Large head ceramic-on-ceramic bearing in primary total hip arthroplasty: average 3-year follow-up of a multicentre study
Background: Surgeons are increasingly using larger femoral head sizes in total hip arthroplasty (THA) to improve stability and reduce the rate of dislocation, 1 of the leading causes of revision surgery. Large ceramic head sizes up to 48 mm can now be used with monoblock acetabular components. Natio...
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| Veröffentlicht in: | Hip international 2020-11, Vol.30 (6), p.711-717 |
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| container_title | Hip international |
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| creator | Lavigne, Martin Vendittoli, Pascal-André Virolainen, Petri Corten, Kristoff Martinez, Mariano Zicat, Bernard Peter, Viju Bloem, Rolf Miazzolo, Nicolas Remes, Ville |
| description | Background:
Surgeons are increasingly using larger femoral head sizes in total hip arthroplasty (THA) to improve stability and reduce the rate of dislocation, 1 of the leading causes of revision surgery. Large ceramic head sizes up to 48 mm can now be used with monoblock acetabular components. National registries have shown promising results at short-term with large diameter ceramic-on-ceramic THA, with very low revision rates.
This study reports on the average 3-year follow up of a press-fit monoblock large diameter acetabular shell with a pre-assembled ceramic liner, with emphasis on the radiographic outcome, complications related to the implantation of the cup, and the patient’s clinical outcome.
Methods:
170 hips in 169 patients were reviewed at an average 38 ± 5.8 months following surgery.
Results:
The radiographic review revealed no acetabular cup loosening, no osteolysis and no cup migration. 1 acetabular cup was revised for malposition. The patient clinical outcome and the satisfaction rate were excellent. At 3 years, 7.1% of patients complained of groin pain and 3.5% spontaneously reported hip joint generated noise. 1 patient sustained a non-recurrent traumatic hip dislocation 2 years post surgery.
Conclusions:
New technology should be introduced cautiously on the market. This is especially true for the large diameter ceramic monoblock acetabular component used in this study since it involves a new acetabular component design. At short term, we have not identified new modes of failure with this implant. Longer follow-up is still needed to assess the safety of large ceramic bearing in THA. |
| doi_str_mv | 10.1177/1120700019863376 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2257703031</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_1120700019863376</sage_id><sourcerecordid>2257703031</sourcerecordid><originalsourceid>FETCH-LOGICAL-c337t-ec2bc30af0be430b4d159b3cfc2ab70c5416e16c400791f00354d18a778300ad3</originalsourceid><addsrcrecordid>eNp1kL1PwzAUxC0EoqWwMyGPLIZnO4kbNoT4kiqxwBw5jtOmcuJgO0D-e1w1MCAxvZPe7066Q-icwhWlQlxTykAAAM2XGeciO0BzKlhCMsjEYdTxTXb_GTrxfgvAWJ4mx2jGKcszSMUcfa2kW2u80bLCSjvZNorYjkwSl1q6plvjpsO9a1rpRhxskAZvmh5LFzbO9kb6MN5g-RE9MYqTMZpwbY2xn2Tosa2xxO1gQqN0F5zGPgzVeIqOamm8PpvuAr093L_ePZHVy-Pz3e2KqFgoEK1YqTjIGkqdcCiTiqZ5yVWtmCwFqDShmaaZSgBETmsAnkZkKYVYcgBZ8QW63Of2zr4P2oeibbzSxshO28EXjKVCAAdOIwp7VDnrvdN1MXUuKBS7vYu_e0fLxZQ-lK2ufg0_A0eA7AEftym2dnBdbPt_4DdoNIgi</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2257703031</pqid></control><display><type>article</type><title>Large head ceramic-on-ceramic bearing in primary total hip arthroplasty: average 3-year follow-up of a multicentre study</title><source>SAGE Complete A-Z List</source><source>MEDLINE</source><creator>Lavigne, Martin ; Vendittoli, Pascal-André ; Virolainen, Petri ; Corten, Kristoff ; Martinez, Mariano ; Zicat, Bernard ; Peter, Viju ; Bloem, Rolf ; Miazzolo, Nicolas ; Remes, Ville</creator><creatorcontrib>Lavigne, Martin ; Vendittoli, Pascal-André ; Virolainen, Petri ; Corten, Kristoff ; Martinez, Mariano ; Zicat, Bernard ; Peter, Viju ; Bloem, Rolf ; Miazzolo, Nicolas ; Remes, Ville</creatorcontrib><description>Background:
Surgeons are increasingly using larger femoral head sizes in total hip arthroplasty (THA) to improve stability and reduce the rate of dislocation, 1 of the leading causes of revision surgery. Large ceramic head sizes up to 48 mm can now be used with monoblock acetabular components. National registries have shown promising results at short-term with large diameter ceramic-on-ceramic THA, with very low revision rates.
