The Correlation Between Immediate Radiolucent Lines and Early Implant Migration in Cemented Acetabular Components
Periacetabular radiolucent lines (RLLs) on postoperative radiographs have been associated with early loosening of the acetabular component. It has also been shown that excessive migration of an implant corresponds to an increased incidence of later clinical failure. This study relates RLLs on anteri...
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Veröffentlicht in: | The Journal of arthroplasty 2006-02, Vol.21 (2), p.215-220 |
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creator | Kneif, Damaris Downing, Martin Richard Ashcroft, George Patrick Knight, David J. Ledingham, William M. Gibson, Peter H. Hutchison, James D. |
description | Periacetabular radiolucent lines (RLLs) on postoperative radiographs have been associated with early loosening of the acetabular component. It has also been shown that excessive migration of an implant corresponds to an increased incidence of later clinical failure. This study relates RLLs on anterior-posterior hip radiographs taken 10 days and 6 months postoperatively to implant migration detected by roentgen stereophotogrammetric analysis. We have shown that RLLs in DeLee and Charnley zone III in the first week postoperatively as well as at 6 months are positively and significantly (
P < .05) associated with migration detected by roentgen stereophotogrammetric analysis. No significant association was found for zone I or II at either 10 days or at 6 months. Considering the limitations in observing RLLs, their presence in zone III appears to reflect on the mechanical stability of the acetabular cup from the beginning. This indicates that zone III, which represents the inferomedial aspect of the acetabulum, might have to receive special attention when preparing the acetabulum and implanting the acetabular cup. |
doi_str_mv | 10.1016/j.arth.2005.02.018 |
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P < .05) associated with migration detected by roentgen stereophotogrammetric analysis. No significant association was found for zone I or II at either 10 days or at 6 months. Considering the limitations in observing RLLs, their presence in zone III appears to reflect on the mechanical stability of the acetabular cup from the beginning. This indicates that zone III, which represents the inferomedial aspect of the acetabulum, might have to receive special attention when preparing the acetabulum and implanting the acetabular cup.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2005.02.018</identifier><identifier>PMID: 16520209</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Acetabulum ; Aged ; Bone Cements ; cemented acetabular components ; early implant migration ; Follow-Up Studies ; Foreign-Body Migration - diagnostic imaging ; Hip Joint - diagnostic imaging ; Hip Joint - surgery ; Hip Prosthesis ; Humans ; immediate radiolucent lines ; Middle Aged ; Observer Variation ; Prosthesis Failure ; Radiography ; Time Factors</subject><ispartof>The Journal of arthroplasty, 2006-02, Vol.21 (2), p.215-220</ispartof><rights>2006 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c354t-db18be531dcb2e405f79592c87630ce56b756583b5ddad45e4c0d53538381d333</citedby><cites>FETCH-LOGICAL-c354t-db18be531dcb2e405f79592c87630ce56b756583b5ddad45e4c0d53538381d333</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S088354030500416X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16520209$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kneif, Damaris</creatorcontrib><creatorcontrib>Downing, Martin Richard</creatorcontrib><creatorcontrib>Ashcroft, George Patrick</creatorcontrib><creatorcontrib>Knight, David J.</creatorcontrib><creatorcontrib>Ledingham, William M.</creatorcontrib><creatorcontrib>Gibson, Peter H.</creatorcontrib><creatorcontrib>Hutchison, James D.</creatorcontrib><title>The Correlation Between Immediate Radiolucent Lines and Early Implant Migration in Cemented Acetabular Components</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><description>Periacetabular radiolucent lines (RLLs) on postoperative radiographs have been associated with early loosening of the acetabular component. It has also been shown that excessive migration of an implant corresponds to an increased incidence of later clinical failure. This study relates RLLs on anterior-posterior hip radiographs taken 10 days and 6 months postoperatively to implant migration detected by roentgen stereophotogrammetric analysis. We have shown that RLLs in DeLee and Charnley zone III in the first week postoperatively as well as at 6 months are positively and significantly (
