Isolated revision of an acetabular component to a ceramic-on-ceramic bearing in patients under 50 years of age

The Bone & Joint Journal
Y-H KimJ-S Kim

Abstract

A number of studies have reported satisfactory results from the isolated revision of an acetabular component. However, many of these studies reported only the short- to intermediate-term results of heterogeneous bearing surfaces in a mixed age group. We present our experience of using a ceramic-on-ceramic (CoC) bearing for isolated revision of an uncemented acetabular component in 166 patients (187 hips) who were under the age of 50 years at the time of revision. There were 78 men and 88 women with a mean age of 47.4 years (28 to 49). The most common reason for revision was polyethylene wear and acetabular osteolysis in 123 hips (66%), followed by aseptic loosening in 49 hips (26%). We report the clinical and radiological outcome, complication rate, and survivorship of this group. The mean duration of follow-up was 15.6 years (11 to 19). The mean pre-operative Harris hip score was 33 points (1 to 58), and improved to a mean of 88 points (51 to 100) at follow-up. The mean pre-operative total Western Ontario and McMaster Universities Osteoarthritis Index score was 63.2 (43 to 91) and improved to 19.8 points (9 to 61) post-operatively. Overall, 153 of 166 patients (92%) were satisfied with their outcome. Kaplan-Meier survivorship ...Continue Reading

References

Sep 1, 1990·The Journal of Bone and Joint Surgery. British Volume·R D Mulroy, W H Harris
Jan 1, 1987·The Journal of Bone and Joint Surgery. British Volume·C A EnghA H Glassman
Aug 1, 1993·Acta Orthopaedica Scandinavica·V O SaikkoP Slätis
Feb 28, 2002·The Journal of Bone and Joint Surgery. American Volume·Joseph T MoskalThomas E Brown
Jun 18, 2002·The Journal of Arthroplasty·Young-Hoo Kim
Apr 4, 2003·The Journal of Bone and Joint Surgery. American Volume·Young-Hoo KimK-H Koo
Dec 4, 2003·Clinical Orthopaedics and Related Research·Khaled J SalehEduardo A Salvati
Dec 4, 2004·Clinical Orthopaedics and Related Research·John C ClohisyWilliam J Maloney
May 3, 2005·Clinical Orthopaedics and Related Research·Christian Michael BachFranz Rachbauer
Aug 12, 2005·International Orthopaedics·Xiao-Dong ChenEmil H Schemitsch
Dec 6, 2005·The Journal of Bone and Joint Surgery. British Volume·A W BlomI D Learmonth
Apr 6, 2006·The Journal of Bone and Joint Surgery. American Volume·Aileen M DavisAllan E Gross
Jun 8, 2006·The Journal of Bone and Joint Surgery. American Volume·Steven H Weeden, Wayne G Paprosky
Oct 4, 2006·Clinical Orthopaedics and Related Research·Robert L BarrackWilliam Hozack
Mar 14, 2009·The Journal of Arthroplasty·Robert W WysockiJorge O Galante
Oct 1, 2009·Clinical Orthopaedics and Related Research·Bryan M LawlessRichard Iorio
Nov 20, 2009·The Journal of Surgical Research·Chuan HeZhi-Hong Liu
Jul 29, 2010·Archives of Orthopaedic and Trauma Surgery·Kiyokazu FukuiTadami Matsumoto
Aug 12, 2010·Clinical Orthopaedics and Related Research·Didier HannoucheRémy Nizard
Sep 16, 2011·Clinical Orthopaedics and Related Research·James A D'AntonioMarybeth Naughton
Nov 25, 2011·International Orthopaedics·Marcus R StreitPeter R Aldinger
Apr 25, 2012·Clinical Orthopaedics and Related Research·Philippe HernigouCharles Henri Flouzat Lachaniette
Jun 16, 2012·Clinical Orthopaedics and Related Research·Roberto CivininiMassimo Innocenti

❮ Previous
Next ❯

Citations

Sep 27, 2018·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Giuseppe MarongiuAntonio Capone
Aug 5, 2017·The Bone & Joint Journal·J A Skinner, F S Haddad

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.