دورية أكاديمية

Long-Term Survivorship of Cemented and Uncemented Polyethylene Liner Exchange.

التفاصيل البيبلوغرافية
العنوان: Long-Term Survivorship of Cemented and Uncemented Polyethylene Liner Exchange.
المؤلفون: Barimani B; Department of Orthopaedic, Jewish General Hospital, McGill University, Montreal, Quebec, Canada., Alraiyes T; Department of Orthopaedic, Jewish General Hospital, McGill University, Montreal, Quebec, Canada., Epure LM; Department of Orthopaedic, Jewish General Hospital, McGill University, Montreal, Quebec, Canada., Zukor DJ; Department of Orthopaedic, Jewish General Hospital, McGill University, Montreal, Quebec, Canada., Huk OL; Department of Orthopaedic, Jewish General Hospital, McGill University, Montreal, Quebec, Canada., Antoniou J; Department of Orthopaedic, Jewish General Hospital, McGill University, Montreal, Quebec, Canada., Bergeron SG; Department of Orthopaedic, Jewish General Hospital, McGill University, Montreal, Quebec, Canada.
المصدر: The Journal of arthroplasty [J Arthroplasty] 2022 Nov; Vol. 37 (11), pp. 2247-2250. Date of Electronic Publication: 2022 May 19.
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Taylor and Francis Country of Publication: United States NLM ID: 8703515 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-8406 (Electronic) Linking ISSN: 08835403 NLM ISO Abbreviation: J Arthroplasty Subsets: MEDLINE
أسماء مطبوعة: Publication: New Brunswick, NJ : Taylor and Francis
Original Publication: [New York, NY : Churchill Livingstone, c1986-
مواضيع طبية MeSH: Arthroplasty, Replacement, Hip*/adverse effects , Hip Prosthesis*/adverse effects, Humans ; Polyethylene ; Prosthesis Design ; Prosthesis Failure ; Reoperation ; Risk Factors ; Survivorship ; Treatment Outcome
مستخلص: Background: Revision surgery is usually required for complications associated with total hip arthroplasty (THA). Significant morbidity can be associated with revision THA and thus some may only revise the liner of the original metal back component if it is found to be well fixed. We compare the long-term survivorship of cemented and uncemented head-liner THA exchange surgeries and possible causes.
Methods: Between 2000 and 2018, we reviewed cases from our arthroplasty database who underwent THA revision for head-liner exchange. We stratified our cohort into 2 groups: cemented and uncemented liners. Patients were followed clinically and radiographically to determine survivorship of the exchanges for both cemented and uncemented liners. Implant survivorship was measured using a competing risk analysis considering death and patients lost to follow-up as competing risks.
Results: A total of 84 patients (85 hips) underwent head-liner exchange surgery during the study period (21 cemented and 64 uncemented liners). The mean follow-up time was 6.9 years, with 75.3% and 24.7% of patients having been revised due to non-dislocation and dislocation causes, respectively. Two cemented liners (9.5%) and 11 uncemented liners (17.2%) required revision. The survival analysis of all head-liner revision was 86.4% at 18 years. Survival estimates liner exchanges due to dislocation versus non-dislocation groups were 57.3% versus 82.7% respectively (P = .034).
Conclusion: The present study shows improved survivorship of head-liner exchanges performed due to non-dislocation etiology compared to dislocation etiology, but no difference in survivorship between cemented and uncemented head-liner exchange.
Level of Evidence: Level III.
(Crown Copyright © 2022. Published by Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: cemented liner; head-liner exchange; liner exchange; revision THA; uncemented liner
المشرفين على المادة: 9002-88-4 (Polyethylene)
تواريخ الأحداث: Date Created: 20220522 Date Completed: 20221017 Latest Revision: 20221028
رمز التحديث: 20240628
DOI: 10.1016/j.arth.2022.05.023
PMID: 35598761
قاعدة البيانات: MEDLINE
الوصف
تدمد:1532-8406
DOI:10.1016/j.arth.2022.05.023