Total hip replacement with hybrid polished tapered stems, cemented modern technique and ceramic-ceramic surface. Analysis of complications.
Article Sidebar
Published:
Aug 6, 2016
Keywords:
Arthroplasty, hip, ceramics, complications
Main Article Content
Abstract
BackroundPolished cemented stems with modern cementing techniques have shown excellent results even in young patients, nevertheless their results in combination with ceramic bearings are not known due to the lack of reports. We analysed the results and complications of hip hybrid arthroplasties combining second and third-generation cemented polished tapered stems and ceramic - ceramic bearings.MethodsResults, complications related to ceramic surfaces and survival rate of 277 patients treated with hip arthroplasties with polished stems cemented with modern techniques were evaluated. The mean age was 56 years and the minimum follow-up, 6 years.ResultsNo radiographic loosening, migration or radiolucencies were detected.The infection rate was 1.3%.The complications rate due to ceramic bearing was 4%, revisión was required in 1.4%.K-M survivorship at 7 years, with revision for any reason as the endpoint was 95.8% (95% CI, 94 % to 99%) whereas for aseptic loosening 100%.ConclusionDislocation with metal impregnation was responsible of almost all revisions caused from complications related to bearing surfaces. The incidence of squeaking has been exceptionally low compared to other series with cementless fixation. The combination of modern cementing techniques of polished stems with ceramic on ceramic bearings has proven to be an attractive alternative with a 7-year survival of 95%, and no aseptic loosening.
Downloads
Download data is not yet available.
Metrics
Metrics Loading ...
Article Details
How to Cite
Burgo, F. J., Aliaga Sáenz, J. A., Mengelle, D. E., Pérez Dávila, R., & Autorino, C. M. (2016). Total hip replacement with hybrid polished tapered stems, cemented modern technique and ceramic-ceramic surface. Analysis of complications. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 81(3), 190-198. https://doi.org/10.15417/422
Issue
Section
Clinical Research
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Manuscript acceptance by the Journal implies the simultaneous non-submission to any other journal or publishing house. The RAAOT is under the Licencia Creative Commnos Atribución-NoComercial-Compartir Obras Derivadas Igual 4.0 Internacional (CC-BY-NC.SA 4.0) (http://creativecommons.org/licences/by-nc-sa/4.0/deed.es). Articles can be shared, copied, distributed, modified, altered, transformed into a derivative work, executed and publicly communicated, provided a) the authors and the original publication (Journal, Publisher and URL) are mentioned, b) they are not used for commercial purposes, c) the same terms of the license are maintained.
In the event that the manuscript is approved for its next publication, the authors retain the copyright and will assign to the journal the rights of publication, edition, reproduction, distribution, exhibition and communication at a national and international level in the different databases. data, repositories and portals.
It is hereby stated that the mentioned manuscript has not been published and that it is not being printed in any other national or foreign journal.
The authors hereby accept the necessary modifications, suggested by the reviewers, in order to adapt the manuscript to the style and publication rules of this Journal.
References
1. Bizot P, Hannouche D, Nizard R, Witvoet J, Sedel L. Hybrid alumina total hip arthroplasty using a press-fit metal-backed socket in patients younger than 55 years. A six- to 11-year evaluation. J Bone Joint Surg Br. 2004 Mar;86(2):190-4.
2. Devitt A, O'Sullivan T, Quinlan W. 16- to 25-year follow-up study of cemented arthroplasty of the hip in patients aged 50 years or younger. J Arthroplasty. 1997 Aug;12(5):479-89.
3. Koo KH, Ha YC, Jung WH, Kim SR, Yoo JJ, Kim HJ. Isolated fracture of the ceramic head after third-generation alumina-on-alumina total hip arthroplasty. J Bone Joint Surg Am. 2008 Feb;90(2):329-36.
4. Poggie RA, Turgeon TR, Coutts RD. Failure analysis of a ceramic bearing acetabular component. J Bone Joint Surg Am. 2007 Feb;89(2):367-75.
