The Results of Long-term Follow-up of Total Hip Arthroplasty Using Hydroxyapatite-coated Cups
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Purpose: The aim of this study was to report the long-term outcome and the failure mechanism of cementless total hip arthroplasty (THA) using hydroxyapatite (HA)-coated acetabular cup. Materials and Methods: From January 1992 to May 1994, a total of 123 consecutive cementless primary THAs were performed using a HA-coated acetabular cup with metal-on-polyethylene articulation. We retrospectively evaluated 66 hips available for follow-up at a mean 18.3 years (range, 10.4-23.6 years). The survival analysis was performed by the Kaplan-Meier method. We defined end point as any failure that required a reoperation of acetabular component. Results: Thirty-nine of 66 hips (59.1%) were defined as a failure for progressive acetabular osteolysis or aseptic loosening of the cup. Acetabular osteolysis was observed in 47 hips (71.2%) and 33 hips (50.0%) were revised because of cup loosening. The Kaplan-Meier method showed the survival rate of the acetabular cup to be 46.3% at 15 years and 34.8% at 20 years for any failure that required a reoperation of acetabular component. Conclusion: The long-term survival rate of THA using HA-coated acetabular cup was unsatisfactory, and it was attributed to vulnerable property of HA coating and progressive osteolysis.
Abstract
Purpose: The aim of this study was to report the long-term outcome and the failure mechanism of cementless total hip arthroplasty (THA) using hydroxyapatite (HA)-coated acetabular cup. Materials and Methods: From January 1992 to May 1994, a total of 123 consecutive cementless primary THAs were performed using a HA-coated acetabular cup with metal-on-polyethylene articulation. We retrospectively evaluated 66 hips available for follow-up at a mean 18.3 years (range, 10.4-23.6 years). The survival analysis was performed by the Kaplan-Meier method. We defined end point as any failure that required a reoperation of acetabular component. Results: Thirty-nine of 66 hips (59.1%) were defined as a failure for progressive acetabular osteolysis or aseptic loosening of the cup. Acetabular osteolysis was observed in 47 hips (71.2%) and 33 hips (50.0%) were revised because of cup loosening. The Kaplan-Meier method showed the survival rate of the acetabular cup to be 46.3% at 15 years and 34.8% at 20 years for any failure that required a reoperation of acetabular component. Conclusion: The long-term survival rate of THA using HA-coated acetabular cup was unsatisfactory, and it was attributed to vulnerable property of HA coating and progressive osteolysis.
참고문헌 (32)
- Capello WN, "Hydroxyapatite in total hip arthroplasty. Clinical results and critical issues", Clin Orthop Relat Res, (355), pp.200~211 (1998)
- Geesink RG, "Chemical implant fixation using hydroxyl-apatite coatings. The development of a human total hip prosthesis for chemical fixation to bone using hydroxyl-apatite coatings on titanium substrates", Clin Orthop Relat Res, (225), pp.147~170 (1987)
- Rossi P, "Short-term results of hydroxyapatite-coated primary total hip arthroplasty", Clin Orthop Relat Res, (310), pp.98~102 (1995)
- Tonino AJ, "The hydroxyapatite-ABG hip system:5- to 7-year results from an international multicentre study. The International ABG Study Group", J Arthroplasty, 15, pp.274~282 (2000)
- Castoldi F, "Ten-year survivorship of the Anatomique Benoist Girard I total hip arthroplasty", J Arthroplasty, 22, pp.363~368 (2007)
- Rogers A, "The ABG hydroxyapatitecoated hip prosthesis : one hundred consecutive operations with average 6-year follow-up", J Arthroplasty, 18, pp.619~625 (2003)
- Bidar R, "Longterm results of the ABG-1 hydroxyapatite coated total hip arthroplasty : analysis of 111 cases with a minimum followup of 10 years", Orthop Traumatol Surg Res, 95, pp.579~587 (2009)
- Chung YY, "High revision rate of hydroxyapatite-coated ABG-I prosthesis", J Orthop Sci, 14, pp.543~547 (2009)
- Coathup MJ, "Role of hydroxyapatite coating in resisting wear particle migration and osteolysis around acetabular components", Biomaterials, 26, pp.4161~4169 (2005)
- Kim SY, "Early failure of hemispheric hydroxyapatite-coated acetabular cups", Clin Orthop Relat Res, 446, pp.233~238 (2006)
- Lai KA, "Failure of hydroxyapatite-coated acetabular cups. Ten-year follow-up of 85 Landos Atoll arthroplasties", J Bone Joint Surg Br, 84, pp.641~646 (2002)
- Lazarinis S, "Increased risk of revision of acetabular cups coated with hydroxyapatite", Acta Orthop, 81, pp.53~59 (2010)
- Paulsen A, "Effect of hydroxyapatite coating on risk of revision after primary total hip arthroplasty in younger patients : findings from the Danish Hip Arthroplasty Registry", Acta Orthop, 78, pp.622~628 (2007)
- Stilling M, "Inferior survival of hydroxyapatite versus titanium-coated cups at 15 years", Clin Orthop Relat Res, 467, pp.2872~2879 (2009)
- Blacha J, "High osteolysis and revision rate with the hydroxyapatite-coated ABG hip prostheses : 65 hips in 56young patients followed for 5-9 years", Acta Orthop Scand, 75, pp.276~282 (2004)
- Delank KS, "Increased polyethylene wear after cementless ABG I total hip arthroplasty", Arch Orthop Trauma Surg, 126, pp.509~516 (2006)
- Duffy P, "Premature wear and osteolysis in an HA-coated, uncemented total hip arthroplasty", J Bone Joint Surg Br, 86, pp.34~38 (2004)
- Røkkum M, "HA particles can be released from well-fixed HA-coated stems : histopathology of biopsies from 20 hips 2-8 years after implantation", Acta Orthop Scand, 73, pp.298~306 (2002)
- Røkkum M, "Tissue reactions adjacent to well-fixed hydroxyapatitecoated acetabular cups. Histopathology of ten specimens retrieved at reoperation after 0.3 to 5.8 years", J Bone Joint Surg Br, 85, pp.440~447 (2003)
- Tonino A, "Hydroxyapatite-coated acetabular components. Histological and histomorphometric analysis of six cups retrieved at autopsy between three and seven years after successful implantation", J Bone Joint Surg Am, 83(A), pp.817~825 (2001)
- Tonino AJ, "Bone remodeling and hydroxyapatite resorption in coated primary hip prostheses", Clin Orthop Relat Res, 467, pp.478~484 (2009)
- Harris WH, "Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation", J Bone Joint Surg Am, 51, pp.737~755 (1969)
- DeLee JG, "Radiological demarcation of cemented sockets in total hip replacement", Clin Orthop Relat Res, (121), pp.20~32 (1976)
- Dorr LD, "Anatomic Porous Replacement hip arthroplasty : first 100 consecutive cases", Semin Arthroplasty, 1, pp.77~86 (1990)
- Massin P, "Evaluation of cementless acetabular component migration. An experimental study", J Arthroplasty, 4, pp.245~251 (1989)
- Livermore J, "Effect of femoral head size on wear of the polyethylene acetabular component", J Bone Joint Surg Am, 72, pp.518~528 (1990)
- Brooker AF, "Ectopic ossification following total hip replacement. Incidence and a method of classification", J Bone Joint Surg Am, 55, pp.1629~1632 (1973)
- Cheung KW, "Early failure of smooth hydroxyapatite-coated press-fit acetabular cup--7 years of follow-up", J Arthroplasty, 20, pp.627~631 (2005)
- Reikerås O, "Long-term results of HA coated threaded versus HA coated hemispheric press fit cups : 287 hips followed for 11 to 16 years", Arch Orthop Trauma Surg, 126, pp.503~508 (2006)
- Oosterbos CJ, "High survival rate of hydroxyapatite-coated hip prostheses : 100consecutive hips followed for 10 years", Acta Orthop Scand, 75, pp.127~133 (2004)
- Baker PN, "THA with the ABG I prosthesis at 15 years. Excellent survival with minimal osteolysis", Clin Orthop Relat Res, 468, pp.1855~1861 (2010)
- Dumbleton JH, "“The lysis threshold”: an erroneous and perhaps misleading concept? By Harris WH", J Arthroplasty, 18, pp.537~538 (2003)
