Hip & pelvis

  • 제34권2호
  • /
  • Pages.106-114
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  • 2022
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  • 2287-3260(pISSN)
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  • 2287-3279(eISSN)
대한고관절학회 (The Korean Hip Society)
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Is Restoration of Hip Center Mandatory for Total Hip Arthroplasty of Protrusio Acetabuli?

  • Beom Seok Lee (Department of Orthopaedic Surgery, Gwangmyeong Sungae Hospital) ;
  • Hong Seok Kim (Department of Orthopaedic Surgery, Seoul National University Hospital) ;
  • O Sang Kwon (Department of Orthopaedic Surgery, Gwangmyeong Sungae Hospital) ;
  • Young-Kyun Lee (Department of Orthopaedic Surgery, Seoul National University Bundang Hospital) ;
  • Yong-Chan Ha (Department of Orthopaedic Surgery, Chung-Ang University College of Medicine) ;
  • Kyung-Hoi Koo (Department of Orthopaedic Surgery, Seoul National University Bundang Hospital)
  • 투고 : 2021.09.23
  • 심사 : 2022.03.14
  • 발행 : 2022.06.30
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초록

Purpose: While initial fixation using a press-fit of the acetabular cup is critical for the durability of the component, restoration of the hip center is regarded as an attributable factor for implant survival and successful outcome. In protrusio acetabuli (PA), obtaining both restoration of the hip center and the press-fit of the acetabular cup simultaneously might be difficult during total hip arthroplasty (THA). We tested the hypothesis that use of a medialized cup, if press-fitted, will not result in compromise of the implant stability and outcome after cementless THA of PA. Materials and Methods: A total of 26 cementless THAs of 22 patients with PA were reviewed. During THA, press-fit of the cup was prioritized rather than hip center restoration. A press-fit was obtained in 24 hips. A pressfit could not be obtained in the two remaining hips; therefore, reinforcement acetabular components were used. Restoration of the hip center was achieved in 17 cups; 15 primary cups and two reinforcement components; it was medialized in nine cups. Implant stability and modified Harris hip score (mHHS) between the two groups were compared at a mean follow-up of 5.1 years (range, 2-16 years). Results: Twenty-six cups; 17 restored cups and nine medialized press-fitted cups, remained stable at the latest follow-up. A similar final mHHS was observed between the restored group and the medialized group (83.6±12.1 vs 83.8±10.4, P=0.786). Conclusion: Implant stability and favorable results were obtained by press-fitted cups, irrespective of hip center restoration. THA in PA patients showed promising clinical and radiological results.