5. Jarrett CA, Ranawat AS, Bruzzone M, Blum YC, Rodriguez JA, Ranawat CS. The squeaking hip: a phenomenon of ceramic-on-ceramic total hip arthroplasty. J Bone Joint Surg Am. 2009 Jun;91(6):1344-9.
6. Lusty PJ, Tai CC, Sew-Hoy RP, Walter WL, Walter WK, Zicat BA. Third-generation alumina-on-alumina ceramic bearings in cementless total hip arthroplasty. J Bone Joint Surg Am. 2007 Dec;89(12):2676-83.
7. Restrepo C, Parvizi J, Kurtz SM, Sharkey PF, Hozack WJ, Rothman RH. The noisy ceramic hip: is component malpositioning the cause? J Arthroplasty. 2008 Aug;23(5):643-9.
8. Langdown AJ, Pickard RJ, Hobbs CM, Clarke HJ, Dalton DJ, Grover ML. Incomplete seating of the liner with the Trident acetabular system: a cause for concern? J Bone Joint Surg Br. 2007 Mar;89(3):291-5.
9. Muller FA, Hagymasi M, Greil P, Zeiler G, Schuh A. Transfer of metallic debris after dislocation of ceramic femoral heads in hip prostheses. Arch Orthop Trauma Surg. 2006 Apr;126(3):174-80.
10. Yamamoto K, Shishido T, Tateiwa T, Katori Y, Masaoka T, Imakiire A, et al. Failure of ceramic THR with liner dislocation--a case report. Acta Orthop Scand. 2004 Aug;75(4):500-2.
11. Callaghan JJ, Dorr LD, Engh GA, Hanssen AD, Healy WL, Lachiewicz PF, et al. Prophylaxis for thromboembolic disease: recommendations from the American College of Chest Physicians--are they appropriate for orthopaedic surgery? J Arthroplasty. 2005 Apr;20(3):273-4.
12. Escobar A, Quintana JM, Bilbao A, Azkarate J, Guenaga JI. Validation of the Spanish version of the WOMAC questionnaire for patients with hip or knee osteoarthritis. Western Ontario and McMaster Universities Osteoarthritis Index. Clin Rheumatol. 2002 Nov;21(6):466-71.
13. Barrack RL, Mulroy RD, Jr., Harris WH. Improved cementing techniques and femoral component loosening in young patients with hip arthroplasty. A 12-year radiographic review. J Bone Joint Surg Br. 1992 May;74(3):385-9.
14. Widmer KH. A simplified method to determine acetabular cup anteversion from plain radiographs. J Arthroplasty. 2004 Apr;19(3):387-90.
15. Brooker AF, Bowerman JW, Robinson RA, Riley LH, Jr. Ectopic ossification following total hip replacement. Incidence and a method of classification. J Bone Joint Surg Am. 1973 Dec;55(8):1629-32.
16. DeLee JG, Charnley J. Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop Relat Res. 1976 Nov-Dec(121):20-32.
17. Park YS, Hwang SK, Choy WS, Kim YS, Moon YW, Lim SJ. Ceramic failure after total hip arthroplasty with an alumina-on-alumina bearing. J Bone Joint Surg Am. 2006 Apr;88(4):780-7.
18. Hamadouche M, Boutin P, Daussange J, Bolander ME, Sedel L. Alumina-on-alumina total hip arthroplasty: a minimum 18.5-year follow-up study. J Bone Joint Surg Am. 2002 Jan;84-A(1):69-77.
19. Sexton SA, Walter WL, Jackson MP, De Steiger R, Stanford T. Ceramic-on-ceramic bearing surface and risk of revision due to dislocation after primary total hip replacement. J Bone Joint Surg Br. 2009 Nov;91(11):1448-53.
20. Ha YC, Kim SY, Kim HJ, Yoo JJ, Koo KH. Ceramic liner fracture after cementless alumina-on-alumina total hip arthroplasty. Clin Orthop Relat Res. 2007 May;458:106-10.
