Comparisons of Different Bearing Surfaces in Cementless Total Hip Arthroplasty: A Systematic Review and Bayesian Network Analysis

Zheng, Che; Xu, Jiawen; Wu, Liming; Wu, Yuangang; Liu, Yuan; Shen, Bin

doi:10.1016/j.arth.2022.10.016

Cited by 6 publications

(4 citation statements)

References 89 publications

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“…Aseptic loosening of the acetabular prosthesis is one of the important reasons for surgical failure. Some long-term follow-up studies after hip replacement have found significant differences in long-term survival while short-term survival with the prosthesis is similar [23]. This follow-up result is consistent with microwear caused by stress concentration.…”

Section: The Effect Of Implantsupporting

confidence: 81%

Finite Element Analysis of Acetabulum Prosthesis’ Lining Damage Zone with Different Implanting Angle

Bian

Wang

Huang

2023

Computational and Mathematical Methods in Medicine

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Objective. Research the acetabular component’s construction method of a three-dimensional finite element model in THA with different angles and study the influence of polyethylene liner wearing with finite element analysis. Methods. Build a model in the 3D modeling software system HyperMesh according to the artificial hip joint prosthesis’ entities and data. Using a finite element analysis system, ABAQUS 6.11 reconstitute acetabular prosthesis after hip replacement joints under different implanting position angles. Simulation and load the joint load when sheet foot touchdown state. Calculate the plastic volume strain and fatigue fracture. Results. The two groups of combinations of abduction angle 50° vs. anteversion angle 10° and abduction angle 55° vs. anteversion angle 15° have been found to have relatively smaller interface plastic strain and fatigue fracture volume value ( 2.241 × 10 − 7 m3, 2.443 × 10 − 7 m3), respectively. Conclusion. The groups of combinations of abduction angle 50° vs. anteversion angle 10° have been found to have relatively smallest interface plastic strain and fatigue fracture volume value in the total hip arthroplasty.

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Section: The Effect Of Implantsupporting

confidence: 81%

Finite Element Analysis of Acetabulum Prosthesis’ Lining Damage Zone with Different Implanting Angle

Bian

Wang

Huang

2023

Computational and Mathematical Methods in Medicine

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“…The use of conventional polyethylene versus highly cross-linked polyethylene (HXPE) or vitamin E-infused highly cross-linked polyethylene (VE-HXPE) leads to higher wear rates and shorter implant survival, whereas no difference could be found between HXPE and VE-HXPE materials 34 . A recent study on 137 patients showed less wear rate in HXPE THA than in conventional polyethylene THA (0.028 mm/year and 0.086 mm/year, respectively) 49 .…”

Section: Discussionmentioning

confidence: 99%

“…Oxidation of polyethylene, which can be induced by sterilisation, reduces the strength, ductility, and resistance of this material 33 . The use of vitamin E as an antioxidant reduces this problem 34 . Zirconium, present in ceramic components, undergoes in vivo transformation in two other crystalline phases 35 – 38 .…”

Section: Introductionmentioning

confidence: 99%

Risk factors for liner wear and head migration in total hip arthroplasty: a systematic review

Migliorini,

Maffulli,

Pilone

et al. 2023

Sci Rep

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Total hip arthroplasty (THA) is a successful orthopaedic surgical procedure, and its longevity depends on bearing components and implant fixation. Optimizing polyethylene and ceramics has led to improved wear parameters and contributed to improved long-term outcomes. The present systematic review investigated whether time span from implantation, patient characteristics and performance status exert an influence on liner wear and head migration in THA. This study was conducted in conformity to the 2020 PRISMA guidelines. All the clinical investigations which reported quantitative data on the amount of liner wear and head migration in THA were considered. Only studies which reported quantitative data at least on one of the following patient characteristics were suitable: mean age, mean BMI (kg/m2), sex, side, time span between the index THA and the last follow-up (months) were eligible. A multiple linear model regression analysis was employed to verify the association between patient characteristics and the amount of liner wear and/or head migration. The Pearson Product-Moment Correlation Coefficient was used to assess the association between variables. Data from 12,629 patients were considered. The mean length of the follow-up was 90.5 ± 50.9 months. The mean age of patients at surgery was 58.4 ± 9.4 years, and the mean BMI was 27.2 ± 2.5 kg/m2. 57% (7199 of 12,629 patients) were women, and in 44% (5557 of 12,629 patients) THAs were performed on the left. The mean pre-operative Harris hip score was 46.5 ± 6.0 points. There was evidence of a moderate positive association between the amount of liner wear and the time elapsed between the index surgery to the follow-up (P = 0.02). There was evidence of a moderate positive association between the amount of head migration and the time elapsed between the index surgery to the follow-up (P = 0.01). No further statistically significant association was found. The time elapsed between the index surgery to the follow-up was the most important factor which influence the head migration and liner wear in THA. Patients’ characteristics and preoperative physical activity did not influence the amount of head migration and liner wear.

