Short- to Mid-Term Clinical and Radiological Results of Selective Laser Melting Highly Porous Titanium Cup in Primary Total Hip Arthroplasty

(1) Background: The aim of this study was to evaluate short- to mid-term clinical and radiological results in patients undergoing primary total hip arthroplasty (THA) with the use of a Selective Laser Melting 3D-printed highly porous titanium acetabular cup (Jump System Traser®, Permedica Orthopaedics). (2) Methods: We conducted a retrospective study and collected prospective data on 125 consecutive patients who underwent primary THA with the use of highly porous titanium cup. Each patient was evaluated preoperatively and postoperatively with a clinical and radiological assessment. (3) Results: The final cohort consisted of 104 patients evaluated after a correct value of 52 (38-74) months. The median Harris Hip Score (HHS) significantly improved from 63.7 (16-95.8) preoperatively to 94.8 (38.2-95.8) postoperatively (p < 0.001), with higher improvement associated with higher age at surgery (β = 0.22, p = 0.025). On postoperative radiographs, the average acetabular cup inclination and anteversion were 46° (30°-57°) and 15° (1°-32°), respectively. All cups radiographically showed signs of osseointegration with no radiolucency observed, or component loosening. (4) Conclusions: The use of this highly porous acetabular cup in primary THA achieved excellent clinical, functional, and radiological results at mid-term follow-up. A better clinical recovery can be expected in older patients. The radiological evaluation showed excellent osseointegration of the cup with complete absence of periprosthetic radiolucent lines.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:13

Enthalten in:

Journal of clinical medicine - 13(2024), 4 vom: 08. Feb.

Sprache:

Englisch

Beteiligte Personen:

Familiari, Filippo [VerfasserIn]
Barone, Alessandro [VerfasserIn]
De Gori, Marco [VerfasserIn]
Banci, Lorenzo [VerfasserIn]
Palco, Michelangelo [VerfasserIn]
Simonetta, Roberto [VerfasserIn]
Gasparini, Giorgio [VerfasserIn]
Mercurio, Michele [VerfasserIn]
Calafiore, Giuseppe [VerfasserIn]

Links:

Volltext

Themen:

Bone sclerosis
Harris hip score (HHS)
Heterotopic ossifications
Highly porous titanium
Journal Article
Osseointegration
Primary total hip arthroplasty
Radiolucency
SLM 3D-printed highly porous titanium acetabular cup
Selective laser melting (SLM)

Anmerkungen:

Date Revised 27.02.2024

published: Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.3390/jcm13040969

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM368882594