21. Antonietti B, Paderni S, Sama D, Comitini V, Sudanese A. Anatomic cementless total hip arthroplasty with ceramic bearings and modular necks: 3 to 5 years follow-up. Chir Organi Mov. 2003 Jul-Sep;88(3):259-65.
22. Heisel C, Silva M, Schmalzried TP. Bearing surface options for total hip replacement in young patients. Instr Course Lect. 2004;53:49-65.
23. Keurentjes JC, Kuipers RM, Wever DJ, Schreurs BW. High incidence of squeaking in THAs with alumina ceramic-on-ceramic bearings. Clin Orthop Relat Res. 2008 Jun;466(6):1438-43.
24. Matar WY, Restrepo C, Parvizi J, Kurtz SM, Hozack WJ. Revision hip arthroplasty for ceramic-on-ceramic squeaking hips does not compromise the results. J Arthroplasty. 2010 Sep;25(6 Suppl):81-6.
25. Ling RS, Charity J, Lee AJ, Whitehouse SL, Timperley AJ, Gie GA. The long-term results of the original Exeter polished cemented femoral component: a follow-up report. J Arthroplasty. 2009 Jun;24(4):511-7.
26. Makela KT. Failure rate of cemented and uncemented hip replacements: Register study of combined Nordic database of 4 nations. . BMJ. 2014;348(14).
27. Petheram Tea. The Exeter universal stem at 20-25 years. Proceedings of the British Hip Society, Exeter; 2014.
28. De Kam DC, Busch VJ, Veth RP, Schreurs BW. Total hip arthroplasties in young patients under 50 years: limited evidence for current trends. A descriptive literature review. Hip Int. 2011 Sep-Oct;21(5):518-25.
2. Devitt A, O'Sullivan T, Quinlan W. 16- to 25-year follow-up study of cemented arthroplasty of the hip in patients aged 50 years or younger. J Arthroplasty. 1997 Aug;12(5):479-89.
3. Koo KH, Ha YC, Jung WH, Kim SR, Yoo JJ, Kim HJ. Isolated fracture of the ceramic head after third-generation alumina-on-alumina total hip arthroplasty. J Bone Joint Surg Am. 2008 Feb;90(2):329-36.
4. Poggie RA, Turgeon TR, Coutts RD. Failure analysis of a ceramic bearing acetabular component. J Bone Joint Surg Am. 2007 Feb;89(2):367-75.
5. Jarrett CA, Ranawat AS, Bruzzone M, Blum YC, Rodriguez JA, Ranawat CS. The squeaking hip: a phenomenon of ceramic-on-ceramic total hip arthroplasty. J Bone Joint Surg Am. 2009 Jun;91(6):1344-9.
6. Lusty PJ, Tai CC, Sew-Hoy RP, Walter WL, Walter WK, Zicat BA. Third-generation alumina-on-alumina ceramic bearings in cementless total hip arthroplasty. J Bone Joint Surg Am. 2007 Dec;89(12):2676-83.
7. Restrepo C, Parvizi J, Kurtz SM, Sharkey PF, Hozack WJ, Rothman RH. The noisy ceramic hip: is component malpositioning the cause? J Arthroplasty. 2008 Aug;23(5):643-9.
8. Langdown AJ, Pickard RJ, Hobbs CM, Clarke HJ, Dalton DJ, Grover ML. Incomplete seating of the liner with the Trident acetabular system: a cause for concern? J Bone Joint Surg Br. 2007 Mar;89(3):291-5.
9. Muller FA, Hagymasi M, Greil P, Zeiler G, Schuh A. Transfer of metallic debris after dislocation of ceramic femoral heads in hip prostheses. Arch Orthop Trauma Surg. 2006 Apr;126(3):174-80.
10. Yamamoto K, Shishido T, Tateiwa T, Katori Y, Masaoka T, Imakiire A, et al. Failure of ceramic THR with liner dislocation--a case report. Acta Orthop Scand. 2004 Aug;75(4):500-2.
