Clinical and radiological outcomes of jumbo cup in revision total hip arthroplasty: A systematic review

Abstract

IntroductionMany studies have reported the clinical outcomes of a jumbo cup in revision total hip arthroplasty (rTHA) with acetabular bone defect. We conducted a systematic review to access the survivorship and clinical and radiological outcomes of a jumbo cup in rTHA.MethodsA systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A comprehensive literature search from PubMed, MEDLINE, EMBASE, and the Cochrane Database of Systematic Reviews was performed with the keywords (“revision” OR “revision surgery” OR “revision arthroplasty”) AND (“total hip arthroplasty” OR “total hip replacement” OR “THA” OR “THR”) AND (“jumbo cup” OR “jumbo component” OR “extra-large cup” OR “extra-large component”). Studies reporting the clinical or radiological outcomes were included. The basic information and radiological and clinical results of these studies were extracted and summarized for analysis.ResultsA total of 19 articles were included in the systematic review. The analysis of clinical results included 953 hips in 14 studies. The re-revision-free survivorship of the jumbo cup was 95.0% at a mean follow-up of 9.3 years. Dislocation, aseptic loosening, and periprosthetic joint infection were the top three complications with an incidence of 5.9%, 3.0%, and 2.1%, respectively. The postrevision hip center was relatively elevated 10.3 mm on average; the mean postoperative leg-length discrepancy was 5.4 mm.ConclusionA jumbo cup is a favorable option for acetabular bone defect reconstruction in rTHA with satisfying survivorship and acceptable complication rates.

Trabecular titanium cups in hip revision surgery: a systematic review of the literature

“…The survival rate of TT cups was in line with the survival rate of uncemented Jumbo cups. In a recent systematic literature review, Wang et al ( 15 ) reported an overall reoperation rate of 8.6% with a cup survivorship of 95%. The higher survivorship reported with the Jumbo cup could be explained due to the less severe acetabular bone deficiency of patients included in their study.…”

Revision Total Hip Arthroplasty Utilizing an Acetabular Reinforcement Ring with a Metal Augment: A Minimum Eight-Year Follow-Up Study

“…We performed a retrospective review of consecutive patients who underwent revision THA using MA combined with ARR in our institution between January 2014 and March 2015. We chose the cup–cage system when the size of the acetabular defects were extensive for the jumbo cup (males over 64-mm, females over 60-mm) [ 36 ] to cover. We assessed the acetabular defect using preoperative 3D-CT in all revision THA cases, and we prepared ARR with MA for the cases that showed the acetabular defect with more than a 2 cm acetabular component migration, which means Paproski classification Type III or IV.…”