Total Hip Arthroplasty Using Metal Head on a Highly Cross-linked Polyethylene Liner
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: This retrospective study was performed to evaluate the clinical results and measure polyethylene liner wear in total hip arthroplasty (THA) with highly cross-linked polyethylene. Materials and Methods: Except for patients who had died or were unable to have follow-up at least 2 years, 60 of 78 hips that underwent THA were included this study. The mean age was 64.5 years (range, 25-81 years) and the mean body mass index (BMI) was 23.0 kg/m2 (18.1-32.3 kg/m2). Diagnosis at the time of the operation was osteonecrois of the femoral head in 28 hips, primary osteoarthritis in 14, hip fracture in 13, and other diseases in 5. The mean follow-up period was 3.8 years (2.1-7.1 years). Harris hip score (HHS) was reviewed before THA and at the last follow-up. On the anteroposterior pelvic radiographs, acetabular cup inclination and ante-version were also measured. The annual linear wear rate was measured using Livermore’s method on the radiographs. Results: The mean HHS was 60.1 (28-94) before operation and 90.4 (47-100) at the last follow-up. In the immediate post-operation, the average inclination and anteversion angles of the acetabular cups were 46.3。(standard deviation, ±6.7。) and, 21.4。(±10.1。) respectively. The mean of the annual linear polyethylene wear was 0.079 mm/year (0.001-0.291 mm/year). Age, gender and BMI were not statistically related to linear polyethylene wear but the period of follow-up and the acetabular cup’s inclination showed significant negative and positive correlation respectively. Conclusion: The wear rate of a highly cross-linked polyethylene was shown to correlate negatively with duration of follow-up. However, our study was based on a short-term follow-up, so a long-term follow-up study is necessary in the future.
Abstract
Purpose: This retrospective study was performed to evaluate the clinical results and measure polyethylene liner wear in total hip arthroplasty (THA) with highly cross-linked polyethylene. Materials and Methods: Except for patients who had died or were unable to have follow-up at least 2 years, 60 of 78 hips that underwent THA were included this study. The mean age was 64.5 years (range, 25-81 years) and the mean body mass index (BMI) was 23.0 kg/m2 (18.1-32.3 kg/m2). Diagnosis at the time of the operation was osteonecrois of the femoral head in 28 hips, primary osteoarthritis in 14, hip fracture in 13, and other diseases in 5. The mean follow-up period was 3.8 years (2.1-7.1 years). Harris hip score (HHS) was reviewed before THA and at the last follow-up. On the anteroposterior pelvic radiographs, acetabular cup inclination and ante-version were also measured. The annual linear wear rate was measured using Livermore’s method on the radiographs. Results: The mean HHS was 60.1 (28-94) before operation and 90.4 (47-100) at the last follow-up. In the immediate post-operation, the average inclination and anteversion angles of the acetabular cups were 46.3。(standard deviation, ±6.7。) and, 21.4。(±10.1。) respectively. The mean of the annual linear polyethylene wear was 0.079 mm/year (0.001-0.291 mm/year). Age, gender and BMI were not statistically related to linear polyethylene wear but the period of follow-up and the acetabular cup’s inclination showed significant negative and positive correlation respectively. Conclusion: The wear rate of a highly cross-linked polyethylene was shown to correlate negatively with duration of follow-up. However, our study was based on a short-term follow-up, so a long-term follow-up study is necessary in the future.
