Minimum One-Year Outcomes after Revision Hip Arthroplasty with Custome-Made Implants: Function, Quality of Life and Patients Satisfaction

Cover Page

Abstract

Purposes of our study were to estimate clinical short-term results of custom acetabular implants using in revision hip arthroplasty, to determine bone ingrowth percentage in the custom implant 3d printed coverage, and to estimate the custom malposition influence on the clinical results.

Materials and method. 30 patients were performed revision hip arthroplasty with using custom acetabular implants in 2016. Oxford hip score, life quality, expectation and satisfaction of patients were assessed in 12 months and more. Osteointegration was assessed with x-ray. Influence of malposition on clinical results was assessed with Pirson’s χ2.

Results. Oxford Hip Scores were increased from mean 16.8 to 34.4 (p<0.01). Life quality index EO-5D were increased from mean 0.315 to 0.651 (p<0.01). Osteointegration was confirmed in 96% cases, component migration was in 1 case. The influence of malposition on clinical results in short-term follow-up was absent.

Conclusion. The using of custom acetabular implants in revision hip arthroplasty improves hip function and life quality of patient. 3D printed custom implants coverage provides high percentage of inplants osteointegration, besides components malposiotion. Further followup requires for assessment long-term results.

About the authors

A. N. Kovalenko

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: fake@neicon.ru

AntonN. Kovalenkocand. Sci. (Med.), researcher.

St. Petersburg

Russian Federation

R. M. Tikhilov

Vreden Russian Research Institute of Traumatology and Orthopedics; Mechnikov North-Western State Medical University

Email: fake@neicon.ru

Rashid M. Tikhilov — Dr. Sci. (Med.), professor, Director, Vreden RRITO; professor, Traumatology and orthopedics Department, Mechnikov NWS MU.

St. Petersburg

Russian Federation

I. I. Shubnykov

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: fake@neicon.ru

Igor I. Shubnyakov — chief researcher.

St. Petersburg

Russian Federation

S. S. Bilyk

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: fake@neicon.ru

Stanislav S. Bilyk — research assistant.

St. Petersburg

Russian Federation

A. O. Denisov

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: fake@neicon.ru

Alexey O. Denisov — cand. Sci. (Med.), executive secretary.

St. Petersburg

Russian Federation

M. A. Cherkasov

Vreden Russian Research Institute of Traumatology and Orthopedics

Author for correspondence.
Email: dr.medik@gmail.com

Magomed A. Cherkasov — PhD student.

St. Petersburg

Russian Federation

K. I. Ibragimov

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: fake@neicon.ru

Kurbangaji I. Ibragimov — clinical resident.