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참고문헌

  1. Armbuster TG, Guerra J Jr, Resnick D, et al. The adult hip: an anatomic study. Part I: the bony landmarks. Radiology. 1978;128:1-10.  https://doi.org/10.1148/128.1.1
  2. Guerra J Jr, Armbuster TG, Resnick D, et al. The adult hip: an anatomic study. Part II: the soft-tissue landmarks. Radiology. 1978;128:11-20.  https://doi.org/10.1148/128.1.11
  3. Hastings DE, Parker SM. Protrusio acetabuli in rheumatoid arthritis. Clin Orthop Relat Res. 1975;(108):76-83. 
  4. McBride MT, Muldoon MP, Santore RF, Trousdale RT, Wenger DR. Protrusio acetabuli: diagnosis and treatment. J Am Acad Orthop Surg. 2001;9:79-88.  https://doi.org/10.5435/00124635-200103000-00002
  5. Mullaji AB, Shetty GM. Acetabular protrusio: surgical technique of dealing with a problem in depth. Bone Joint J. 2013;95-B(11 Suppl A):37-40.  https://doi.org/10.1302/0301-620X.95B11.32900
  6. Baghdadi YM, Larson AN, Sierra RJ. Long-term results of the uncemented acetabular component in a primary total hip arthroplasty performed for protrusio acetabuli: a fifteen year median follow-up. Int Orthop. 2015;39:839-45.  https://doi.org/10.1007/s00264-014-2580-y
  7. Kondo K, Asai T, Tsukamoto M. Total hip arthroplasty with bone graft for acetabular protrusion in rheumatoid arthritis. Mod Rheumatol. 2002;12:219-25.  https://doi.org/10.3109/s101650200038
  8. Krushell RJ, Fingeroth RJ, Gelling B. Primary total hip arthroplasty using a dual-geometry cup to treat protrusio acetabuli. J Arthroplasty. 2008;23:1128-31.  https://doi.org/10.1016/j.arth.2007.09.020
  9. Zhen P, Li X, Zhou S, Lu H, Chen H, Liu J. Total hip arthroplasty to treat acetabular protrusions secondary to rheumatoid arthritis. J Orthop Surg Res. 2018;13:92. 
  10. Baghdadi YM, Larson AN, Sierra RJ. Restoration of the hip center during THA performed for protrusio acetabuli is associated with better implant survival. Clin Orthop Relat Res. 2013;471:3251-9.  https://doi.org/10.1007/s11999-013-3072-x
  11. Bayley JC, Christie MJ, Ewald FC, Kelley K. Long-term results of total hip arthroplasty in protrusio acetabuli. J Arthroplasty. 1987;2:275-9.  https://doi.org/10.1016/S0883-5403(87)80059-1
  12. Ranawat CS, Zahn MG. Role of bone grafting in correction of protrusio acetabuli by total hip arthroplasty. J Arthroplasty. 1986;1:131-7.  https://doi.org/10.1016/S0883-5403(86)80051-1
  13. Charnley J. Total hip replacement by low-friction arthroplasty. Clin Orthop Relat Res. 1970;72:7-21.  https://doi.org/10.1097/00003086-197009000-00003
  14. Sotelo-Garza A, Charnley J. The results of Charnley arthroplasty of hip performed for protrusio acetabuli. Clin Orthop Relat Res. 1978;(132):12-8. 
  15. Shin JK, Son SM, Kim TW, Shin WC, Lee JS, Suh KT. Accuracy and reliability of preoperative on-screen templating using digital radiographs for total hip arthroplasty. Hip Pelvis. 2016;28:201-7.  https://doi.org/10.5371/hp.2016.28.4.201
  16. Ha YC, Yoo JJ, Lee YK, Kim JY, Koo KH. Acetabular component positioning using anatomic landmarks of the acetabulum. Clin Orthop Relat Res. 2012;470:3515-23.  https://doi.org/10.1007/s11999-012-2460-y
  17. von Langenbeck B. [Ueber die Schussverletzungen des Huftgelenks]. Arch Klin Chir. 1874;16:263-339. German. 
  18. Won SH, Lee YK, Ha YC, Suh YS, Koo KH. Improving preoperative planning for complex total hip replacement with a Rapid Prototype model enabling surgical simulation. Bone Joint J. 2013;95-B:1458-63.  https://doi.org/10.1302/0301-620X.95B11.31878
  19. Woolson ST, Mow CS, Syquia JF, Lannin JV, Schurman DJ. Comparison of primary total hip replacements performed with a standard incision or a mini-incision. J Bone Joint Surg Am. 2004;86:1353-8.  https://doi.org/10.2106/00004623-200407000-00001
