Clinical and radiological outcomes with the Durom™ acetabular cup for large-diameter total hip arthroplasty: 177 implants after a mean of 80months

Saragaglia, D.; Belvisi, Baptiste; Rubens-Duval, Brice; Pailhé, R.; Rouchy, R; Mader, R.

doi:10.1016/j.otsr.2015.02.008

Cited by 9 publications

(4 citation statements)

References 33 publications

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“…Therefore, these results emphasize the potential role of trunnionosis as the main mechanism of failure in THA and not only the MoM bearing by itself. The overall 15-year survivorship of 83% in RHA and 73% in THA observed in the current study was in agreement with the previous series [15,[27][28][29][30][31][32][33][34][35]. Indeed, Ng et al and Althuizen et al reported a high failure rate for Durom® MoM THA with a ten year revision rate ranging from 14 to 31% [36,37].…”

Section: Discussionsupporting

confidence: 92%

Comparison of the long-term cause of failure and survivorship of four hundred and twenty seven metal-on-metal hip arthroplasties: resurfacing versus large head total hip arthroplasty

Palazzuolo

Antoniadis

Delaune

et al. 2021

International Orthopaedics (SICOT)

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Introduction Comparison of mid- to long-term cause of failure and survivorship of metal-on-metal (MoM) resurfacing hip arthroplasty (RHA) and large head total hip arthroplasty (THA) remains sparse. This study aimed to identify and compare the cause of failure and survivorship of MoM RHA and THA at a minimum ten year follow-up. Methods Four hundred twenty-seven MoM hip arthroplasties (286 THA and 141 RHA) were retrospectively analyzed at a mean follow-up of 13 ± three years. Causes of failure were reported as MoM specific (i.e., adverse reaction to metal debris (ARMD) and painful hip with ion elevation) or MoM non-specific (i.e., fracture, infection, and dislocation). Chromium (Cr) and cobalt (Co) ion levels and Co/Cr ratio were compared. Survivorship was compared according to the cause of failure with revision as the endpoint. Results The rate of ARMD was significantly higher in THA (OR = 2.9 [95%-CI: 1–7]; p = 0.02). No significant difference was detected in failure rate due to other causes between the two groups (p = 0.2–0.9). Ion levels and Co/Cr ratio were both significantly higher in THA (p < 0.01). Survivorship was significantly lower in THA compared to RHA at ten years [89% (95%-CI: 85%–91%) vs 96% (95%-CI: 91%–98%); p = 0.01] and 15 years [73% (95%-CI: 67%–78%) vs 83% (95%-CI: 73%–90%); p = 0.01]. Conclusion RHA survivorship was significantly higher at any time point. Failure rate due to ARMD was significantly higher in THA while no significant difference in other causes of failure was observed between the two groups. This result emphasizes the role of fretting corrosion at the head-neck junction (i.e., trunnionosis) with significantly higher ion levels and Co/Cr ratio dissociation in THA.

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Section: Discussionsupporting

confidence: 92%

Comparison of the long-term cause of failure and survivorship of four hundred and twenty seven metal-on-metal hip arthroplasties: resurfacing versus large head total hip arthroplasty

Palazzuolo

Antoniadis

Delaune

et al. 2021

International Orthopaedics (SICOT)

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“…The current literature demonstrates patients with large diameter acetabular cups for primary THA having decreased dislocation rates and improved functional outcomes. 23 Additionally, Saragaglia et al 24 reported 177 THA with acetabular cups up to 62 mm in patients with an average BMI of 27.6 kg/m 2 with negligent rates of dislocation and improved functional outcomes at a mean 80-month follow-up. However, this study along with other large diameter cup studies 25,26 is based on metal on metal bearing surfaces.…”

Section: Discussionmentioning

confidence: 99%

Tall-Statured Patients Have Similar Outcomes to Normal Height Patients after Primary Total Hip Arthroplasty