This study reports on the average 3-year follow up of a press-fit monoblock large diameter acetabular shell with a pre-assembled ceramic liner, with emphasis on the radiographic outcome, complications related to the implantation of the cup, and the patient’s clinical outcome.
Methods:
170 hips in 169 patients were reviewed at an average 38 ± 5.8 months following surgery.
Results:
The radiographic review revealed no acetabular cup loosening, no osteolysis and no cup migration. 1 acetabular cup was revised for malposition. The patient clinical outcome and the satisfaction rate were excellent. At 3 years, 7.1% of patients complained of groin pain and 3.5% spontaneously reported hip joint generated noise. 1 patient sustained a non-recurrent traumatic hip dislocation 2 years post surgery.
Conclusions:
New technology should be introduced cautiously on the market. This is especially true for the large diameter ceramic monoblock acetabular component used in this study since it involves a new acetabular component design. At short term, we have not identified new modes of failure with this implant. Longer follow-up is still needed to assess the safety of large ceramic bearing in THA.</description><identifier>ISSN: 1120-7000</identifier><identifier>EISSN: 1724-6067</identifier><identifier>DOI: 10.1177/1120700019863376</identifier><identifier>PMID: 31296057</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Acetabulum - surgery ; Adult ; Aged ; Arthroplasty, Replacement, Hip - methods ; Ceramics ; Female ; Femur Head - surgery ; Follow-Up Studies ; Hip Dislocation - surgery ; Hip Prosthesis ; Humans ; Male ; Middle Aged ; Prosthesis Design ; Prosthesis Failure ; Reoperation - adverse effects ; Time Factors</subject><ispartof>Hip international, 2020-11, Vol.30 (6), p.711-717</ispartof><rights>The Author(s) 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c337t-ec2bc30af0be430b4d159b3cfc2ab70c5416e16c400791f00354d18a778300ad3</citedby><cites>FETCH-LOGICAL-c337t-ec2bc30af0be430b4d159b3cfc2ab70c5416e16c400791f00354d18a778300ad3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1120700019863376$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1120700019863376$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,43597,43598</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31296057$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lavigne, Martin</creatorcontrib><creatorcontrib>Vendittoli, Pascal-André</creatorcontrib><creatorcontrib>Virolainen, Petri</creatorcontrib><creatorcontrib>Corten, Kristoff</creatorcontrib><creatorcontrib>Martinez, Mariano</creatorcontrib><creatorcontrib>Zicat, Bernard</creatorcontrib><creatorcontrib>Peter, Viju</creatorcontrib><creatorcontrib>Bloem, Rolf</creatorcontrib><creatorcontrib>Miazzolo, Nicolas</creatorcontrib><creatorcontrib>Remes, Ville</creatorcontrib><title>Large head ceramic-on-ceramic bearing in primary total hip arthroplasty: average 3-year follow-up of a multicentre study</title><title>Hip international</title><addtitle>Hip Int</addtitle><description>Background:
Surgeons are increasingly using larger femoral head sizes in total hip arthroplasty (THA) to improve stability and reduce the rate of dislocation, 1 of the leading causes of revision surgery. Large ceramic head sizes up to 48 mm can now be used with monoblock acetabular components. National registries have shown promising results at short-term with large diameter ceramic-on-ceramic THA, with very low revision rates.
