Do Stem Design and Surgical Approach Influence Early Aseptic Loosening in Cementless THA?

Janssen, Loes; Wijnands, Karolina A. P.; Janssen, Dennis; Janssen, Michiel W. H. E.; Morrenhof, J. Wim

doi:10.1007/s11999.0000000000000208

Cited by 43 publications

(41 citation statements)

References 25 publications

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“…[ 2 , 3 ] Besides, aseptic loosening will increase the risk of revision hip arthroplasty. [ 4 ] Internal fixator is stiffer than bone tissue, and bears the majority of the load, thus bone is stress-shielded, resulting disuse atrophy. [ 5 ]…”

Section: Introductionmentioning

confidence: 99%

Effect of risedronate on femoral periprosthetic bone loss following total hip replacement

Ren

Wang

2018

Medicine

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Background:Recent study has reported that risedronate was effective in reducing periprosthesis bone loss after total hip arthroplasty (THA). The meta-analysis was performed to compare the clinical outcomes of THA with oral risedronate versus placebo.Methods:Electronic databases: PubMed (1950–March 2018), EMBASE (1974–March 2018), the Cochrane Central Register of Controlled Trials, Web of Science (1950–March 2018) were systematically searched. Two authors independently graded the methodological quality of each eligible study using the Cochrane Collaboration tool and extracted relevant data. Statistical heterogeneity among the trials were evaluated with chi-square and I-square tests. This meta-analysis was performed using STATA 14.0.Results:A total of 4 randomized controlled trials (RCTs) published between 2006 and 2015 were included in our study. The meta-analysis demonstrated that risedronate was associated with a significantly reduction of periprosthetic bone mineral density after THA. No increased postoperative complications were observed.Conclusion:Oral risedronate might reduce the periprosthetic bone resorption after cementless THA. Additionally, no severe adverse effects were observed. High-quality RCTs with large sample size were still required.

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Section: Introductionmentioning

confidence: 99%

Effect of risedronate on femoral periprosthetic bone loss following total hip replacement

Ren

Wang

2018

Medicine

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“…34 Complications have been shown to relate to surgeon experience and learning curve, 35 and potentially implant choice. 36 The results of our study may have been positive for the anterior approach given that many of the surgeons performing anterior THA had completed their learning curve and we have adjusted for year of surgery. Likewise, potentially more difficult cases may have been chosen to be performed through the more traditional lateral and posterior approaches and we cannot exclude the possibility of selection bias in the results or assess the decision-making process of individual surgeons.…”

Section: Discussionmentioning

confidence: 88%

Early surgical complications of total hip arthroplasty related to surgical approach

Hoskins

Dowsey

Spelman

et al. 2020

ANZ Journal of Surgery

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Background: Total hip arthroplasty (THA) can be performed through a number of surgical approaches. The aim was to compare the incidence of early surgical complications in THA related to approach. Methods: A retrospective review of prospectively recorded data extracted from St. Vincent's Melbourne Arthroplasty Registry was performed between January 2006 and December 2016. Surgical approach was identified: lateral, posterior, anterior and superior. Primary outcome measure was return to theatre (RTT) for any cause within 1 year. Age, comorbidity, body mass index and femoral fixation were assessed for potential confounding. Secondary outcomes were RTT for revision procedure and for specific complications: intra or post-operative fracture, dislocation/instability, aseptic loosening and prosthetic joint injection (PJI). Variables were assessed for their association with outcome using unadjusted and adjusted quantile median regression for continuous outcomes and Cox proportional hazards regression for binary time-to-event outcomes. Results: There were a total of 2906 consecutive THA's recorded, 1413 lateral, 1188 posterior, 233 anterior and 72 superior. A total of 140 cases (4.5%) required RTT within 1 year. No approach was associated with RTT on unadjusted analyses or multivariate modelling. There was no association between approach and revision, PJI or periprosthetic fracture. The posterior approach was associated with 2.90 times the rate of dislocation relative to the lateral (P = 0.005). Conclusions: There was no difference in the RTT rate between surgical approaches for THA. There was no difference in revision rates, PJI or periprosthetic fracture. The posterior approach was associated with a higher rate of dislocation relative to the lateral, but not the anterior.

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“…Although total hip arthroplasty (THA) is a generally successful procedure [1], several factors, including patient demographics, surgical technique, and implant features, may affect its short-and long-term outcomes [2][3][4]. One of the most important surgeon-controlled factors is component positioning [5].…”

Section: Introductionmentioning

confidence: 99%

Early Postoperative Clinical Outcomes of Robotic Arm-Assisted Vs. Image-Based Navigated Total Hip Arthroplasty

Shibanuma

Ishida

Matsumoto

et al. 2020

Preprint

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Background The purpose of this study was to compare the clinical outcomes of total hip arthroplasty (THA) using computer navigation systems (nTHA) and those of robotic arm-assisted THA (rTHA).Methods Thirty prospective subjects who underwent rTHA were clinically compared with 30 subjects who underwent nTHA. Clinical data (the surgical time, intraoperative blood loss, length of hospital stay, pain severity, number of days to independent walking, and Harris Hip Score (HHS) at discharge) and radiographic parameters (the inclination and anteversion angles) were statistically compared between the two groups. Results The surgical time, number of days to independent walking, and postoperative pain were significantly reduced in the rTHA group than in the nTHA group. The rTHA group showed a significantly higher postoperative HHS than did the nTHA group. No statistically significant difference was observed in radiographic parameters between the groups.Conclusion The surgical time, postoperative pain, and number of days to independent walking were significantly shorter, and the HHS at discharge was significantly higher in the rTHA group than in the nTHA group. Thus, as compared to nTHA, rTHA improved early clinical outcomes.

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Do Stem Design and Surgical Approach Influence Early Aseptic Loosening in Cementless THA?

Abstract: Level III, therapeutic study.

Cited by 43 publications

References 25 publications

Effect of risedronate on femoral periprosthetic bone loss following total hip replacement

Effect of risedronate on femoral periprosthetic bone loss following total hip replacement

Early surgical complications of total hip arthroplasty related to surgical approach

Early Postoperative Clinical Outcomes of Robotic Arm-Assisted Vs. Image-Based Navigated Total Hip Arthroplasty

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