Is reverse hybrid hip replacement the solution?

Lindalen, Einar; Havelin, Leif Ivar; Nordsletten, Lars; Dybvik, Eva; Fenstad, Anne Marie; Hallan, Geir; Furnes, Ove; Høvik, Øystein; Röhrl, Stephan M

doi:10.3109/17453674.2011.623569

Cited by 16 publications

(16 citation statements)

References 21 publications

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“…The slightly higher revision risk of on inverse hybrid compared with cemented was also related to other revision than aseptic loosening. This finding accords with previous reports of increased risk of early periprosthetic fractures and infections using inverse hybrid implants 44,45 .…”

Section: Fixation Techniquesupporting

confidence: 93%

Association between fixation technique and revision risk in total hip arthroplasty patients younger than 55 years of age. Results from the Nordic Arthroplasty Register Association

Pedersen

Mehnert

Havelin

et al. 2014

Osteoarthritis and Cartilage

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Uncemented implants perform better in relation to long-term risk of aseptic loosening, whereas both uncemented and hybrid rather than cemented implants in patients younger than 55 years had more short-term revisions because problems due to dislocation, periprosthetic fracture and infection has not yet been completely solved. The vast majority of cup-stem combinations were used in very few operations.

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Section: Fixation Techniquesupporting

confidence: 93%

Association between fixation technique and revision risk in total hip arthroplasty patients younger than 55 years of age. Results from the Nordic Arthroplasty Register Association

Pedersen

Mehnert

Havelin

et al. 2014

Osteoarthritis and Cartilage

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“…2). 2 cases (2%) had lines in all 4 proximal zones (1, 7, 8 and 14). In 2 of the stems with RLLs in zone 7 we found a progression to zone 6 comparing 5 years post op x-rays to 10 years post x-rays.…”

Section: Resultsmentioning

confidence: 99%

“…They found 97% survival for the whole prostheses and 99% for the stem at 10 years. The NAR published results of 3,963 reverse hybrid THAs in 2011 (14). They found no difference in implant survival of reverse hybrids and cemented THAs at 5 and 7 years in patients regardless of age.…”

Section: Discussionmentioning

confidence: 99%

The Corail Stem as a Reverse Hybrid – Survivorship and X-Ray Analysis at 10 Years

Wangen

Nordsletten

Boldt³

et al. 2017

HIP International

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Background The use of a cemented cup together with an uncemented stem in total hip arthroplasty (THA) has become popular in Norway and Sweden during the last decade. The results of this prosthetic concept, reverse hybrid THA have been sparsely described. We report our experience of reverse hybrid THA, using the Elite plus polyethylene cemented cup together with the Corail fully hydroxyapatite-coated uncemented stem and a 28-mm alumina ceramic head. Patients and methods 132 consecutive reverse hybrid hip arthroplasties were performed from January 2000 to December 2003 in 126 patients with a mean age of 54.3 years (28-65). All patients were routinely reviewed at 3 months, 1, 5, 7 and 10 years postoperatively. At each follow-up patients were seen either by a consultant orthopaedic surgeon or a senior trainee. Anteroposterior pelvic and lateral x-rays of the hip were taken at each visit. To estimate the survival of the THAs we used the Kaplan-Meier method with 95% confidence interval (CI). Logistic regression analysis was performed to determine which factors affected the presence of radiolucency around the femoral stem. Results The mean follow-up was 11.1 years (9.0-14.2). 1 patient was lost to follow-up, and 7 patients were deceased at the time of 10-year follow up. At 10 years 7 patients have had further surgery. 5 for infection, 1 periprosthetic femoral fracture and 1 heterotopic bone formation. All stems were classified as well fixed. 2 cups were defined as loose at 10 years. 1 patient is scheduled for revision the other refused revision. The clinical outcome and radiological findings were assessed in 123 hips. The mean Harris Hip Score was 94 (35-100) at 10 years and the mean WOMAC score was 89 (30.2-100). Conclusions We report good results with respect to clinical outcome and survival of the reverse hybrid concept in patients younger than 65. A successful outcome depends on meticulous preoperative planning, use of modern cementing techniques in the acetabulum and experience in implanting an uncemented stem.

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“…Tranexamic acid of 500 mg were given intravenously at the onset of surgery and 500 mg at the time of closure. In all patients, a cemented cup (Marathon, DePuy, Warsaw, IN), unsemented stem (Corail, DePuy), and ceramic head with a diameter of 32 mm (Biolox forte, Ceramtec, Plochingen Germany) were used.…”

Section: Methodsmentioning

confidence: 99%

Comparison of markers for muscle damage, inflammation, and pain using minimally invasive direct anterior versus direct lateral approach in total hip arthroplasty: A prospective, randomized, controlled trial

Mjaaland

Kivle

Svenningsen

et al. 2015

Journal Orthopaedic Research

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It is proposed that the use of biochemical markers for muscle damage and inflammation provides an objective measure on invasiveness in total hip arthroplasty. We analyzed levels of creatine kinase and C-reactive protein (CRP) after total hip arthroplasty in patients randomized to minimally invasive direct anterior approach or direct lateral approach, also recording consumption of pain medication and levels of pain postoperatively. Eighty-three patients were operated by the use of anterior approach and eighty using lateral. Creatine kinase and CRP levels were measured preoperatively, creatine kinase directly after surgery, and both creatine kinase and CRP on postoperative day 1 through 4. The use of pain medication and levels of pain were recorded. Creatine kinase were higher in the anterior group compared to the lateral group, reaching statistical significance directly postoperative and on day 4. Levels of CRP did not differ, reaching a maximum of mean 52 mg/L on day 3. The use of pain medication was higher in the lateral group on the day of surgery (p ¼ 0.011), and pain levels were higher on all days in the lateral group (p < 0.007). In conclusion, the use of minimally invasive anterior approach caused less pain, but higher postoperative levels of CK, than the use of direct lateral approach. ß

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Is reverse hybrid hip replacement the solution?

Cited by 16 publications

References 21 publications

Association between fixation technique and revision risk in total hip arthroplasty patients younger than 55 years of age. Results from the Nordic Arthroplasty Register Association

Association between fixation technique and revision risk in total hip arthroplasty patients younger than 55 years of age. Results from the Nordic Arthroplasty Register Association

The Corail Stem as a Reverse Hybrid – Survivorship and X-Ray Analysis at 10 Years

Comparison of markers for muscle damage, inflammation, and pain using minimally invasive direct anterior versus direct lateral approach in total hip arthroplasty: A prospective, randomized, controlled trial

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