P < .05) associated with migration detected by roentgen stereophotogrammetric analysis. No significant association was found for zone I or II at either 10 days or at 6 months. Considering the limitations in observing RLLs, their presence in zone III appears to reflect on the mechanical stability of the acetabular cup from the beginning. This indicates that zone III, which represents the inferomedial aspect of the acetabulum, might have to receive special attention when preparing the acetabulum and implanting the acetabular cup.</description><subject>Acetabulum</subject><subject>Aged</subject><subject>Bone Cements</subject><subject>cemented acetabular components</subject><subject>early implant migration</subject><subject>Follow-Up Studies</subject><subject>Foreign-Body Migration - diagnostic imaging</subject><subject>Hip Joint - diagnostic imaging</subject><subject>Hip Joint - surgery</subject><subject>Hip Prosthesis</subject><subject>Humans</subject><subject>immediate radiolucent lines</subject><subject>Middle Aged</subject><subject>Observer Variation</subject><subject>Prosthesis Failure</subject><subject>Radiography</subject><subject>Time Factors</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE2LFDEQhoMo7uzoH_AgOXnrtpJ0dWfAyzqs7sKIIOs5pJMaN0N_zCZpZf-9GWbAm6dA8bxvpR7G3gmoBYj246G2MT_WEgBrkDUI_YKtBCpZ6Qbal2wFWqsKG1BX7DqlA4AQiM1rdiValCBhs2JPD4_Et3OMNNgc5ol_pvyHaOL340g-2Ez8h_VhHhZHU-a7MFHidvL81sbhuVDHwZb5t_ArnvNh4lsaC0ue3zjKtl8GG8uK8ThPZZzesFd7OyR6e3nX7OeX24ftXbX7_vV-e7OrnMImV74XuidUwrteUgO47za4kU53rQJH2PYdtqhVj95b3yA1DjwqVFpp4ZVSa_bh3HuM89NCKZsxJEdD-S_NSzJt18kOS9uayTPo4pxSpL05xjDa-GwEmJNoczAn0eYk2oA0RXQJvb-0L30R9S9yMVuAT2eAyo2_A0WTXKDJFamRXDZ-Dv_r_wuOJ4_m</recordid><startdate>20060201</startdate><enddate>20060201</enddate><creator>Kneif, Damaris</creator><creator>Downing, Martin Richard</creator><creator>Ashcroft, George Patrick</creator><creator>Knight, David J.</creator><creator>Ledingham, William M.</creator><creator>Gibson, Peter H.</creator><creator>Hutchison, James D.</creator><general>Elsevier Inc</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>20060201</creationdate><title>The Correlation Between Immediate Radiolucent Lines and Early Implant Migration in Cemented Acetabular Components</title><author>Kneif, Damaris ; Downing, Martin Richard ; Ashcroft, George Patrick ; Knight, David J. ; Ledingham, William M. ; Gibson, Peter H. ; Hutchison, James D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c354t-db18be531dcb2e405f79592c87630ce56b756583b5ddad45e4c0d53538381d333</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Acetabulum</topic><topic>Aged</topic><topic>Bone Cements</topic><topic>cemented acetabular components</topic><topic>early implant migration</topic><topic>Follow-Up Studies</topic><topic>Foreign-Body Migration - diagnostic imaging</topic><topic>Hip Joint - diagnostic imaging</topic><topic>Hip Joint - surgery</topic><topic>Hip Prosthesis</topic><topic>Humans</topic><topic>immediate radiolucent lines</topic><topic>Middle Aged</topic><topic>Observer Variation</topic><topic>Prosthesis Failure</topic><topic>Radiography</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kneif, Damaris</creatorcontrib><creatorcontrib>Downing, Martin Richard</creatorcontrib><creatorcontrib>Ashcroft, George Patrick</creatorcontrib><creatorcontrib>Knight, David J.</creatorcontrib><creatorcontrib>Ledingham, William M.</creatorcontrib><creatorcontrib>Gibson, Peter H.</creatorcontrib><creatorcontrib>Hutchison, James D.</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>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kneif, Damaris</au><au>Downing, Martin Richard</au><au>Ashcroft, George Patrick</au><au>Knight, David J.</au><au>Ledingham, William M.</au><au>Gibson, Peter H.</au><au>Hutchison, James D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Correlation Between Immediate Radiolucent Lines and Early Implant Migration in Cemented Acetabular Components</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2006-02-01</date><risdate>2006</risdate><volume>21</volume><issue>2</issue><spage>215</spage><epage>220</epage><pages>215-220</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Periacetabular radiolucent lines (RLLs) on postoperative radiographs have been associated with early loosening of the acetabular component. It has also been shown that excessive migration of an implant corresponds to an increased incidence of later clinical failure. This study relates RLLs on anterior-posterior hip radiographs taken 10 days and 6 months postoperatively to implant migration detected by roentgen stereophotogrammetric analysis. We have shown that RLLs in DeLee and Charnley zone III in the first week postoperatively as well as at 6 months are positively and significantly (
P < .05) associated with migration detected by roentgen stereophotogrammetric analysis. No significant association was found for zone I or II at either 10 days or at 6 months. Considering the limitations in observing RLLs, their presence in zone III appears to reflect on the mechanical stability of the acetabular cup from the beginning. This indicates that zone III, which represents the inferomedial aspect of the acetabulum, might have to receive special attention when preparing the acetabulum and implanting the acetabular cup.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>16520209</pmid><doi>10.1016/j.arth.2005.02.018</doi><tpages>6</tpages></addata></record> |
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subjects | Acetabulum Aged Bone Cements cemented acetabular components early implant migration Follow-Up Studies Foreign-Body Migration - diagnostic imaging Hip Joint - diagnostic imaging Hip Joint - surgery Hip Prosthesis Humans immediate radiolucent lines Middle Aged Observer Variation Prosthesis Failure Radiography Time Factors |
title | The Correlation Between Immediate Radiolucent Lines and Early Implant Migration in Cemented Acetabular Components |
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