Periprosthetic Occult Fractures of the Acetabulum Occur Frequently During Primary THA

Hara, Kazuhiro; Kabata, Tamon; Kajino, Yoshitomo; Inoue, Dai; Tsuchiya, Hiroyuki

doi:10.1007/s11999-016-5138-z

Cited by 48 publications

(76 citation statements)

References 29 publications

(34 reference statements)

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“…This was in contrast to men, where there was only a trend of increased risk of revision due to periprosthetic fracture after 75 years of age, and only early postoperatively. The use of uncemented components in patients with deteriorating bone stock should probably be avoided, since impaction of components may result in fissures due to fragile cortical bone (Piarulli et al 2013, Sidler-Maier and Waddell 2015, Abdel et al 2016, Hasegawa et al 2017, Dammerer et al 2019. The poorer results after uncemented stems in elderly patients are supported by literature on both THA and hemiarthroplasty (Gjertsen et al 2012, Wangen et al 2017).…”

Section: Discussionmentioning

confidence: 99%

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Fixation, sex, and age: highest risk of revision for uncemented stems in elderly women — data from 66,995 primary total hip arthroplasties in the Norwegian Arthroplasty Register

et al. 2019

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Section: Discussionmentioning

confidence: 99%

“…The increased risk of periprosthetic fractures after uncemented THA could therefore have been even more pronounced if other designs of cemented stems were used to a larger degree (Thien et al 2014). Also on the acetabular side, uncemented components have been associated with periprosthetic fracture (Hasegawa et al 2017, Dammerer et al 2019.…”

Section: Discussionmentioning

confidence: 99%

Fixation, sex, and age: highest risk of revision for uncemented stems in elderly women — data from 66,995 primary total hip arthroplasties in the Norwegian Arthroplasty Register

et al. 2019

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“…Major mistakes as femoral anterior notching in total knee replacement have been proven to be associated in 10-46% of cases with supracondylar fractures (17) even though some recent studies disproved that (3). Several studies reported higher rates of fractures after cementless implants and press-fit techniques (4,5,(18)(19)(20). A review carried out by Abdel et al point out that the femoral intra-operative fractures occur 14 times more often when a cementless stem is used for THA.…”

Section: Causes and Risk Factorsmentioning

confidence: 99%

Periprosthetic fractures: epidemiology and current treatment

Capone

Congia

Civinini

et al. 2017

ccmbm

110

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SummaryPeriprosthetic fractures are becoming increasingly frequent due to aging population and growing number of total joint replacements involving joints different from hip and knee, such as shoulder and elbow. The treatment of these fractures still represents one of the major challenges for the orthopedic surgeon. Despite all efforts to understand and treat these patients, high rate of failure and mortality are still reported. In this review, the epidemiology of periprosthetic fractures, risk factors and results of surgical treatment are disclosed. Moreover, we propose a treatment algorithm based on the findings of the New Unified Classification System.

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“…Furthermore, rTHA provides information for adequate depth and position during component impaction. Hasegawa et al reported that 8.4% of cases experienced periprosthetic occult fractures of the acetabulum in primary THA, which might be ignored during surgery [25]. rTHA might reduce the rate of such occult fractures during impaction, which warrants investigation in future studies.…”

Section: Discussionmentioning

confidence: 99%

Early Postoperative Clinical Outcomes of Robotic Arm-Assisted Vs. Image-Based Navigated Total Hip Arthroplasty

Shibanuma

Ishida

Matsumoto

et al. 2020

Preprint

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Background The purpose of this study was to compare the clinical outcomes of total hip arthroplasty (THA) using computer navigation systems (nTHA) and those of robotic arm-assisted THA (rTHA).Methods Thirty prospective subjects who underwent rTHA were clinically compared with 30 subjects who underwent nTHA. Clinical data (the surgical time, intraoperative blood loss, length of hospital stay, pain severity, number of days to independent walking, and Harris Hip Score (HHS) at discharge) and radiographic parameters (the inclination and anteversion angles) were statistically compared between the two groups. Results The surgical time, number of days to independent walking, and postoperative pain were significantly reduced in the rTHA group than in the nTHA group. The rTHA group showed a significantly higher postoperative HHS than did the nTHA group. No statistically significant difference was observed in radiographic parameters between the groups.Conclusion The surgical time, postoperative pain, and number of days to independent walking were significantly shorter, and the HHS at discharge was significantly higher in the rTHA group than in the nTHA group. Thus, as compared to nTHA, rTHA improved early clinical outcomes.

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Periprosthetic Occult Fractures of the Acetabulum Occur Frequently During Primary THA

Abstract: Level III, therapeutic study.

Cited by 48 publications

References 29 publications

Fixation, sex, and age: highest risk of revision for uncemented stems in elderly women — data from 66,995 primary total hip arthroplasties in the Norwegian Arthroplasty Register

Fixation, sex, and age: highest risk of revision for uncemented stems in elderly women — data from 66,995 primary total hip arthroplasties in the Norwegian Arthroplasty Register

Periprosthetic fractures: epidemiology and current treatment

Early Postoperative Clinical Outcomes of Robotic Arm-Assisted Vs. Image-Based Navigated Total Hip Arthroplasty

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