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“…The role of bearing surfaces on long-term wear could not be investigated in the present study, as results were only available at 2 years of follow-up. However, a recent network meta-analysis investigated wear rates at 10 years after THA and reported that ceramic or metal on conventional polyethylene had significantly higher wear rates than ceramic on ceramic and ceramic on highly cross-linked polyethylene, 24 which may suggest that either of these 2 bearing surfaces could be appropriate for patients undergoing high-impact activities.…”

Section: Discussionmentioning

confidence: 99%

High Rates of Satisfaction and Return to Dance in Current or Former Professional Ballet Dancers After Total Hip Arthroplasty With a Muscle-Sparing Direct Anterior Approach Using Custom Femoral Stems

Nogier

Tourabaly

Ramos-Pascual

et al. 2023

Orthopaedic Journal of Sports Medicine

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Background: Professional ballet dancers have high expectations after total hip arthroplasty (THA), particularly if they intend to resume dancing as performers or teachers. Purpose: To report clinical outcomes and return to dance after THA with a muscle-sparing direct anterior approach using a custom femoral stem in a cohort of current or former professional ballet dancers. Study Design: Case series; Level of evidence, 4. Methods: Twenty-three patients (26 hips) were included, that identified as current or former professional ballet dancers, from a consecutive series of 1699 hips that underwent primary THA by 1 of 2 surgeons. Both surgeons routinely implanted custom femoral stems using a muscle-sparing direct anterior approach in active and/or high-demand patients. All patients completed a questionnaire postoperatively that assessed dance capabilities, the visual analog scale (VAS) for hip pain (0-10), the VAS for satisfaction with surgery (0-10), the Oxford Hip Score (OHS), and the Forgotten Joint Score (FJS). Results: The initial cohort comprised 19 women and 4 men, with a mean age of 50.5 ± 14.9 years and a mean 38.0 ± 14.4 years of dance experience. One patient underwent revision THA for a leg-length discrepancy, leaving 22 patients (25 hips) with a mean follow-up of 3.4 ± 1.4 years. The mean VAS satisfaction score was 9.8 ± 0.6, and the mean VAS pain score was 0.5 ± 1.0. The postoperative OHS and FJS were 46 ± 2 and 92 ± 15, respectively. Overall, 16 patients resumed ballet at 5.1 ± 3.9 months, 3 resumed other types of dance, and 3 did not resume any type of dance. None of the 6 patients who did not resume ballet indicated pain in the operated hip as the reason for stopping. Conclusion: In current or former professional ballet dancers, THA by a muscle-sparing direct anterior approach using a custom femoral stem yielded excellent clinical outcomes at a minimum of 2 years, with the highest satisfaction score of 10 points reported for 88% of hips and 72% of hips being totally pain free. Furthermore, 73% of patients resumed ballet, and 86% resumed dance in general.

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Comparisons of Different Bearing Surfaces in Cementless Total Hip Arthroplasty: A Systematic Review and Bayesian Network Analysis

Cited by 6 publications

References 89 publications

Finite Element Analysis of Acetabulum Prosthesis’ Lining Damage Zone with Different Implanting Angle

Finite Element Analysis of Acetabulum Prosthesis’ Lining Damage Zone with Different Implanting Angle

Risk factors for liner wear and head migration in total hip arthroplasty: a systematic review

High Rates of Satisfaction and Return to Dance in Current or Former Professional Ballet Dancers After Total Hip Arthroplasty With a Muscle-Sparing Direct Anterior Approach Using Custom Femoral Stems

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