This study reports on the average 3-year follow up of a press-fit monoblock large diameter acetabular shell with a pre-assembled ceramic liner, with emphasis on the radiographic outcome, complications related to the implantation of the cup, and the patient’s clinical outcome.
Methods:
170 hips in 169 patients were reviewed at an average 38 ± 5.8 months following surgery.
Results:
The radiographic review revealed no acetabular cup loosening, no osteolysis and no cup migration. 1 acetabular cup was revised for malposition. The patient clinical outcome and the satisfaction rate were excellent. At 3 years, 7.1% of patients complained of groin pain and 3.5% spontaneously reported hip joint generated noise. 1 patient sustained a non-recurrent traumatic hip dislocation 2 years post surgery.
Conclusions:
New technology should be introduced cautiously on the market. This is especially true for the large diameter ceramic monoblock acetabular component used in this study since it involves a new acetabular component design. At short term, we have not identified new modes of failure with this implant. Longer follow-up is still needed to assess the safety of large ceramic bearing in THA.</description><subject>Acetabulum - surgery</subject><subject>Adult</subject><subject>Aged</subject><subject>Arthroplasty, Replacement, Hip - methods</subject><subject>Ceramics</subject><subject>Female</subject><subject>Femur Head - surgery</subject><subject>Follow-Up Studies</subject><subject>Hip Dislocation - surgery</subject><subject>Hip Prosthesis</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prosthesis Design</subject><subject>Prosthesis Failure</subject><subject>Reoperation - adverse effects</subject><subject>Time Factors</subject><issn>1120-7000</issn><issn>1724-6067</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kL1PwzAUxC0EoqWwMyGPLIZnO4kbNoT4kiqxwBw5jtOmcuJgO0D-e1w1MCAxvZPe7066Q-icwhWlQlxTykAAAM2XGeciO0BzKlhCMsjEYdTxTXb_GTrxfgvAWJ4mx2jGKcszSMUcfa2kW2u80bLCSjvZNorYjkwSl1q6plvjpsO9a1rpRhxskAZvmh5LFzbO9kb6MN5g-RE9MYqTMZpwbY2xn2Tosa2xxO1gQqN0F5zGPgzVeIqOamm8PpvuAr093L_ePZHVy-Pz3e2KqFgoEK1YqTjIGkqdcCiTiqZ5yVWtmCwFqDShmaaZSgBETmsAnkZkKYVYcgBZ8QW63Of2zr4P2oeibbzSxshO28EXjKVCAAdOIwp7VDnrvdN1MXUuKBS7vYu_e0fLxZQ-lK2ufg0_A0eA7AEftym2dnBdbPt_4DdoNIgi</recordid><startdate>202011</startdate><enddate>202011</enddate><creator>Lavigne, Martin</creator><creator>Vendittoli, Pascal-André</creator><creator>Virolainen, Petri</creator><creator>Corten, Kristoff</creator><creator>Martinez, Mariano</creator><creator>Zicat, Bernard</creator><creator>Peter, Viju</creator><creator>Bloem, Rolf</creator><creator>Miazzolo, Nicolas</creator><creator>Remes, Ville</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202011</creationdate><title>Large head ceramic-on-ceramic bearing in primary total hip arthroplasty: average 3-year follow-up of a multicentre study</title><author>Lavigne, Martin ; Vendittoli, Pascal-André ; Virolainen, Petri ; Corten, Kristoff ; Martinez, Mariano ; Zicat, Bernard ; Peter, Viju ; Bloem, Rolf ; Miazzolo, Nicolas ; Remes, Ville</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c337t-ec2bc30af0be430b4d159b3cfc2ab70c5416e16c400791f00354d18a778300ad3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Acetabulum - surgery</topic><topic>Adult</topic><topic>Aged</topic><topic>Arthroplasty, Replacement, Hip - methods</topic><topic>Ceramics</topic><topic>Female</topic><topic>Femur Head - surgery</topic><topic>Follow-Up Studies</topic><topic>Hip Dislocation - surgery</topic><topic>Hip Prosthesis</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Prosthesis Design</topic><topic>Prosthesis Failure</topic><topic>Reoperation - adverse