Radiological evaluation of cemented acetabular component in primary total hip arthroplasty with or without interface bioactive bone cement technique
Purpose: We evaluated the medium-term radiological outcomes of the interface bioactive bone cement (IBBC) technique used in the acetabular component in primary cemented total hip arthroplasty (THA). Methods: In total, 79 patients (88 hips) who underwent primary THA at our hospital between January 20...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Journal of Joint Surgery and Research |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2949705123000361 |
| _version_ | 1797235480569315328 |
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| author | Kazutaka Watanabe Takkan Morishima Hiromi Otsuka Tatsunori Ikemoto Kohei Hashimoto Hiroshi Fujita Nobunori Takahashi |
| author_facet | Kazutaka Watanabe Takkan Morishima Hiromi Otsuka Tatsunori Ikemoto Kohei Hashimoto Hiroshi Fujita Nobunori Takahashi |
| author_sort | Kazutaka Watanabe |
| collection | DOAJ |
| description | Purpose: We evaluated the medium-term radiological outcomes of the interface bioactive bone cement (IBBC) technique used in the acetabular component in primary cemented total hip arthroplasty (THA). Methods: In total, 79 patients (88 hips) who underwent primary THA at our hospital between January 2004 and April 2009 were divided into the non-IBBC (NIBBC; n = 39 patients, 44 hips) and IBBC (n = 40 patients, 44 hips) groups. A clear zone (CZ) at the cement-bone interface around the cup was evaluated 5 and 10 years postoperatively. The CZ score, which indicates the spread of the CZ, and loosening of the cup (CZ > 2 mm on all sides or movement of the cup >4°) were also evaluated. Results: No patient had loosening of the cup. The mean patient age at surgery was 66.5 ± 9.2 years in the NIBBC group and 61.9 ± 7.7 years in the IBBC group (p = 0.012). At 5 years postoperatively, the incidence of CZ was 36.4 % in the NIBBC group and 18.2 % in the IBBC group (p = 0.056). At 10 years postoperatively, the incidence of CZ was 36.4 % in the NIBBC group and 20.1 % in the IBBC group (p = 0.098). Age at surgery (p = 0.045) significantly affected the incidence of CZ at 5 years but not at 10 years. The IBBC technique (p = 0.042) and age at surgery (p = 0.028) significantly affected the CZ score at 5 years. The IBBC technique (p = 0.036) significantly affected the CZ score at 10 years. Conclusions: The IBBC technique resulted in a significantly lower CZ score than the NIBBC technique in patients undergoing THA. |
| first_indexed | 2024-04-24T16:48:38Z |
| format | Article |
| id | doaj.art-9dcfbec223b8404d9d38459171af527c |
| institution | Directory Open Access Journal |
| issn | 2949-7051 |
| language | English |
| last_indexed | 2024-04-24T16:48:38Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Joint Surgery and Research |
| spelling | doaj.art-9dcfbec223b8404d9d38459171af527c2024-03-29T05:51:52ZengElsevierJournal of Joint Surgery and Research2949-70512023-12-0111234240Radiological evaluation of cemented acetabular component in primary total hip arthroplasty with or without interface bioactive bone cement techniqueKazutaka Watanabe0Takkan Morishima1Hiromi Otsuka2Tatsunori Ikemoto3Kohei Hashimoto4Hiroshi Fujita5Nobunori Takahashi6Aichi Medical University Orthopaedic Surgery Artificial Joint Centre, 1-1 Karimata Yazako, Nagakute, Aichi 480-1195, JapanAichi Medical University Orthopaedic Surgery Artificial Joint Centre, 1-1 Karimata Yazako, Nagakute, Aichi 480-1195, Japan; Corresponding author. Department of Orthopaedic Surgery Artificial Joint Centre, Aichi Medical University, 1-1 Karimata Yazako, Nagakute, Aichi 480-1195, Japan.Aichi Medical University Orthopaedic Surgery, 1-1 Karimata Yazako, Nagakute, Aichi 480-1195, JapanAichi Medical University Orthopaedic Surgery, 1-1 Karimata Yazako, Nagakute, Aichi 480-1195, JapanAichi Medical University Orthopaedic Surgery, 1-1 Karimata Yazako, Nagakute, Aichi 480-1195, JapanSenshunkai Hospital, Center for Hip Arthroplasty, 2-14-26 Kaiden Nagaokakyo City, Kyoto 617-0826, JapanAichi Medical University Orthopaedic Surgery Artificial Joint Centre, 1-1 Karimata Yazako, Nagakute, Aichi 480-1195, JapanPurpose: We evaluated the medium-term radiological outcomes of the interface bioactive bone cement (IBBC) technique used in the acetabular component in primary cemented total hip arthroplasty (THA). Methods: In total, 79 patients (88 hips) who underwent primary THA at our hospital between January 2004 and April 2009 were divided into the non-IBBC (NIBBC; n = 39 patients, 44 hips) and IBBC (n = 40 patients, 44 hips) groups. A clear zone (CZ) at the cement-bone interface around the cup was evaluated 5 and 10 years postoperatively. The CZ score, which indicates the spread of the CZ, and loosening of the cup (CZ > 2 mm on all sides or movement of the cup >4°) were also evaluated. Results: No patient had loosening of the cup. The mean patient age at surgery was 66.5 ± 9.2 years in the NIBBC group and 61.9 ± 7.7 years in the IBBC group (p = 0.012). At 5 years postoperatively, the incidence of CZ was 36.4 % in the NIBBC group and 18.2 % in the IBBC group (p = 0.056). At 10 years postoperatively, the incidence of CZ was 36.4 % in the NIBBC group and 20.1 % in the IBBC group (p = 0.098). Age at surgery (p = 0.045) significantly affected the incidence of CZ at 5 years but not at 10 years. The IBBC technique (p = 0.042) and age at surgery (p = 0.028) significantly affected the CZ score at 5 years. The IBBC technique (p = 0.036) significantly affected the CZ score at 10 years. Conclusions: The IBBC technique resulted in a significantly lower CZ score than the NIBBC technique in patients undergoing THA.http://www.sciencedirect.com/science/article/pii/S2949705123000361Total hip arthroplastyInterface bioactive bone cementAcetabulumClear zone |
| spellingShingle | Kazutaka Watanabe Takkan Morishima Hiromi Otsuka Tatsunori Ikemoto Kohei Hashimoto Hiroshi Fujita Nobunori Takahashi Radiological evaluation of cemented acetabular component in primary total hip arthroplasty with or without interface bioactive bone cement technique Journal of Joint Surgery and Research Total hip arthroplasty Interface bioactive bone cement Acetabulum Clear zone |
| title | Radiological evaluation of cemented acetabular component in primary total hip arthroplasty with or without interface bioactive bone cement technique |
| title_full | Radiological evaluation of cemented acetabular component in primary total hip arthroplasty with or without interface bioactive bone cement technique |
| title_fullStr | Radiological evaluation of cemented acetabular component in primary total hip arthroplasty with or without interface bioactive bone cement technique |
| title_full_unstemmed | Radiological evaluation of cemented acetabular component in primary total hip arthroplasty with or without interface bioactive bone cement technique |
| title_short | Radiological evaluation of cemented acetabular component in primary total hip arthroplasty with or without interface bioactive bone cement technique |
| title_sort | radiological evaluation of cemented acetabular component in primary total hip arthroplasty with or without interface bioactive bone cement technique |
| topic | Total hip arthroplasty Interface bioactive bone cement Acetabulum Clear zone |
| url | http://www.sciencedirect.com/science/article/pii/S2949705123000361 |
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