Minimum 10-year results of cementless total hip arthroplasty in patients with rheumatoid arthritis

Haraguchi, Akihisa; Nakashima, Yasuharu; Miyahara, Hisaaki; Esaki, Yu; Okazaki, Ken; Fukushi, Jun Ichi; Hirata, Go; Ikemura, Satoshi; Kamura, Satoshi; Sakuraba, Koji; Fujimura, Kenjiro; Akasaki, Yukio; Yamada, Hisakata

doi:10.1080/14397595.2016.1256024

Cited by 11 publications

(10 citation statements)

References 40 publications

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“…All studies included were cohort studies and deemed as having a low risk of bias [11, 24- [16,39,55,59]. Three studies were potentially biased in participant selection [55,59,61], and two did not gather information directly from patients or their medical records [54,62] Findings Results are presented in the text if three or more studies were available for quantitative analysis, as it was deemed that the analysis of fewer than three studies might be unrepresentative.…”

Section: Risk Of Bias and Study Typementioning

confidence: 99%

Incidence and Complication Rates for Total Hip Arthroplasty in Rheumatoid Arthritis: A Systematic Review and Meta-Analysis Across Four Decades

2020

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Introduction: Over the past several decades, management of rheumatoid arthritis (RA) has evolved significantly, but few studies have examined the real-world impact of these changes on orthopaedic surgery in patients with RA. This systematic review assessed total hip arthroplasty (THA) incidence and postoperative complication rates across the past four decades. Methods: This is a systematic literature review sourcing data on THA in patients with RA from the electronic databases MEDLINE, EMBASE,

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Section: Risk Of Bias and Study Typementioning

confidence: 99%

Incidence and Complication Rates for Total Hip Arthroplasty in Rheumatoid Arthritis: A Systematic Review and Meta-Analysis Across Four Decades

2020

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“…So, both two approaches are effective to increase cup coverage by host bone and reconstruct acetabulum. According to the current literature [10], because of abnormal anatomy, secondary osteoarthritis of DDH occurs at a relatively young age (an average of 42 years old), and for the younger population, the long-term survival of implant was reported to be lower than that of the general ones due to more activity [31,32]. Besides, for DDH Crowe II/III, the biggest challenge lies in cup coverage and acetabular reconstruction.…”

Section: Discussionmentioning

confidence: 99%

Controlled fracture of the medial wall versus structural autograft with bulk femoral head to increase cup coverage by host bone for total hip arthroplasty in osteoarthritis secondary to developmental dysplasia of the hip: a retrospective cohort study

et al. 2020

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Background Many methods have been proposed to increase cup coverage by host bone during primary total hip arthroplasty (THA) in hip osteoarthritis secondary to developmental dysplasia of the hip (DDH). However, there was no study comparing the results of controlled fracture of the medial wall with a structural autograft with a bulk femoral head. Methods Sixty-seven hips classified as Crowe II/III were retrospectively included in this cohort study, which consisted of 33 controlled fractures (group A) and 34 structural autografts (group B). The Harris Hip Scores (HHS) were recorded. The radiological assessments were analyzed. Also, complications are assessed. The paired-sample t test was used for data analysis before and after the operation, while the independent sample T test was used for the comparison between the two groups. The Pearson chi-square test or the Fisher exact test was used to analyze the qualitative comparative parameters. Kaplan-Meier was utilized in the analysis of survivorship with the end points as a revision for any component. Results All patients were reconstructed acetabulum at the anatomical location. HHS increased greatly for both groups (p = 0.18). No statistic difference was observed for the two groups in postoperative leg-length discrepancy (0.51 ± 0.29 cm for group A and 0.46 ± 0.39 cm for group B, p = 0.64 ), postoperative height of the hip center (2.25 ± 0.42 cm for group A and 2.09 ± 0.31 cm for group B, p = 0.13), and inclination of the cup (39 ± 4° for group A and 38 ± 3° for group B, p = 0.65 ). The rate of cup coverage for group B (94 ± 2%) was better than for group A (91 ± 5%), (p = .009). The rate of cup protrusio was 48 ± 4% for group A. For both groups, no statistical difference was observed in the cup diameter (p > .05), while group A showed less operation time than group B (p < .001). No complications were observed at the latest follow-up. Conclusion Controlled fracture of the medial wall to increase cup coverage by host bone at the anatomical location can act as an alternative technique for DDH Crowe II/III with the advantage of shorter operation time and less technically demanding.