effects</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lavigne, Martin</creatorcontrib><creatorcontrib>Vendittoli, Pascal-André</creatorcontrib><creatorcontrib>Virolainen, Petri</creatorcontrib><creatorcontrib>Corten, Kristoff</creatorcontrib><creatorcontrib>Martinez, Mariano</creatorcontrib><creatorcontrib>Zicat, Bernard</creatorcontrib><creatorcontrib>Peter, Viju</creatorcontrib><creatorcontrib>Bloem, Rolf</creatorcontrib><creatorcontrib>Miazzolo, Nicolas</creatorcontrib><creatorcontrib>Remes, Ville</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Hip international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lavigne, Martin</au><au>Vendittoli, Pascal-André</au><au>Virolainen, Petri</au><au>Corten, Kristoff</au><au>Martinez, Mariano</au><au>Zicat, Bernard</au><au>Peter, Viju</au><au>Bloem, Rolf</au><au>Miazzolo, Nicolas</au><au>Remes, Ville</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Large head ceramic-on-ceramic bearing in primary total hip arthroplasty: average 3-year follow-up of a multicentre study</atitle><jtitle>Hip international</jtitle><addtitle>Hip Int</addtitle><date>2020-11</date><risdate>2020</risdate><volume>30</volume><issue>6</issue><spage>711</spage><epage>717</epage><pages>711-717</pages><issn>1120-7000</issn><eissn>1724-6067</eissn><abstract>Background:
Surgeons are increasingly using larger femoral head sizes in total hip arthroplasty (THA) to improve stability and reduce the rate of dislocation, 1 of the leading causes of revision surgery. Large ceramic head sizes up to 48 mm can now be used with monoblock acetabular components. National registries have shown promising results at short-term with large diameter ceramic-on-ceramic THA, with very low revision rates.
This study reports on the average 3-year follow up of a press-fit monoblock large diameter acetabular shell with a pre-assembled ceramic liner, with emphasis on the radiographic outcome, complications related to the implantation of the cup, and the patient’s clinical outcome.
Methods:
170 hips in 169 patients were reviewed at an average 38 ± 5.8 months following surgery.
Results:
The radiographic review revealed no acetabular cup loosening, no osteolysis and no cup migration. 1 acetabular cup was revised for malposition. The patient clinical outcome and the satisfaction rate were excellent. At 3 years, 7.1% of patients complained of groin pain and 3.5% spontaneously reported hip joint generated noise. 1 patient sustained a non-recurrent traumatic hip dislocation 2 years post surgery.
Conclusions:
New technology should be introduced cautiously on the market. This is especially true for the large diameter ceramic monoblock acetabular component used in this study since it involves a new acetabular component design. At short term, we have not identified new modes of failure with this implant. Longer follow-up is still needed to assess the safety of large ceramic bearing in THA.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>31296057</pmid><doi>10.1177/1120700019863376</doi><tpages>7</tpages></addata></record> |
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| ispartof | Hip international, 2020-11, Vol.30 (6), p.711-717 |
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| language | eng |
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| source | SAGE Complete A-Z List; MEDLINE |
| subjects | Acetabulum - surgery Adult Aged Arthroplasty, Replacement, Hip - methods Ceramics Female Femur Head - surgery Follow-Up Studies Hip Dislocation - surgery Hip Prosthesis Humans Male Middle Aged Prosthesis Design Prosthesis Failure Reoperation - adverse effects Time Factors |
| title | Large head ceramic-on-ceramic bearing in primary total hip arthroplasty: average 3-year follow-up of a multicentre study |
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