Comparative Study of Peripheral Rim Fixation Using Jumbo Cup in Revisional Hip Arthroplasty

Overview

Journal Hip Pelvis

Date 2017 Mar 21

PMID 28316959

Citations 2

Authors

Woo-Lam Jo

Young-Wook Lim

Jin-Hyung Im

Seung-Chan Kim

Soon-Yong Kwon

Yong-Sik Kim

Affiliations

Soon will be listed here.

Abstract

Purpose: It is challenging procedure to revise acetabular component in acetabulum with severe bone defect or deformity. The jumbo cup is good option for revisional arthroplasty in large bone defect. The purpose of this study is to compare the prognosis of revisional total hip arthroplasty using jumbo cup with peripheral rim fixation and no rim fixation.

Materials And Methods: We included the patients who had performed acetabular revisional total hip arthroplasty from January 2002 to March 2015 in our institute. Total of 51 hips (51 patients) were included. The mean follow up period was 51 months (range, 12 to 154 months) and mean age was 60.7 years (range, 30 to 81 years). We divided into two groups (peripheral rim fixation group and no rim fixation group) by anteroposterior and lateral plain radiograph. We compared survival rate, hip center change and clinical outcomes between two groups.

Results: There were 37 patients in peripheral rim fixation group and 14 patients in no rim fixation group. There was one patient who had aseptic loosening necessary to re-revision in rim fixation group and 3 patients in no rim fixation group. And one patient had superficial infection in rim fixation group and one patient had periprosthetic fracture in no rim fixation group. Survival rate was higher in the peripheral rim fixation group (97.3%) than no rim fixation group (78.6%, =0.028).

Conclusion: Based on our findings, peripheral rim fixation might be recommended to improve short-term outcome after revision total hip arthroplasty using jumbo cup.

Citing Articles

Clinical and radiological outcomes of jumbo cup in revision total hip arthroplasty: A systematic review.

Wang Q, Wang Q, Liu P, Ge J, Zhang Q, Guo W Front Surg. 2022; 9:929103.

PMID: 36268211 PMC: 9577022. DOI: 10.3389/fsurg.2022.929103.

Total hip arthroplasty for failed acetabular fracture: a double-center comparative study on failed proximal femur fracture.

Moon J, Lee H, Yoon P, Park K, Chang J, Kim J Eur J Trauma Emerg Surg. 2021; 48(3):2319-2329.

PMID: 34226942 DOI: 10.1007/s00068-021-01744-7.

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