Matziolis G, Perka C, Disch A (2003) Massive metallosis after revision of a fractured ceramic head onto a metal head. Arch Orthop Trauma Surg 123(1):48-0. doi:10.1007/s00402-002-0449-9
5. CeramTec (2007) BIOLOX?OPTION -Ceramic Femoral Ball Heads for Hip Revision Brochure. CeramTec Ag Plochingen, Germany 1-2
6. Güttler T (2006) Experience with BIOLOX OPTION revision heads. Steinkopff-Verlag, Darmstadt
7. Fukui K, Kaneuji A, Sugimori T, Ichiseki T, Kitamura K, Matsumoto T (2011) Should the well-fixed, uncemented femoral components be revised during isolated acetabular revision? Arch Orthop Trauma Surg 131(4):481-85. doi:10.1007/s00402-010-1152-x CrossRef
8. Cho HJ, Han SB, Park JH, Park SW (2011) An analysis of stably fixed femoral components retained during revision total Hip arthroplasty. J Arthroplasty. doi:10.1016/j.arth.2011.02.015
9. Lawless BM, Healy WL, Sharma S, Iorio R (2010) Outcomes of isolated acetabular revision. Clin Orthop Relat Res 468(2):472-79. doi:10.1007/s11999-009-1104-3 CrossRef
10. Lakemeier S, Aurand G, Timmesfeld N, Heyse TJ, Fuchs-Winkelmann S, Schofer MD (2010) Results of the cementless Plasmacup in revision total hip arthroplasty: a retrospective study of 72 cases with an average follow-up of eight years. BMC Musculoskelet Disord 11:101. doi:10.1186/1471-2474-11-101 CrossRef
11. Vargas B, Caton J (2009) Acetabular revision with freeze-dried irradiated and chemically treated allograft: a minimum 5-year follow-up of 17 cases. Int Orthop 33(1):35-9. doi:10.1007/s00264-007-0444-4 CrossRef
12. Ochs BG, Schmid U, Rieth J, Ateschrang A, Weise K, Ochs U (2008) Acetabular bone reconstruction in revision arthroplasty: a comparison of freeze-dried, irradiated and chemically-treated allograft vitalised with autologous marrow versus frozen non-irradiated allograft. J Bone Joint Surg Br 90(9):1164-171. doi:10.1302/0301-620X.90B9.20425 CrossRef
13. Chen XD, Waddell JP, Morton J, Schemitsch EH (2005) Isolated acetabular revision after total hip arthroplasty: results at 5-?years of follow-up. Int Orthop 29(5):277-80. doi:10.1007/s00264-005-0674-2 CrossRef
14. Moskal JT, Shen FH, Brown TE (2002) The fate of stable femoral components retained during isolated acetabular revision: a six-to-twelve-year follow-up study. J Bone Joint Surg Am 84-A(2):250-55
15. Hannouche D, Delambre J, Zadegan F, Sedel L, Nizard R (2010) Is there a risk in placing a ceramic head on a previously implanted trunion? Clin Orthop Relat Res 468(12):3322-327. doi:10.1007/s11999-010-1505-3 CrossRef
16. Koo KH, Ha YC, Jung WH, Kim SR, Yoo JJ, Kim HJ (2008) Isolated fracture of the ceramic head after third-generation alumina-on-alumina total hip arthroplasty. J Bone Joint Surg Am 90(2):329-36 CrossRef
17. Thorey F, Sakdinakiattikoon M, Thiengwittayaporn S, Windhagen H (2011) Early results of revision Hip arthroplasty using a ceramic revision ball head. Semin Arthroplasty 22:284-89. doi:10.1053/j.sart.2011.09.008 CrossRef
18. Takata ET, Basile R, Albertoni WM (2007) Experiences with Bicontact ceramic-ceramic total hip arthroplasty. Z Orthop Unfall 145(Suppl 1):S25–S28
19. Kim YS, Kim YH, Hwang KT, Choi IY (2009) Isolated acetabular revision hip arthroplasty with the use of uncemented cup. J Arthroplasty 24(8):1236-240. doi:10.1016/j.arth.2009.05.032 CrossRef
20. Bozic KJ, Ong K, Lau E, Kurtz SM, Vail TP, Rubash HE, Berry DJ (2010) Risk of complication and revision total hip arthroplasty among Medicare patients with different bearing surfaces. Clin Orthop Relat Res 468(9):2357-362. doi:10.1007/s11999-010-1262-3 CrossRef
21. Patel D, Parvizi J, Sharkey PF (2011) Alternative bearing surface options for revision total hip arthroplasty. Instr Course Lect 60:257-67
22. Vendittoli PA, Amzica T, Roy AG, Lusignan D, Girard J, Lavigne M (2011) Metal Ion release with large-diameter metal-on-metal hip arthroplasty. J Arthroplasty 26(2):282-88. doi:10.1016/j.arth.2009.12.013 CrossRef
23. Garbuz DS, Tanzer M, Greidanus NV, Masri BA, Duncan CP (2010) The John Charnley Award: metal-on-metal hip resurfacing versus large-diameter head metal-on-metal total hip arthroplasty: a randomized clinical trial. Clin Orthop Relat Res 468(2):318-25. doi:10.1007/s11999-009-1029-x CrossRef - 作者单位：Peter Helwig (1)
Lukas Konstantinidis (1)
Anja Hirschmüller (1)
Anke Bernstein (1)
Oliver Hauschild (1)
Norbert P. Südkamp (1)
Bj?rn G. Ochs (2)
1. Department of Orthopaedics and Traumatology, University Hospital Freiburg, Albert-Ludwigs-University Freiburg, Hugstetterstr. 55, 79106, Freiburg, Germany
2. BG Trauma Centre, University of Tuebingen, Tuebingen, Germany - ISSN：1432-5195
文摘
Purpose One possibility in hip arthroplasty revisions is to combine a modular ceramic head with an adapter or sleeve in isolated acetabular cup replacement. This study consisted of an experimental part to analyse the reliability of taper damage predictions, and a clinical part to analyse the outcomes of modular ceramic head implantation in a case series of isolated cup replacements. Methods Analysis of scratch size on 11 explanted hip stems were examined macroscopically and by stereomicroscopy to classify damage to the conical taper. The second part consisted of a prospective analysis of isolated cup revisions using a modular ceramic head, performed in two orthopedic centres. Results Analysis of scratch size on the taper yielded inter-observer correlations of 0.545-.909; comparison with stereomicroscopic data recordings yielded a moderate correlation, with values between 0.545 and 0.090. The clinical study included 47 isolated acetabular cup revisions involving modular ceramic heads. Ceramic head failure did not occur during the average clinical and radiological observation period of 26?months. Mean Harris Hip Score (HHS) at follow-up was 70 points. Conclusion From these results, it can be concluded that damage to the implanted stem taper cannot be reliably predicted intraoperatively. Nevertheless, the clinical outcomes did show that there were no problems with the ceramic heads over the short observation period. The application of modular ceramic heads in younger patients requiring isolated cup replacement requires proper risk-benefit analysis, but is possible and appears to be a safe procedure.