Early low complication rate of ceramic-on-ceramic total hip arthroplasty by direct anterior approach
Introduction: Ceramic-on-ceramic couplings are an alternative bearing surface to reduce the problems related to polyethylene wear and debris. However, ceramic articulations have their own risk of unique complications: fracture, squeaking, or dislocation. Few studies have assessed the outcomes of cer...
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| Format: | Article |
| Language: | English |
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EDP Sciences
2020-01-01
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| Series: | SICOT-J |
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| Online Access: | https://www.sicot-j.org/articles/sicotj/full_html/2020/01/sicotj200086/sicotj200086.html |
| _version_ | 1818576926065819648 |
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| author | Henri Bauwens Paul Fary Camdon Servien Elvire Lustig Sébastien Batailler Cécile |
| author_facet | Henri Bauwens Paul Fary Camdon Servien Elvire Lustig Sébastien Batailler Cécile |
| author_sort | Henri Bauwens Paul |
| collection | DOAJ |
| description | Introduction: Ceramic-on-ceramic couplings are an alternative bearing surface to reduce the problems related to polyethylene wear and debris. However, ceramic articulations have their own risk of unique complications: fracture, squeaking, or dislocation. Few studies have assessed the outcomes of ceramic-on-ceramic total hip arthroplasties (THA) by direct anterior approach (DAA). The aim was to evaluate the early complications and revision rate of ceramic-on-ceramic THA by DAA. Material: A retrospective single-center study of 116 consecutive THAs was performed by DAA (106 patients) with ceramic-on-ceramic bearing from January 2015 to February 2018 with a minimum 24 months of follow-up. No patients were lost to follow-up. The mean age was of 55.3 years ± 11.3. The same cementless acetabular shell with a Biolox Delta ceramic insert and head were used. The complication and revision rates were collected at the last follow-up. The positioning of the acetabular implant was assessed on standard radiographs. Postoperative clinical outcomes were assessed by the Harris Hip Score. Results: At a mean follow-up of 31.9 months ± 5.5, no THA was revised. Five patients had late complications: 3 squeaking (2.6%) and 2 psoas impingements (1.7%) and were managed conservatively. All patients had satisfactory bony ingrowth of acetabular component, with no radiolucent lines and no osteolysis. Eight patients (6.9%) had an anterior overhang of the cup. The mean overhang for these patients was 4.1 mm. 111 hips (96%) were perceived as forgotten or having no limitations. Conclusion: This ceramic-on-ceramic coupling and shell by DAA produced excellent clinical outcomes and implant survival rate at a minimum two-year follow-up study. No serious complication was observed during the follow-up. |
| first_indexed | 2024-12-16T06:21:46Z |
| format | Article |
| id | doaj.art-1b90d5037e9a461595afe7442384e389 |
| institution | Directory Open Access Journal |
| issn | 2426-8887 |
| language | English |
| last_indexed | 2024-12-16T06:21:46Z |
| publishDate | 2020-01-01 |
| publisher | EDP Sciences |
| record_format | Article |
| series | SICOT-J |
| spelling | doaj.art-1b90d5037e9a461595afe7442384e3892022-12-21T22:41:07ZengEDP SciencesSICOT-J2426-88872020-01-0163010.1051/sicotj/2020027sicotj200086Early low complication rate of ceramic-on-ceramic total hip arthroplasty by direct anterior approachHenri Bauwens Paul0https://orcid.org/0000-0001-6033-9485Fary CamdonServien Elvire1Lustig Sébastien2Batailler Cécile3https://orcid.org/0000-0003-3990-0906Department of Orthopaedic Surgery, Lyon North University HospitalDepartment of Orthopaedic Surgery, Lyon North University HospitalDepartment of Orthopaedic Surgery, Lyon North University HospitalDepartment of Orthopaedic Surgery, Lyon North University HospitalIntroduction: Ceramic-on-ceramic couplings are an alternative bearing surface to reduce the problems related to polyethylene wear and debris. However, ceramic articulations have their own risk of unique complications: fracture, squeaking, or dislocation. Few studies have assessed the outcomes of ceramic-on-ceramic total hip arthroplasties (THA) by direct anterior approach (DAA). The aim was to evaluate the early complications and revision rate of ceramic-on-ceramic THA by DAA. Material: A retrospective single-center study of 116 consecutive THAs was performed by DAA (106 patients) with ceramic-on-ceramic bearing from January 2015 to February 2018 with a minimum 24 months of follow-up. No patients were lost to follow-up. The mean age was of 55.3 years ± 11.3. The same cementless acetabular shell with a Biolox Delta ceramic insert and head were used. The complication and revision rates were collected at the last follow-up. The positioning of the acetabular implant was assessed on standard radiographs. Postoperative clinical outcomes were assessed by the Harris Hip Score. Results: At a mean follow-up of 31.9 months ± 5.5, no THA was revised. Five patients had late complications: 3 squeaking (2.6%) and 2 psoas impingements (1.7%) and were managed conservatively. All patients had satisfactory bony ingrowth of acetabular component, with no radiolucent lines and no osteolysis. Eight patients (6.9%) had an anterior overhang of the cup. The mean overhang for these patients was 4.1 mm. 111 hips (96%) were perceived as forgotten or having no limitations. Conclusion: This ceramic-on-ceramic coupling and shell by DAA produced excellent clinical outcomes and implant survival rate at a minimum two-year follow-up study. No serious complication was observed during the follow-up.https://www.sicot-j.org/articles/sicotj/full_html/2020/01/sicotj200086/sicotj200086.htmltotal hip arthroplastyacetabular cupceramic-on-ceramiccomplicationsdirect anterior approach |
| spellingShingle | Henri Bauwens Paul Fary Camdon Servien Elvire Lustig Sébastien Batailler Cécile Early low complication rate of ceramic-on-ceramic total hip arthroplasty by direct anterior approach SICOT-J total hip arthroplasty acetabular cup ceramic-on-ceramic complications direct anterior approach |
| title | Early low complication rate of ceramic-on-ceramic total hip arthroplasty by direct anterior approach |
| title_full | Early low complication rate of ceramic-on-ceramic total hip arthroplasty by direct anterior approach |
| title_fullStr | Early low complication rate of ceramic-on-ceramic total hip arthroplasty by direct anterior approach |
| title_full_unstemmed | Early low complication rate of ceramic-on-ceramic total hip arthroplasty by direct anterior approach |
| title_short | Early low complication rate of ceramic-on-ceramic total hip arthroplasty by direct anterior approach |
| title_sort | early low complication rate of ceramic on ceramic total hip arthroplasty by direct anterior approach |
| topic | total hip arthroplasty acetabular cup ceramic-on-ceramic complications direct anterior approach |
| url | https://www.sicot-j.org/articles/sicotj/full_html/2020/01/sicotj200086/sicotj200086.html |
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