Τίτλος:
Comparison of the long-term outcome of cemented Charnley low-friction arthroplasty with hybrid arthroplasty in patients with congenital hip disease
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Aims To our knowledge, no study has compared the long-term results of cemented and hybrid total hip arthroplasty (THA) in patients with osteoarthritis (OA) secondary to congenital hip disease (CHD). This is a demanding procedure that may require special techniques and implants. Our aim was to compare the long-term outcome of cemented low-friction arthroplasty (LFA) and hybrid THA performed by one surgeon. Patients and Methods Between January 1989 and December 1997, 58 hips (44 patients; one man, 43 woman; mean age 56.6 years (25 to 77)) with OA secondary to CHD were treated with a cemented Charnley LFA (group A), and 55 hips (39 patients; two men, 37 women; mean age 49.1 years (27 to 70)) were treated with a hybrid THA (group B), by the senior author (GH). The clinical outcome and survivorship were compared. Results At all timepoints, group A hips had slightly better survivorship than those in group B without a statistically significant difference, except for the 24-year survival of acetabular components with revision for aseptic loosening as the endpoint, which was slightly worse. The survivorship was only significantly better in group A compared with group B when considering reoperation for any indication as the endpoint, 15 years postoperatively (74% vs 52%, p = 0.018). Conclusion We concluded that there was not a substantial difference at almost any time in the outcome of cemented Charnley LFAs compared with hybrid THAs when treating patients with OA of the hip secondary to CHD. We believe, however, that after improvements in the design of components used in hybrid THA, this could be the method of choice, as it is technically easier with a shorter operating time. ©2019 The British Editorial Society of Bone & Joint Surgery.
Συγγραφείς:
Lampropoulou-Adamidou, K.
Hartofilakidis, G.
Περιοδικό:
Journal of Bone and Joint Infection
Εκδότης:
British Editorial Society of Bone and Joint Surgery
Λέξεις-κλειδιά:
acrylic cement; bone cement, adult; aged; Article; clinical article; clinical outcome; congenital hip dislocation; female; friction; hip arthroplasty; hip dysplasia; hip osteoarthritis; hip radiography; human; hybrid; intermethod comparison; male; operation duration; periprosthetic fracture; postoperative period; priority journal; prosthesis infection; prosthesis loosening; reoperation; survival analysis; survival rate; survivorship; total hip replacement; cementation; comparative study; complication; congenital hip dislocation; hip osteoarthritis; hip prosthesis; hip replacement; middle aged; procedures; prosthesis design; register; retrospective study; time factor; treatment outcome, Adult; Aged; Arthroplasty, Replacement, Hip; Bone Cements; Cementation; Female; Hip Dislocation, Congenital; Hip Prosthesis; Humans; Male; Middle Aged; Osteoarthritis, Hip; Prosthesis Design; Registries; Retrospective Studies; Time Factors; Treatment Outcome
DOI:
10.1302/0301-620X.101B9.BJJ-2018-1208.R1