Warren

Groover

Santana

et al. 2020

The Journal of Hip Surgery

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Total hip arthroplasty (THA) has been proven to be a safe and efficacious operation; however, there is a paucity of literature on outcomes in patients in the 99th percentile for height. The objectives of this study were to identify differences in (1) implant selection, (2) operative times, (3) intraoperative and postoperative complications, (4) 90-day readmission, (5) all cause reoperation rates, and (6) hospital length of stay (LOS), in tall-statured patients compared with a matched control cohort. An electronic research request was used to identify 12,850 patients who underwent THA from January 2012 to December 2016 with minimum 1-year follow-up at a single health care system for retrospective chart review. Patients were identified in the 99th percentile for height (193 cm for males and 177 cm for females) and then matched to controls based on gender, race, age, body mass index, and Charlson comorbidity index. A total of 260 THA patients (2%) were identified in the 99th percentile for height. The tall-statured patients were then matched to 248 patients of normal stature. The exclusion criteria was met by 172 tall-statured patients and 165 normal-statured patients. Final analysis comprised of 86 tall-statured patients (100 THA) and 83 matched normal-statured patients (92 THA). Baseline demographics information and the outcomes of interest were then compared. The mean height of the female patients in the tall cohort was 181.01 ± 2.51 cm compared with 166.6 ± 6.98 cm for the control group (p < 0.001), while it was 195.25 ± 4.03 cm for male patients in the tall cohort and 174.11 ± 4.63 cm for the control cohort (p < 0.001). Tall-statured patients had larger acetabular cups (p < 0.001) and femoral head (p = 0.046) components. There were no differences in reoperation (p = 0.282), 90-day readmissions (p = 0.862), intraoperative fractures (p = 0.228), postoperative complications (p = 0.678), operative times (p = 0.890), and LOS (p = 0.099) between the tall-statured and normal-statured patients. Patients that are in the 99th percentile for height have similar outcomes to patients that are of normal height. The level of evidence of this study is level 3.

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“…Although friction torque appears to be associated with an abnormally high infectious complication rate, it is difficult to establish a clear correlation. It has been hypothesized that high concentrations of metal wear particles, metal ions, and corrosion products have molecular effects on the surrounding soft tissues and thus change the local environment [ 9 , 10 ] Paradoxically, it seems that the Co-Cr particles released into dynamic growth media by metal-on-metal THAs inhibit biofilm formation in some germs—making them more vulnerable to clearance by the immune system or antibiotics [ 11 ]. In the present case, we suspect that endoscopic investigation of the digestive tract during the patient's course of chemotherapy caused blood dissemination of the bacteria.…”

Section: Discussionmentioning

confidence: 99%

A Misdiagnosed Complication of a Metal-on-Metal Total Hip Arthroplasty

Djebara

Joseph

Rousseau

et al. 2018

Case Reports in Orthopedics

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Introduction The enterobacterial genus Yersinia includes a number of human pathogens. Large-diameter, metal-on-metal prostheses are no longer used because of their high failure rate. Here, we describe the first case of Yersinia enterocolitica infection of a metal-on-metal total hip arthroplasty. Clinical Examination A metal-on-metal prosthesis failed ten years after implantation. After surgical revision, bacteriological testing revealed the presence of a pathogenic strain of Yersinia enterocolitica. Combination antibiotic therapy resulted in a favorable clinical outcome. Discussion Three cases of hip arthroplasty infected with Yersinia enterocolitica have been described in the literature. The present case is the first infection of a metal-on-metal total hip arthroplasty. We suggest that the risk of infection is increased by the release of metal wear particles and their influence on the surrounding tissue. Conclusion When a large-diameter, metal-on-metal total hip arthroplasty fails, the known complications associated with this type of prosthesis should not deter the physician from screening for an infectious process that requires specific treatment.

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Clinical and radiological outcomes with the Durom™ acetabular cup for large-diameter total hip arthroplasty: 177 implants after a mean of 80months

Cited by 9 publications

References 33 publications

Comparison of the long-term cause of failure and survivorship of four hundred and twenty seven metal-on-metal hip arthroplasties: resurfacing versus large head total hip arthroplasty

Comparison of the long-term cause of failure and survivorship of four hundred and twenty seven metal-on-metal hip arthroplasties: resurfacing versus large head total hip arthroplasty

Tall-Statured Patients Have Similar Outcomes to Normal Height Patients after Primary Total Hip Arthroplasty

A Misdiagnosed Complication of a Metal-on-Metal Total Hip Arthroplasty

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