11. Callaghan JJ, Dorr LD, Engh GA, Hanssen AD, Healy WL, Lachiewicz PF, et al. Prophylaxis for thromboembolic disease: recommendations from the American College of Chest Physicians--are they appropriate for orthopaedic surgery? J Arthroplasty. 2005 Apr;20(3):273-4.
12. Escobar A, Quintana JM, Bilbao A, Azkarate J, Guenaga JI. Validation of the Spanish version of the WOMAC questionnaire for patients with hip or knee osteoarthritis. Western Ontario and McMaster Universities Osteoarthritis Index. Clin Rheumatol. 2002 Nov;21(6):466-71.
13. Barrack RL, Mulroy RD, Jr., Harris WH. Improved cementing techniques and femoral component loosening in young patients with hip arthroplasty. A 12-year radiographic review. J Bone Joint Surg Br. 1992 May;74(3):385-9.
14. Widmer KH. A simplified method to determine acetabular cup anteversion from plain radiographs. J Arthroplasty. 2004 Apr;19(3):387-90.
15. Brooker AF, Bowerman JW, Robinson RA, Riley LH, Jr. Ectopic ossification following total hip replacement. Incidence and a method of classification. J Bone Joint Surg Am. 1973 Dec;55(8):1629-32.
16. DeLee JG, Charnley J. Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop Relat Res. 1976 Nov-Dec(121):20-32.
17. Park YS, Hwang SK, Choy WS, Kim YS, Moon YW, Lim SJ. Ceramic failure after total hip arthroplasty with an alumina-on-alumina bearing. J Bone Joint Surg Am. 2006 Apr;88(4):780-7.
18. Hamadouche M, Boutin P, Daussange J, Bolander ME, Sedel L. Alumina-on-alumina total hip arthroplasty: a minimum 18.5-year follow-up study. J Bone Joint Surg Am. 2002 Jan;84-A(1):69-77.
19. Sexton SA, Walter WL, Jackson MP, De Steiger R, Stanford T. Ceramic-on-ceramic bearing surface and risk of revision due to dislocation after primary total hip replacement. J Bone Joint Surg Br. 2009 Nov;91(11):1448-53.
20. Ha YC, Kim SY, Kim HJ, Yoo JJ, Koo KH. Ceramic liner fracture after cementless alumina-on-alumina total hip arthroplasty. Clin Orthop Relat Res. 2007 May;458:106-10.
21. Antonietti B, Paderni S, Sama D, Comitini V, Sudanese A. Anatomic cementless total hip arthroplasty with ceramic bearings and modular necks: 3 to 5 years follow-up. Chir Organi Mov. 2003 Jul-Sep;88(3):259-65.
22. Heisel C, Silva M, Schmalzried TP. Bearing surface options for total hip replacement in young patients. Instr Course Lect. 2004;53:49-65.
23. Keurentjes JC, Kuipers RM, Wever DJ, Schreurs BW. High incidence of squeaking in THAs with alumina ceramic-on-ceramic bearings. Clin Orthop Relat Res. 2008 Jun;466(6):1438-43.
24. Matar WY, Restrepo C, Parvizi J, Kurtz SM, Hozack WJ. Revision hip arthroplasty for ceramic-on-ceramic squeaking hips does not compromise the results. J Arthroplasty. 2010 Sep;25(6 Suppl):81-6.
25. Ling RS, Charity J, Lee AJ, Whitehouse SL, Timperley AJ, Gie GA. The long-term results of the original Exeter polished cemented femoral component: a follow-up report. J Arthroplasty. 2009 Jun;24(4):511-7.
26. Makela KT. Failure rate of cemented and uncemented hip replacements: Register study of combined Nordic database of 4 nations. . BMJ. 2014;348(14).
27. Petheram Tea. The Exeter universal stem at 20-25 years. Proceedings of the British Hip Society, Exeter; 2014.
28. De Kam DC, Busch VJ, Veth RP, Schreurs BW. Total hip arthroplasties in young patients under 50 years: limited evidence for current trends. A descriptive literature review. Hip Int. 2011 Sep-Oct;21(5):518-25.