Implant fixation of primary total hip arthroplasty using a cementless cup for osteoarthritis secondary to developmental dysplasia of the hip: A prospective multicenter study in Japan
Purpose: This prospective multicenter study investigated the implant fixation of a cementless cup in primary total hip arthroplasty (THA) for osteoarthritis (OA) secondary to developmental dysplasia of the hip (DDH) in Japanese patients. Methods: Ten hospitals in Japan were enrolled in this study. T...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-03-01
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| Series: | Journal of Joint Surgery and Research |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2949705123000403 |
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| author | Ayumi Kaneuji Hiroshi Imai Ryo Sugama Yoichi Ohta Kiyokazu Fukui Eiji Takahashi Haruhiko Akiyama Takaki Miyagawa Junya Yoshitani Hideki Fujii Ayano Amagami Minoru Watanabe Takayuki Honda Akihiko Maeda Yoshihiro Nakamura Naofumi Taniguchi Jiro Ichikawa David W. Fawley Junko Yasuda |
| author_facet | Ayumi Kaneuji Hiroshi Imai Ryo Sugama Yoichi Ohta Kiyokazu Fukui Eiji Takahashi Haruhiko Akiyama Takaki Miyagawa Junya Yoshitani Hideki Fujii Ayano Amagami Minoru Watanabe Takayuki Honda Akihiko Maeda Yoshihiro Nakamura Naofumi Taniguchi Jiro Ichikawa David W. Fawley Junko Yasuda |
| author_sort | Ayumi Kaneuji |
| collection | DOAJ |
| description | Purpose: This prospective multicenter study investigated the implant fixation of a cementless cup in primary total hip arthroplasty (THA) for osteoarthritis (OA) secondary to developmental dysplasia of the hip (DDH) in Japanese patients. Methods: Ten hospitals in Japan were enrolled in this study. The cohort comprised 267 hips in 228 Japanese patients who underwent primary THA for OA secondary to DDH. An acetabular cup with advanced in-growth, GRIPTION™ coating, was used in all patients. Mean age at surgery was 66.9 (range 45–89) years, and 201 patients (239 hips) were female. Of these patients, 89.1 % (238/267) was Crowe group I. Radiolucent lines around the cup, osteolysis, cup migration, grafted bone status, and clinical scores were evaluated preoperatively and at 6 months, 1 year, and 2 years postoperatively. Adverse events were evaluated throughout the study. Implant survivorship was assessed using the Kaplan–Meier method. Results: Nine hips had radiolucent lines ≥2 mm that resolved by 6 months. All cups showed bone in-growth and no cups loosened. At 2 years, the bone grafts had remodeled and incorporated in 68 % (43/63) of hips. There were four systemic and five surgical site events, and one procedure-related dislocation. The survivorship with cup revision as the endpoint was 99.6 % (95 % confidence interval, 97.3–99.9). All clinical scores were improved at 2 years compared with preoperatively (p < 0.01). Conclusions: An advanced in-growth coated cup showed good fixation without complications in primary THA, even in patients with OA secondary to DDH. |
| first_indexed | 2024-04-24T16:48:23Z |
| format | Article |
| id | doaj.art-693f909d3cb84c6ab745bfd55b4d1b57 |
| institution | Directory Open Access Journal |
| issn | 2949-7051 |
| language | English |
| last_indexed | 2024-04-24T16:48:23Z |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Joint Surgery and Research |
| spelling | doaj.art-693f909d3cb84c6ab745bfd55b4d1b572024-03-29T05:51:53ZengElsevierJournal of Joint Surgery and Research2949-70512024-03-01211924Implant fixation of primary total hip arthroplasty using a cementless cup for osteoarthritis secondary to developmental dysplasia of the hip: A prospective multicenter study in JapanAyumi Kaneuji0Hiroshi Imai1Ryo Sugama2Yoichi Ohta3Kiyokazu Fukui4Eiji Takahashi5Haruhiko Akiyama6Takaki Miyagawa7Junya Yoshitani8Hideki Fujii9Ayano Amagami10Minoru Watanabe11Takayuki Honda12Akihiko Maeda13Yoshihiro Nakamura14Naofumi Taniguchi15Jiro Ichikawa16David W. Fawley17Junko Yasuda18Department of Orthopedics, Kanazawa Medical University, 1-1 Daigaku, Uchinada, Kahoku, Ishikawa, 920-0293, Japan; Corresponding author. Department of Orthopedics, Kanazawa Medical University, 1-1 Daigaku, Uchinada, Kahoku, Ishikawa, 920-0293, Japan.Department of Bone and Joint Surgery, Ehime University Graduate School of Medicine, 454 Shitsukawa, Toon, Ehime 791-0295, JapanDepartment of Orthopedic Surgery, Osaka Metropolitan University Graduate School of Medicine, 1-4-3 Asahimachi, Abeno-ku, Osaka 545-8585, JapanDepartment of Orthopedic Surgery, Osaka Metropolitan University Graduate School of Medicine, 1-4-3 Asahimachi, Abeno-ku, Osaka 545-8585, JapanDepartment of Orthopedics, Kanazawa Medical University, 1-1 Daigaku, Uchinada, Kahoku, Ishikawa, 920-0293, JapanDepartment of Orthopedics, Kanazawa Medical University, 1-1 Daigaku, Uchinada, Kahoku, Ishikawa, 920-0293, JapanDepartment of Orthopedic Surgery, Gifu University, 1-1 Yanagido, Gifu City 501-1194, JapanDepartment of Orthopedic Surgery, Gifu University, 1-1 Yanagido, Gifu City 501-1194, JapanDepartment of Orthopedic Surgery, Toyama Saiseikai Takaoka