Highly Cross-Linked Polyethylene in Cementless Total Hip Arthroplasty in Patients with Previous Acetabular Fractures : A Minimum 5-Year Follow-Up Study
© Indian Orthopaedics Association 2020..
BACKGROUND: Outcomes of THA after acetabular fracture are generally less favorable than those of the nontraumatic arthritis due to a higher rate of cup loosening and osteolysis. We, therefore, investigated whether highly cross-linked polyethylene liners positively impact outcomes of THA in patients with posttraumatic osteoarthritis after acetabular fracture.
METHODS: We retrospectively evaluated 39 patients with previous acetabular fracture who underwent THA using highly cross-linked polyethylene liner after a mean 8.5 year follow-up. All procedures were performed at a single institution by a single surgeon using the same type of THA implants. Wear measurements were performed using a computer-assisted PolyWare software. Osteolysis was evaluated with use of radiography and computed tomography.
RESULTS: The mean preoperative Harris hip score was 44.4 points, which improved to 93.1 points at final follow-up. Neither femoral nor acetabular components displayed mechanical loosening and no components had been revised. Radiographs and CT scans did not demonstrate osteolysis. The mean linear wear was 0.043 mm/y (range 0-0.098 mm/y). With the data available, univariate regression analysis suggests that age, gender, weight, initial fracture type, the duration of follow-up, activity level, liner thickness, acetabular cup inclination, and the necessity of bone graft had no influence on liner penetration.
CONCLUSION: While the long-term effects of the polyethylene particles from highly cross-linked polyethylene remain unknown, implant survivorship and wear data in this study are promising for this high-risk population. Our encouraging results support the continued use of this type of polyethylene in patients after acetabular fractures.
LEVEL OF EVIDENCE: Level IV Therapeutic study.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2020 |
|---|---|
| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:54 |
|---|---|
| Enthalten in: |
Indian journal of orthopaedics - 54(2020), Suppl 2 vom: 27. Dez., Seite 239-245 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Min, Byung-Woo [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Acetabular fracture |
|---|
| Anmerkungen: |
Date Revised 18.04.2022 published: Electronic-eCollection Citation Status PubMed-not-MEDLINE |
|---|
| doi: |
10.1007/s43465-020-00137-z |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM317614940 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM317614940 | ||
| 003 | DE-627 | ||
| 005 | 20231225163633.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231225s2020 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1007/s43465-020-00137-z |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1058.xml |
| 035 | |a (DE-627)NLM317614940 | ||
| 035 | |a (NLM)33194097 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Min, Byung-Woo |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Highly Cross-Linked Polyethylene in Cementless Total Hip Arthroplasty in Patients with Previous Acetabular Fractures |b A Minimum 5-Year Follow-Up Study |
| 264 | 1 | |c 2020 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Revised 18.04.2022 | ||
| 500 | |a published: Electronic-eCollection | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a © Indian Orthopaedics Association 2020. | ||
| 520 | |a BACKGROUND: Outcomes of THA after acetabular fracture are generally less favorable than those of the nontraumatic arthritis due to a higher rate of cup loosening and osteolysis. We, therefore, investigated whether highly cross-linked polyethylene liners positively impact outcomes of THA in patients with posttraumatic osteoarthritis after acetabular fracture | ||
| 520 | |a METHODS: We retrospectively evaluated 39 patients with previous acetabular fracture who underwent THA using highly cross-linked polyethylene liner after a mean 8.5 year follow-up. All procedures were performed at a single institution by a single surgeon using the same type of THA implants. Wear measurements were performed using a computer-assisted PolyWare software. Osteolysis was evaluated with use of radiography and computed tomography | ||
| 520 | |a RESULTS: The mean preoperative Harris hip score was 44.4 points, which improved to 93.1 points at final follow-up. Neither femoral nor acetabular components displayed mechanical loosening and no components had been revised. Radiographs and CT scans did not demonstrate osteolysis. The mean linear wear was 0.043 mm/y (range 0-0.098 mm/y). With the data available, univariate regression analysis suggests that age, gender, weight, initial fracture type, the duration of follow-up, activity level, liner thickness, acetabular cup inclination, and the necessity of bone graft had no influence on liner penetration | ||
| 520 | |a CONCLUSION: While the long-term effects of the polyethylene particles from highly cross-linked polyethylene remain unknown, implant survivorship and wear data in this study are promising for this high-risk population. Our encouraging results support the continued use of this type of polyethylene in patients after acetabular fractures | ||
| 520 | |a LEVEL OF EVIDENCE: Level IV Therapeutic study | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Acetabular fracture | |
| 650 | 4 | |a Highly cross-linked polyethylene | |
| 650 | 4 | |a Posttraumatic osteoarthritis | |
| 650 | 4 | |a Total hip arthroplasty | |
| 700 | 1 | |a Bae, Ki-Cheor |e verfasserin |4 aut | |
| 700 | 1 | |a Cho, Chul-Hyun |e verfasserin |4 aut | |
| 700 | 1 | |a Son, Eun-Suck |e verfasserin |4 aut | |
| 700 | 1 | |a Lee, Kyung-Jae |e verfasserin |4 aut | |
| 700 | 1 | |a Lee, Si-Wook |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Indian journal of orthopaedics |d 2007 |g 54(2020), Suppl 2 vom: 27. Dez., Seite 239-245 |w (DE-627)NLM191342874 |x 0019-5413 |7 nnns |
| 773 | 1 | 8 | |g volume:54 |g year:2020 |g number:Suppl 2 |g day:27 |g month:12 |g pages:239-245 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1007/s43465-020-00137-z |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 54 |j 2020 |e Suppl 2 |b 27 |c 12 |h 239-245 | ||