Comparison of osteolysis around 3 different cement restrictors in total hip arthroplasty
BACKGROUND AND AIM: Several studies reported osteolysis around polyethylene glycol/polybutylene terephthalate (PEG/PBT) based femoral cement restrictors. Our goal was to evaluate and compare osteolysis around 3 different plug designs: the slow biodegradable PEG/PBT cement restrictor; the fast biodegradable gelatin cement restrictor; and the non-biodegradable polyethylene plug.
PATIENTS AND METHODS: In a retrospective multicentre cohort study chart data were extracted of patients who received a total hip arthroplasty between 2008 and 2012. A total of 961 hips were included. Cortical ratio between inner and outer cortices at the centre of the plug was measured on routine postoperative follow-up moments. Median follow up of all 3 hospitals was 3.5 years (1.4-7.3). The primary outcome was evidence of osteolysis (i.e. the difference in cortical ratio [CR]) on anteroposterior (AP) radiographs at final follow-up.
RESULTS: Progressive osteolysis was found around the PEG/PBT cement restrictor represented by a significantly increasing cortical ratio (ΔCR 0.067 (95% CI, 0.063-0.071). Distance from tip prosthesis to plug and size of the plug were found to be independent factors in predicting increased cortical ratio.
CONCLUSIONS: Our multicentre cohort shows increase of cortical ratio around the PEG/PBT cement restrictor which progresses over time. Physicians should be aware of this fact and are advised to intensify follow-up of patients who received this cement restrictor.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2024 |
|---|---|
| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:34 |
|---|---|
| Enthalten in: |
Hip international : the journal of clinical and experimental research on hip pathology and therapy - 34(2024), 2 vom: 27. März, Seite 221-227 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Prins, Wybren [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
9002-88-4 |
|---|
| Anmerkungen: |
Date Completed 13.03.2024 Date Revised 13.03.2024 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1177/11207000231222328 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM369041518 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM369041518 | ||
| 003 | DE-627 | ||
| 005 | 20240313234515.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 240229s2024 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1177/11207000231222328 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1326.xml |
| 035 | |a (DE-627)NLM369041518 | ||
| 035 | |a (NLM)38414223 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Prins, Wybren |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Comparison of osteolysis around 3 different cement restrictors in total hip arthroplasty |
| 264 | 1 | |c 2024 | |
| 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 Completed 13.03.2024 | ||
| 500 | |a Date Revised 13.03.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a BACKGROUND AND AIM: Several studies reported osteolysis around polyethylene glycol/polybutylene terephthalate (PEG/PBT) based femoral cement restrictors. Our goal was to evaluate and compare osteolysis around 3 different plug designs: the slow biodegradable PEG/PBT cement restrictor; the fast biodegradable gelatin cement restrictor; and the non-biodegradable polyethylene plug | ||
| 520 | |a PATIENTS AND METHODS: In a retrospective multicentre cohort study chart data were extracted of patients who received a total hip arthroplasty between 2008 and 2012. A total of 961 hips were included. Cortical ratio between inner and outer cortices at the centre of the plug was measured on routine postoperative follow-up moments. Median follow up of all 3 hospitals was 3.5 years (1.4-7.3). The primary outcome was evidence of osteolysis (i.e. the difference in cortical ratio [CR]) on anteroposterior (AP) radiographs at final follow-up | ||
| 520 | |a RESULTS: Progressive osteolysis was found around the PEG/PBT cement restrictor represented by a significantly increasing cortical ratio (ΔCR 0.067 (95% CI, 0.063-0.071). Distance from tip prosthesis to plug and size of the plug were found to be independent factors in predicting increased cortical ratio | ||
| 520 | |a CONCLUSIONS: Our multicentre cohort shows increase of cortical ratio around the PEG/PBT cement restrictor which progresses over time. Physicians should be aware of this fact and are advised to intensify follow-up of patients who received this cement restrictor | ||
| 650 | 4 | |a Multicenter Study | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Cement restrictor | |
| 650 | 4 | |a hip arthroplasty | |
| 650 | 4 | |a hip prosthesis | |
| 650 | 4 | |a osteolysis | |
| 650 | 4 | |a plug | |
| 650 | 7 | |a Polyethylene |2 NLM | |
| 650 | 7 | |a 9002-88-4 |2 NLM | |
| 650 | 7 | |a Bone Cements |2 NLM | |
| 700 | 1 | |a Cornelissen, Maarten P |e verfasserin |4 aut | |
| 700 | 1 | |a Goudriaan, W Alexander |e verfasserin |4 aut | |
| 700 | 1 | |a Edens, Mireille A |e verfasserin |4 aut | |
| 700 | 1 | |a Amaya, Jeremy |e verfasserin |4 aut | |
| 700 | 1 | |a Zollinger, Paul E |e verfasserin |4 aut | |
| 700 | 1 | |a Verheyen, Cees C P M |e verfasserin |4 aut | |
| 700 | 1 | |a Ettema, Harmen B |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Hip international : the journal of clinical and experimental research on hip pathology and therapy |d 1997 |g 34(2024), 2 vom: 27. März, Seite 221-227 |w (DE-627)NLM091552826 |x 1724-6067 |7 nnns |
| 773 | 1 | 8 | |g volume:34 |g year:2024 |g number:2 |g day:27 |g month:03 |g pages:221-227 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1177/11207000231222328 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 34 |j 2024 |e 2 |b 27 |c 03 |h 221-227 | ||