Hospital, 387-1 Futazuka, Takaoka, Toyama 933-0816, JapanDepartment of Orthopaedic Surgery, The Jikei University School of Medicine, 3-25-8 Nishishinbashi, Minato-ku, Tokyo 105-8461, JapanDepartment of Orthopaedic Surgery, The Jikei University School of Medicine, 3-25-8 Nishishinbashi, Minato-ku, Tokyo 105-8461, JapanDepartment of Orthopaedic Surgery, Showa University Fujigaoka Hospital, 1-30 Fujigaoka Aoba-ku Yokohama City, Kanagawa, 227-8501, JapanDepartment of Orthopaedic Surgery, Showa University Fujigaoka Hospital, 1-30 Fujigaoka Aoba-ku Yokohama City, Kanagawa, 227-8501, JapanDepartment of Orthopaedic Surgery, Showa University Northern Yokohama Hospital, 35-1 Chigasakichuo Tsuzuki-ku, Yokohama City, Kanagawa, 224-8503, JapanDepartment of Orthopaedic Surgery, University of Miyazaki, 5200 Kiyotakecho Kihara, Miyazaki City, Miyazaki 889-1692, JapanDepartment of Orthopaedic Surgery, University of Yamanashi, 1110, Shimokato, Chuo, Yamanashi, 409-3898, JapanDepartment of Orthopaedic Surgery, University of Yamanashi, 1110, Shimokato, Chuo, Yamanashi, 409-3898, JapanDePuy Synthes, Johnson & Johnson, 700 Orthopaedic Drive, Warsaw, IN 46582, USAJohnson & Johnson K.K. Medical Company, 3-5-2 Nishikanda, Chiyoda-ku, Tokyo, 101-0065, JapanPurpose: This prospective multicenter study investigated the implant fixation of a cementless cup in primary total hip arthroplasty (THA) for osteoarthritis (OA) secondary to developmental dysplasia of the hip (DDH) in Japanese patients. Methods: Ten hospitals in Japan were enrolled in this study. The cohort comprised 267 hips in 228 Japanese patients who underwent primary THA for OA secondary to DDH. An acetabular cup with advanced in-growth, GRIPTION™ coating, was used in all patients. Mean age at surgery was 66.9 (range 45–89) years, and 201 patients (239 hips) were female. Of these patients, 89.1 % (238/267) was Crowe group I. Radiolucent lines around the cup, osteolysis, cup migration, grafted bone status, and clinical scores were evaluated preoperatively and at 6 months, 1 year, and 2 years postoperatively. Adverse events were evaluated throughout the study. Implant survivorship was assessed using the Kaplan–Meier method. Results: Nine hips had radiolucent lines ≥2 mm that resolved by 6 months. All cups showed bone in-growth and no cups loosened. At 2 years, the bone grafts had remodeled and incorporated in 68 % (43/63) of hips. There were four systemic and five surgical site events, and one procedure-related dislocation. The survivorship with cup revision as the endpoint was 99.6 % (95 % confidence interval, 97.3–99.9). All clinical scores were improved at 2 years compared with preoperatively (p < 0.01). Conclusions: An advanced in-growth coated cup showed good fixation without complications in primary THA, even in patients with OA secondary to DDH.http://www.sciencedirect.com/science/article/pii/S2949705123000403Total hip arthroplastyOsteoarthritisCementless cupDevelopmental dysplasia of the hipMulticenter study |
| spellingShingle | Ayumi Kaneuji Hiroshi Imai Ryo Sugama Yoichi Ohta Kiyokazu Fukui Eiji Takahashi Haruhiko Akiyama Takaki Miyagawa Junya Yoshitani Hideki Fujii Ayano Amagami Minoru Watanabe Takayuki Honda Akihiko Maeda Yoshihiro Nakamura Naofumi Taniguchi Jiro Ichikawa David W. Fawley Junko Yasuda Implant fixation of primary total hip arthroplasty using a cementless cup for osteoarthritis secondary to developmental dysplasia of the hip: A prospective multicenter study in Japan Journal of Joint Surgery and Research Total hip arthroplasty Osteoarthritis Cementless cup Developmental dysplasia of the hip Multicenter study |
| title | Implant fixation of primary total hip arthroplasty using a cementless cup for osteoarthritis secondary to developmental dysplasia of the hip: A prospective multicenter study in Japan |
| title_full | Implant fixation of primary total hip arthroplasty using a cementless cup for osteoarthritis secondary to developmental dysplasia of the hip: A prospective multicenter study in Japan |
| title_fullStr | Implant fixation of primary total hip arthroplasty using a cementless cup for osteoarthritis secondary to developmental dysplasia of the hip: A prospective multicenter study in Japan |
| title_full_unstemmed | Implant fixation of primary total hip arthroplasty using a cementless cup for osteoarthritis secondary to developmental dysplasia of the hip: A prospective multicenter study in Japan |
| title_short | Implant fixation of primary total hip arthroplasty using a cementless cup for osteoarthritis secondary to developmental dysplasia of the hip: A prospective multicenter study in Japan |
| title_sort | implant fixation of primary total hip arthroplasty using a cementless cup for osteoarthritis secondary to developmental dysplasia of the hip a prospective multicenter study in japan |
| topic | Total hip arthroplasty Osteoarthritis Cementless cup Developmental dysplasia of the hip Multicenter study |
| url | http://www.sciencedirect.com/science/article/pii/S2949705123000403 |
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