Influence of Clinical and Radiological Variables on the Extent and Distribution of Periprosthetic Osteolysis in Total Hip Arthroplasty with a Hydroxyapatite-Coated Multiple-Hole Acetabular Component: A Magnetic Resonance Imaging Study

Pérez-Coto, Iván; Hernández-Vaquero, Daniel; Suárez-Vázquez, A.; Sandoval-García, Manuel A.; Escandon-Rodríguez, A.

doi:10.1016/j.arth.2014.05.020

Cited by 4 publications

(5 citation statements)

References 46 publications

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“…Cytokines produced by particle-stimulated macrophages interfere with the osseointegration and cause osteolysis [ 35 , 36 ]. A magnetic resonance imaging study has shown that obvious osteolysis occurred around acetabular screws [ 3 ]. However, some studies suggested that osteolysis is not necessarily related to screws [ 23 , 37 ].…”

Section: Discussionmentioning

confidence: 99%

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Are additional screws required for press-fit fixation of cementless acetabular cups? A systematic review and meta-analysis

Luo

Guo

et al. 2022

J Orthop Traumatol

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Background Press-fit cementless acetabular cup is widely used in total hip arthroplasty (THA). However, the use of additional screws for the acetabular cup has been extensively debated. The purpose of this review is to compare the stability, revision rate, wear rate, and clinical scores of cementless acetabular cups with and without screws in THA. Materials and Methods Comprehensive literature searches of the following databases were performed: Cochrane Library, Pubmed, Web of Science, OVID, Elsevier ClinicalKey, Clinicaltrials.gov, and EMBASE. We searched for trials that compared cementless acetabular cups with screws or without screws, and were published in the English language. We evaluated the stability of the prosthesis by osteolysis and migration. The clinical scores included Harris hip scores (HHS) and pain scores. Results Nineteen articles involving 4046 THAs met the inclusion criteria. Our analysis revealed that additional screws did not increase the stability of acetabular cups, and there was no statistical significance between the groups with and without screws in osteolysis and clinically relevant migration. Revision rates showed no significant difference between the groups with and without screws. There was no difference in wear between the two groups. Our analysis showed no difference in pain scores and HHS between groups. Conclusion Press-fit without screws could achieve sufficient acetabular cup stability. Acetabular cups without screws showed no difference from acetabular cups with screws in many outcomes. Additional screws are not required for cementless acetabular cups. Level of evidence: Level III.

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Section: Discussionmentioning

confidence: 99%

“…It has been found that granulomas can reach around the screw through the screw hole, thus causing osteolysis [ 1 ]. Another radiographic follow-up of the acetabular components with screws revealed osteolysis around the screws in 17% of cases [ 3 ]. These studies suggested that osteolysis was closely related to screw holes and screws.…”

Section: Introductionmentioning

confidence: 99%

Are additional screws required for press-fit fixation of cementless acetabular cups? A systematic review and meta-analysis

Luo

Guo

et al. 2022

J Orthop Traumatol

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“…The study aims to assess HA-coated multihole acetabular components, as it is not available in another design option (solid), which may be associated with backside wear and the potential for osteolysis with migration of the wear particles through the screw holes. 40 , 41 However, the survival difference between solid and multihole acetabular components with highly crossed polyethylene is not clear in the longer term. 42 There is no comparator group to which to compare the survival or functional outcome of the current cohort, to assess whether these patients are achieving their expected outcomes or if they are at an increased risk of revision.…”

Section: Discussionmentioning

confidence: 99%

Nexus Evaluation Primary Trident II UNcemented shEll (NEPTUNE)

Hamilton,

Gaston,

Macpherson

et al. 2023

Bone Jt Open

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AimsThe primary aim of this study is to assess the survival of the uncemented hydroxyapatite (HA) coated Trident II acetabular component as part of a hybrid total hip arthroplasty (THA) using a cemented Exeter stem. The secondary aims are to assess the complications, joint-specific function, health-related quality of life, and radiological signs of loosening of the acetabular component.MethodsA single-centre, prospective cohort study of 125 implants will be undertaken. Patients undergoing hybrid THA at the study centre will be recruited. Inclusion criteria are patients suitable for the use of the uncemented acetabular component, aged 18 to 75 years, willing and able to comply with the study protocol, and provide informed consent. Exclusion criteria includes patients not meeting study inclusion criteria, inadequate bone stock to support fixation of the prosthesis, a BMI > 40 kg/m2, or THA performed for pain relief in those with severely restricted mobility.ResultsImplant survival, complications, functional outcomes and radiological assessment up to ten years following index THA (one, two, five, seven, and ten years) will be performed. Functional assessment will include the Oxford Hip Score, Forgotten Joint Score, 12-Item Short Form Health Survey, EuroQol five-dimension health questionnaire, and pain and patient satisfaction. Radiological assessment with assess for acetabula lucent lines, lysis, and loosening according to DeLee and Charnley zones.ConclusionThis study is part of a stepwise introduction of a new device to orthopaedic practice, and careful monitoring of implants should be carried out as part of the Beyond Compliance principles. The results of this study will provide functional, radiological, and survival data to either support the ongoing use of the HA acetabulum or highlight potential limitations of this new implant before wide adoption.Cite this article: Bone Jt Open 2023;4(10):782–790.

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“…Iliopsoas impingement has a reported prevalence of ∼4% in patients with a painful THA. Causes of mechanical impingement include a mal-positioned acetabular component (protrusion of the cup >12 mm beyond the anteromedial margin of the acetabulum), an oversized acetabular cup, prominent screw tip positioning, and cement debris located anterior to the cup [29–31]. Iliopsoas tenosynovitis and bursitis may also be present (Figure 9).…”

Section: Complicationsmentioning

confidence: 99%

Imaging of the Painful Hip Arthroplasty

et al. 2016

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The incidence of complications following total hip arthroplasty is low, but due to the frequency of the procedure, they are quite commonly encountered and require appropriate investigation. Complications include aseptic loosening, infection, foreign body granulomatosis (osteolysis), adverse reactions to metal debris, periprosthetic fracture, heterotopic ossification, hardware failure, and a range of soft tissue complications, all of which may result in pain. Relevant imaging findings are illustrated and the role of various imaging modalities is reviewed. A suggested approach for the radiological investigation of each potential complication is outlined, based on our experience at a specialist referral unit.

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Influence of Clinical and Radiological Variables on the Extent and Distribution of Periprosthetic Osteolysis in Total Hip Arthroplasty with a Hydroxyapatite-Coated Multiple-Hole Acetabular Component: A Magnetic Resonance Imaging Study

Cited by 4 publications

References 46 publications

Are additional screws required for press-fit fixation of cementless acetabular cups? A systematic review and meta-analysis

Are additional screws required for press-fit fixation of cementless acetabular cups? A systematic review and meta-analysis

Nexus Evaluation Primary Trident II UNcemented shEll (NEPTUNE)

Imaging of the Painful Hip Arthroplasty

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