St. Petersburg

Russian Federation

References

  1. Labek G., Thaler M., Janda W., Agreiter M., Stockl B. Revision rates after total joint replacement: cumulative results from worldwide joint register datasets. J Bone Joint Surg. [Br] 2011;93-B:293-297. doi: 10.1302/0301-620X.93B3.25467.
  2. Paprosky W.G., Perona P.G., Lawrence J.M. Acetabular defect classification and surgical reconstruction in revision arthroplasty: a 6-year followup evaluation. J Arthroplasty. 1994;(1):33-44. doi: 10.1016/0883-5403(94)90135-X.
  3. Sheth N.P., Nelson C.L., Springer B.D., Fehring T.K., Paprosky W.G. Acetabular bone loss in revision total hip arthroplasty: evaluation and management. J Am Acad Orthop Surg. 2013;21:128-139. doi: 10.5435/JAAOS-21-03-128.
  4. Abolghasemian M., Sadeghi Naini M., Tangsataporn S. Lee P., Backstein D., Safir O. Et al. Reconstruction of massive uncontained acetabular defects using allograft with cage or ring reinforcement: an assessment of the graft’s ability to restore bone stock and its impact on the Outcome of re-revision. Bone Joint J. 2014;96-B:319-324. doi: 10.1302/0301-620X.96B3.32850.
  5. Kovalenko A.N., Shubnyakov I.I., Bilyk S.S., Tikhilov R.M. [The modern treatment technologies for severe acetabular bone defects: which problems are solved by custom implants?] Politravma [Polytrauma]. 2017;1: 72-81. (In Russ.)
  6. Murylev V.Yu., Petrov N.V., Rukin Ya.A., Elizarov P.M., Kalashnik A.D. [Revision of acetabulum component in total hip arthroplasty]. Kafedra travmatologii i ortope-dii [Department of Traumatology and Orthopedics]. 2012;1:20-25. (In Russ.)
  7. Zagorodniy N.V., Kagramanov S.V., Nikolaev I.A., Bukhtin K.M. [Standard Acetabular component or Antiprotrusion Consolidating Design?] Vestnik travmatologii i ortopedii im. N.N. Priorova [Bulletin of Traumatology and Orthopedics named after N.N. Priorov]. 2013;2:32-37.
  8. M.A. cherkasov, R.M. Tikhilov, I.I. Shubnyakov, A.N. Kovalenko, Z.A. Mugutdinov [Patient satisfaction following total hip replacement: predictors of success]. Travmatologiya i ortopediya Rossii [Traumatology and Orthopedics of Russia]. 2018;24(3):45-54. doi: 10.21823/2311-2905-2018-24-3-45-54. (In Russ.).
  9. Dawson J., Fitzpatrick R., Carr A., Murray D. Questionnaire on the perceptions of patients about total hip replacement. J Bone Joint Surg Br. 1996; 78(2):185-190. doi: 10.1302/0301-620X.78B2.0780185.
  10. Bilbao A., Garda-Perez L., Arenaza J.C., Garda I., Ariza-Cardiel G., Trujillo-Martm E. Et al. Psychometric properties of the EQ-5D-5L in patients with hip or knee osteoarthritis: reliability, validity and responsiveness. Qual Life Res. 2018;27(11):2897-2908. doi: 10.1007/s11136-018-1929-x.
  11. Mancuso C.A., Salvati E.A., Johanson N.A., Peterson M.G., Charlson M.E. Patients’expectations and satisfaction with total hip arthroplasty. J Arthroplasty. 1997;4:387-396. doi: 10.1016/S0883-5403(97)90194-7.
  12. Коваленко А.Н., Тихилов Р.М., Билык С.С., Шубняков И.И., Черкасов М.А., Денисов А.О. Позиционирование индивидуальных вертлужных компонентов при ревизиях тазобедренного сустава: действительно ли они подходят как «ключ к замку»? Вестник травматологии и ортопедии имени Н.Н. Приорова. 2017;(4): 31-37. doi: 10.32414/0869-8678-2017-4-31-37.
  13. Udomkiat P., Wan Z., Dorr L.D. comparison of preoperative radiographs and intraoperative findings of fixation of hemispheric porous-coated sockets. J Bone Joint Surg Am. 2001;83-A(12):1865-1870.
  14. Moore M.S., Mcauley J.P., Young A.M. et al. Radiographic signs of osseointegration in porous-coated acetabular components. Clin Orthop relatres. 2006;444:176-183.
  15. Deboer D.K., Christie M.J., Brinson M.F., Morrison J.C. Revision total hip arthroplasty for pelvic discontinuity. J Bone Joint Surg Am. 2007;89(4):835-840. doi: 10.2106/JBJS.F.00313.
  16. Holt G.E., Dennis D.A. use of custom triflanged acetabular components in revision total hip arthroplasty. Clin Orthop Relat Res. 2004;429:209-214. doi: 10.1097/01.blo.0000150252.19780.74.
  17. Кавалерский Г.М., Мурылев В.Ю., Рукин Я.А., Лычагин А.В., Елизаров П.М. Применение индивидуальных вертлужных компонентов при ревизионном эндопротезированиитазобедренного сустава. Травматология и ортопедия России. 2016;22(4):114-121. doi: 10.21823/2311-2905-2016-22-4-114-121.
  18. Joshi A.B., Lee J., Christensen C. Results for a custom acetabular component for acetabular deficiency. J Arthroplasty. 2002;17(5):643-648. doi: 10.1054/arth.2002.32106.
  19. Taunton M.J., Fehring T.K., Edwards P., Bernasek T., Holt G.E., Christie M.J. Pelvic discontinuity treated with custom triflange component: a reliable option. Clin Orthop Relat Res. 2012; 470(2):428-434. doi: 10.1007/s11999-011-2126-1.
  20. Wind M.A. Jr, Swank M.L., Sorger J.I. Short-term results of a custom triflange acetabular component for massive acetabular bone loss in revision THA. Orthopedics. 2013; 6(3):e260e265. doi: 10.3928/01477447-20130222-11.
  21. Корыткин А.А., Захарова Д.В., Новикова Я.С., Горбатов Р.О., Ковалдов К.А., Эль М.Ю.М. Опыт применения индивидуальных трехфланцевых вертлужных компонентов при ревизионном эндопротезировании тазобедренного сустава. Травматология и ортопедия России. 2017;23(4):101-111. doi: 10.21823/2311-2905-2017-23-4-101-111.
  22. Тихилов Р.М., Шубняков И.И., Коваленко А.Н., Билык С.С., Цыбин А.В., Денисов А.О., Дмитревич Г.Д., Вопиловский П.Н. Применение индивидуальной трехфланцевой конструкции при ревизионном эдопротезировании с нарушением целостности тазового кольца (клинический случай). Травматология и ортопедия России. 2016;1(79):108-116. doi: 10.21823/2311-2905-2016-0-1-108-116.
  23. Baauw M., van Hellemondt G.G., van Hooff M.L., Spruit M. The accuracy of positioning of a custom-made implant within a large acetabular defect at revision arthroplasty of the hip. Bone Joint J. 2015;97-B(6):780-785. Doi.org/10.1016/j.otsr.2018.04.030.
  24. Skytta E.T., Eskelinen A., Paavolainen P.O., Remes V.M. Early results of 827 trabecular metal revision shells in acetabular revision. J Arthroplasty. 2011;26(3):342-345. doi: 10.1016/j.arth.2010.01.106.
  25. Frost H.M. Defining osteopenias and Osteoporoses: Another View (With Insights From a New Paradigm). Bone. 1997; 20;5:385-391. doi: 10.1016/S8756-3282(97)00019-7.

Statistics

Views

Abstract: 391

Cited-by

CrossRef: 1

  1. Korytkin AA, Novikova YS, Morozova EA, Gerasimov SA, Kovaldov KA, moudni Y. Custom Triflange Acetabular Components for Revision Hip Arthroplasty in the Patients with Severe Acetabular Defects: Planning, Surgical Technique, Outcomes. Traumatology and Orthopedics of Russia. 2020;26(2):20. doi: 10.21823/2311-2905-2020-26-2-20-30

Dimensions

Article Metrics

Metrics Loading ...

PlumX


Copyright (c)



This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies