Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김이석 | - |
dc.date.accessioned | 2020-09-02T05:52:28Z | - |
dc.date.available | 2020-09-02T05:52:28Z | - |
dc.date.issued | 2019-08 | - |
dc.identifier.citation | ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, v. 139, no. 8, Page. 1149-1160 | en_US |
dc.identifier.issn | 0936-8051 | - |
dc.identifier.issn | 1434-3916 | - |
dc.identifier.uri | https://link.springer.com/article/10.1007%2Fs00402-019-03214-7 | - |
dc.identifier.uri | https://repository.hanyang.ac.kr/handle/20.500.11754/153510 | - |
dc.description.abstract | IntroductionAcetabular revision arthroplasty using jumbo cups for moderate-to-severe acetabular defects has varied outcomes. We evaluated the clinical and radiological outcomes of acetabular revision arthroplasty using a press-fitted jumbo cup and sought to identify factors that influence outcomes during intermediate follow-up.Materials and methodsEighty patients (47 men, 33 women; 80 hips) who underwent acetabular revision arthroplasty using press-fitted jumbo cups were included. The mean follow-up period was 10.4years. Harris hip score (HHS), presence of groin pain, radiographic results, and Kaplan-Meier survival curves were evaluated. Implant design and surgery-related and patient-related factors were assessed to identify influential factors for cup loosening. Migration and wear analyses were performed using Einzel-Bild-Rontgen-Analyse software.ResultsThe mean preoperative HHS of 53 had improved to 77 at the final follow-up (p=0.005). Nine patients experienced groin pain. Acetabular cup loosening was observed in seven cups (8.7%), and one jumbo cup was replaced with a reinforcement cage. The survival rate of the acetabular cup was 91% at 16years according to the Kaplan-Meier analysis. Osteolysis was identified around the cup in six cases (7.5%). Acetabular cup loosening occurred more frequently in patients with conventional polyethylene liners than in those with highly cross-linked polyethylene liners (p=0.045). The mean total migration was 1.52mm, and the mean total wear was 0.98mm. There was a positive correlation between total migration and total wear (p=0.023; Spearman's rho=0.388). The mean wear rate of the patients with the cup inclination angle<50 degrees was significantly lower than those with the cup inclination angle>50 degrees (p=0.001). There were four cases of complications (three dislocations and one infection) that did not require revision surgery.ConclusionPress-fitted jumbo cups for acetabular revision arthroplasty exhibited encouraging results during follow-up for an average of 10years. Use of highly cross-linked polyethylene liners and proper placement of the acetabular component with an inclination angle<50 degrees may contribute to better clinical outcomes after acetabular revision arthroplasty with jumbo cups. | en_US |
dc.language.iso | en | en_US |
dc.publisher | SPRINGER | en_US |
dc.subject | Acetabular revision | en_US |
dc.subject | Jumbo cup | en_US |
dc.subject | Migration | en_US |
dc.subject | Wear | en_US |
dc.title | Acetabular revision arthroplasty using press-fitted jumbo cups: an average 10-year follow-up study | en_US |
dc.type | Article | en_US |
dc.relation.no | 8 | - |
dc.relation.volume | 139 | - |
dc.identifier.doi | 10.1007/s00402-019-03214-7 | - |
dc.relation.page | 1149-1160 | - |
dc.relation.journal | ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY | - |
dc.contributor.googleauthor | Moon, Jun-Ki | - |
dc.contributor.googleauthor | Ryu, Jaejoon | - |
dc.contributor.googleauthor | Kim, Yeesuk | - |
dc.contributor.googleauthor | Yang, Jae-Hyuk | - |
dc.contributor.googleauthor | Hwang, Kyu-Tae | - |
dc.contributor.googleauthor | Kim, Young-Ho | - |
dc.relation.code | 2019045029 | - |
dc.sector.campus | S | - |
dc.sector.daehak | COLLEGE OF MEDICINE[S] | - |
dc.sector.department | DEPARTMENT OF MEDICINE | - |
dc.identifier.pid | estone96 | - |
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