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

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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. Kovalenko — cand. 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

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