  20. Widmer KH, Zurfluh B. Compliant positioning of total hip components for optimal range of motion. J Orthop Res. 2004;22:815-21.  https://doi.org/10.1016/j.orthres.2003.11.001
  21. Parvizi J, Ereth MH, Lewallen DG. Thirty-day mortality following hip arthroplasty for acute fracture. J Bone Joint Surg Am. 2004;86:1983-8.  https://doi.org/10.2106/00004623-200409000-00017
  22. Ji HM, Kim KC, Lee YK, Ha YC, Koo KH. Dislocation after total hip arthroplasty: a randomized clinical trial of a posterior approach and a modified lateral approach. J Arthroplasty. 2012;27:378-85.  https://doi.org/10.1016/j.arth.2011.06.007
  23. Engh CA, Griffin WL, Marx CL. Cementless acetabular components. J Bone Joint Surg Br. 1990;72:53-9.  https://doi.org/10.1302/0301-620X.72B1.2298795
  24. Woo RY, Morrey BF. Dislocations after total hip arthroplasty. J Bone Joint Surg Am. 1982;64:1295-306.  https://doi.org/10.2106/00004623-198264090-00004
  25. Nho JH, Lee YK, Kim HJ, Ha YC, Suh YS, Koo KH. Reliability and validity of measuring version of the acetabular component. J Bone Joint Surg Br. 2012;94:32-6.  https://doi.org/10.1302/0301-620X.94B1.27621
  26. Woolson ST, Hartford JM, Sawyer A. Results of a method of leg-length equalization for patients undergoing primary total hip replacement. J Arthroplasty. 1999;14:159-64.  https://doi.org/10.1016/S0883-5403(99)90119-5
  27. Latimer HA, Lachiewicz PF. Porous-coated acetabular components with screw fixation. Five to ten-year results. J Bone Joint Surg Am. 1996;78:975-81.  https://doi.org/10.2106/00004623-199607000-00001
  28. Engh CA, Glassman AH, Suthers KE. The case for porous-coated hip implants. The femoral side. Clin Orthop Relat Res. 1990;(261):63-81. 
  29. Livermore J, Ilstrup D, Morrey B. Effect of femoral head size on wear of the polyethylene acetabular component. J Bone Joint Surg Am. 1990;72:518-28.  https://doi.org/10.2106/00004623-199072040-00008
  30. Engh CA, Hooten JP Jr, Zettl-Schaffer KF, et al. Porous-coated total hip replacement. Clin Orthop Relat Res. 1994;(298):89-96. 
  31. DeLee JG, Charnley J. Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop Relat Res. 1976;(121):20-32. 
  32. Gruen TA, McNeice GM, Amstutz HC. "Modes of failure" of cemented stem-type femoral components: a radiographic analysis of loosening. Clin Orthop Relat Res. 1979;(141):17-27. 
  33. Byrd JW, Jones KS. Prospective analysis of hip arthroscopy with 2-year follow-up. Arthroscopy. 2000;16:578-87.  https://doi.org/10.1053/jars.2000.7683
  34. Ranawat CS, Dorr LD, Inglis AE. Total hip arthroplasty in protrusio acetabuli of rheumatoid arthritis. J Bone Joint Surg Am. 1980;62:1059-65.  https://doi.org/10.2106/00004623-198062070-00002
  35. McCollum DE, Nunley JA, Harrelson JM. Bone-grafting in total hip replacement for acetabular protrusion. J Bone Joint Surg Am. 1980;62:1065-73.  https://doi.org/10.2106/00004623-198062070-00003
  36. McGann WA, Welch RB, Picetti GD 3rd. Acetabular preparation in cementless revision total hip arthroplasty. Clin Orthop Relat Res. 1988;(235):35-46. 
  37. Garbuz D, Morsi E, Mohamed N, Gross AE. Classification and reconstruction in revision acetabular arthroplasty with bone stock deficiency. Clin Orthop Relat Res. 1996;(324):98-107. 
  38. Tabata T, Kaku N, Hara K, Tsumura H. Initial stability of cementless acetabular cups: press-fit and screw fixation interaction--an in vitro biomechanical study. Eur J Orthop Surg Traumatol. 2015;25:497-502.  https://doi.org/10.1007/s00590-014-1571-4
  39. Terrier A, Levrero Florencio F, Rudiger HA. Benefit of cup medialization in total hip arthroplasty is associated with femoral anatomy. Clin Orthop Relat Res. 2014;472:3159-65. https://doi.org/10.1007/s11999-014-3787-3