참고문헌 (26)
- Laupacis A, "The effect of elective total hip replacement on health-related quality of life", J Bone Joint Surg Am, 75, pp.1619~1626 (1993)
- Malchau H, "Prognosis of total hip replacement", Int J Risk Saf Med, 8, pp.27~45 (1996)
- Clohisy JC, "Reasons for revision hip surgery: a retrospective review", Clin Orthop Relat Res, (429), pp.188~192 (2004)
- Harris WH, "Conquest of a worldwide human disease:particle-induced periprosthetic osteolysis", Clin Orthop Relat Res, (429), pp.39~42 (2004)
- Bauer TW, "Particles and periimplant bone resorption", Clin Orthop Relat Res, (405), pp.138~143 (2002)
- Böhler M, "Adverse tissue reactions to wear particles from Co-alloy articulations, increased by alumina-blasting particle contamination from cementless Ti-based total hip implants. A report of seven revisions with early failure", J Bone Joint Surg Br, 84, pp.128~136 (2002)
- van der Weegen W, "Treatment of pseudotumors after metal-on-metal hip resurfacing based on magnetic resonance imaging, metal ion levels and symptoms", J Arthroplasty, 29, pp.416~421 (2014)
- Kurtz SM, "History and systematic review of wear and osteolysis outcomes for first-generation highly crosslinked polyethylene", Clin Orthop Relat Res, 469, pp.2262~2277 (2011)
- Jacobs CA, "Clinical performance of highly cross-linked polyethylenes in total hip arthroplasty", J Bone Joint Surg Am, 89, pp.2779~2786 (2007)
- García-Rey E, "Polyethylene in total hip arthroplasty : half a century in the limelight", J Orthop Traumatol, 11, pp.67~72 (2010)
- Onsten I, "Migration of acetabular components, inserted with and without cement, in one-stage bilateral hip arthroplasty. A controlled, randomized study using roentgenstereophotogrammetric analysis", J Bone Joint Surg Am, 76, pp.185~194 (1994)
- Livermore J, "Effect of femoral head size on wear of the polyethylene acetabular component", J Bone Joint Surg Am, 72, pp.518~528 (1990)
- Schmalzried TP, "The mechanism of loosening of cemented acetabular components in total hip arthroplasty. Analysis of specimens retrieved at autopsy", Clin Orthop Relat Res, (274), pp.60~78 (1992)
- Maloney WJ, "Fixation, polyethylene wear, and pelvic osteolysis in primary total hip replacement", Clin Orthop Relat Res, (369), pp.157~164 (1999)
- Sochart DH, "Relationship of acetabular wear to osteolysis and loosening in total hip arthroplasty", Clin Orthop Relat Res, (363), pp.135~150 (1999)
- Oparaugo PC, "Correlation of wear debris-induced osteolysis and revision with volumetric wear-rates of polyethylene : a survey of 8reports in the literature", Acta Orthop Scand, 72, pp.22~28 (2001)
- McKellop H, "Development of an extremely wear-resistant ultra high molecular weight polyethylene for total hip replacements", J Orthop Res, 17, pp.157~167 (1999)
- 강준순, "폴리에틸렌-금속 관절면", Hip and Pelvis, 22(4), pp.241~246 (2010), 대한고관절학회
- McCalden RW, "Wear rate of highly cross-linked polyethylene in total hip arthroplasty. A randomized controlled trial", J Bone Joint Surg Am, 91, pp.773~782 (2009)
- Lee JH, "Midterm results of primary total hip arthroplasty using highly cross-linked polyethylene : minimum 7-year follow-up study", J Arthroplasty, 26, pp.1014~1019 (2011)
- Sychterz CJ, "Radiographic evaluation of penetration by the femoral head into the polyethylene liner over time", J Bone Joint Surg Am, 79, pp.1040~1046 (1997)
- Sychterz CJ, "Analysis of temporal wear patterns of porous-coated acetabular components : distinguishing between true wear and socalled bedding-in", J Bone Joint Surg Am, 81, pp.821~830 (1999)
- Devane PA, "Factors influencing generation of polyethylene debris", J Arthroplasty, 12, pp.256~266 (1997)
- Young AM, "Effect of acetabular modularity on polyethylene wear and osteolysis in total hip arthroplasty", J Bone Joint Surg Am, 84(A), pp.58~63 (2002)
- Manning DW, "In vivo comparative wear study of traditional and highly cross-linked polyethylene in total hip arthroplasty", J Arthroplasty, 20(7), pp.880~886 (2005)
- Hermida JC, "Comparison of the wear rates of twenty-eight and thirty-two-millimeter femoral heads on cross-linked polyethylene acetabular cups in a wear simulator", J Bone Joint Surg Am (2003)