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“…The group A was 76.8 (51-125) minutes, while the group B was 107.2 (80-143) minutes (Table. 3). The outer and inner diameter of cup in group A were 46 (44-50) and 29.7 (28)(29)(30)(31)(32)(33)(34)(35)(36) mm, while that of group B were 46.5 (44-52) and 29.5 (28-36) mm, both of which showed no statistical difference (P .05) ( Table. 3).…”

Section: Clinical Outcomesmentioning

confidence: 96%

Controlled fracture of medial wall versus structural autograft with bulk femoral head to increase cup coverage by host bone for total hip arthroplasty in osteoarthritis secondary to developmental dysplasia of hip: a retrospective cohort study

Mou

Liao

Chen

et al. 2020

Preprint

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Background: Many methods have been proposed to increase cup coverage by host bone during primary total hip arthroplasty (THA) in hip osteoarthritis secondary to developmental dysplasia of hip (DDH). However, there was no study comparing results of controlled fracture of medial wall with structural autograft with bulk femoral head. Methods: 67 hips classified as Crowe II/III were retrospectively included in this cohort study, which consisted of 33 controlled fracture (group A) and 34 structural autograft (group B). The Harris Hip Scores (HHS) was recorded. The radiological assessments were analyzed. Also, complications are assessed. The paired sample t test was used for data analysis before and after operation, while independent sample T test was used for the comparison between the two groups. The Pearson chi-square test or Fisher exact test was used to analyze the qualitative comparative parameters. Kaplan-Meier was utilized in the analysis of survivorship with the end points as a revision for any component.Results: All patients were reconstructed acetabulum at anatomical location. HHS increased greatly for both groups (P=0.18). No statistic difference was observed for two groups in postoperative leg-length discrepancy ((0.51±0.29) cm for group A and (0.46±0.39) cm for group B, P=0.64 ), postoperative height of hip center ((2.25±0.42) cm for group A and (2.09±0.31) cm for group B, P=0.13), inclination of cup ((39±4)°for group A and (38±3)°for group B, P=0.65 ). The rate of cup coverage for group B ((94±2)% ) was better than group A ((91±5)%), ( P=.009). Rate of cup protrusio was (48±4)% for group A. For both groups, No statistic difference was observed in cup diameter (P＞.05), while group A showed less operation time than group B (P＜.001). No complications were observed at the latest follow-up. Conclusion: Controlled fracture of medial wall to increase cup coverage by host bone at anatomical location can act as an alternative technique for DDH Crowe II/III with advantage of shorter operation time and less technically demanding.

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Minimum 10-year results of cementless total hip arthroplasty in patients with rheumatoid arthritis

Abstract: Cementless THA worked well in patients with RA. Mortality remained high among RA patients who needed THA.

Cited by 11 publications

References 40 publications

Incidence and Complication Rates for Total Hip Arthroplasty in Rheumatoid Arthritis: A Systematic Review and Meta-Analysis Across Four Decades

Incidence and Complication Rates for Total Hip Arthroplasty in Rheumatoid Arthritis: A Systematic Review and Meta-Analysis Across Four Decades

Controlled fracture of the medial wall versus structural autograft with bulk femoral head to increase cup coverage by host bone for total hip arthroplasty in osteoarthritis secondary to developmental dysplasia of the hip: a retrospective cohort study

Controlled fracture of medial wall versus structural autograft with bulk femoral head to increase cup coverage by host bone for total hip arthroplasty in osteoarthritis secondary to developmental dysplasia of hip: a retrospective cohort study

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