Controlled fracture of the medial wall versus structural autograft with bulk femoral head to increase cup coverage by host bone for total hip arthroplasty in osteoarthritis secondary to developmental dysplasia of the hip: a retrospective cohort study
Tóm tắt
Many methods have been proposed to increase cup coverage by host bone during primary total hip arthroplasty (THA) in hip osteoarthritis secondary to developmental dysplasia of the hip (DDH). However, there was no study comparing the results of controlled fracture of the medial wall with a structural autograft with a bulk femoral head. Sixty-seven hips classified as Crowe II/III were retrospectively included in this cohort study, which consisted of 33 controlled fractures (group A) and 34 structural autografts (group B). The Harris Hip Scores (HHS) were recorded. The radiological assessments were analyzed. Also, complications are assessed. The paired-sample t test was used for data analysis before and after the operation, while the independent sample T test was used for the comparison between the two groups. The Pearson chi-square test or the Fisher exact test was used to analyze the qualitative comparative parameters. Kaplan-Meier was utilized in the analysis of survivorship with the end points as a revision for any component. All patients were reconstructed acetabulum at the anatomical location. HHS increased greatly for both groups (p = 0.18). No statistic difference was observed for the two groups in postoperative leg-length discrepancy (0.51 ± 0.29 cm for group A and 0.46 ± 0.39 cm for group B, p = 0.64 ), postoperative height of the hip center (2.25 ± 0.42 cm for group A and 2.09 ± 0.31 cm for group B, p = 0.13), and inclination of the cup (39 ± 4° for group A and 38 ± 3° for group B, p = 0.65 ). The rate of cup coverage for group B (94 ± 2%) was better than for group A (91 ± 5%), (p = .009). The rate of cup protrusio was 48 ± 4% for group A. For both groups, no statistical difference was observed in the cup diameter (p > .05), while group A showed less operation time than group B (p < .001). No complications were observed at the latest follow-up. Controlled fracture of the medial wall to increase cup coverage by host bone at the anatomical location can act as an alternative technique for DDH Crowe II/III with the advantage of shorter operation time and less technically demanding.
Tài liệu tham khảo
Gustke K. The dysplastic hip: not for the shallow surgeon. Bone Joint J. 2013;95-B(11 Suppl A):31–6.
Crowe JF, Mani VJ, Ranawat CS. Total hip replacement in congenital dislocation and dysplasia of the hip. J Bone Joint Surg Am. 1979;61:15–23.
Hartofilakidis G, Karachalios T, Stamos KG. Epidemiology, demographics and natural history of congenital hip disease in adults. Orthopedics. 2000;23:823–7.
Garvin KL, Bowen MK, Salvati EA, Ranawat CS. Long-term results of total hip arthroplasty in congenital dislocation and dysplasia of the hip: a follow-up note. J Bone Joint Surg Am. 1991;73:1348–54.
Tamegai H, Otani T, Fujii H, Kawaguchi Y, Hayama T, Marumo K. A modified S-ROM stem in primary total hip arthroplasty for developmental dysplasia of the hip. J Arthroplasty. 2013;28:1741–5.
Shi X-T, Li C-F, Cheng C-M, Feng C-Y, Li S-X, Liu J-G. Preoperative planning for total hip arthroplasty for neglected developmental dysplasia of the hip. Orthop Surg. 2019;11(3):348–55.
Lee KH, Jo WL, Ha YC, Lee YK, Goodman SB, Koo KH. Total hip arthroplasty using a monobloc cementless femoral stem for patients with childhood Perthes’ disease. Bone Joint J. 2017;99-B(4):440–4.
Luo ZY, Wang HY, Wang D, Pan H, Pei FX, Zhou ZK. Monobloc implants in cementless total hip arthroplasty in patients with Legg-Calve-Perthes disease: a long-term follow-up. BMC Musculoskelet Disord. 2017;18(1):386.
Hartofilakidis G, Stamos K, Ioannidis TT. Low friction arthroplasty for old untreated congenital dislocation of the hip. J Bone Joint Surg Br. 1988;70:182–6.
Greber EM, Pelt CE, Gililland JM, Anderson MB, Erickson JA, Peters CL. Challenges in total hip arthroplasty in the setting of developmental dysplasia of the hip. J Arthroplasty. 2017;32:S38–44.
Zha GC, Sun JY, Guo KJ, Zhao FC, Pang Y, Zheng X. Medial protrusio technique in cementless total hip arthroplasty for developmental dysplasia of the hip: a prospective 6- to 9-year follow-up of 43 consecutive patients. J Arthroplasty. 2016;31:1761–6.
Kosuge D, Yamada N, Azegami S, Achan P, Ramachandran M. Management of developmental dysplasia of the hip in young adults: current concepts. Bone Joint J. 2013;95:732–7.
Zhang H, Huang Y, Zhou YX, Zhou YX, Lv M, Jiang ZH. Acetabular medial wall displacement osteotomy in total hip arthroplasty: a technique to optimize the acetabular reconstruction in acetabular dysplasia. J Arthroplasty. 2005;20:562–7.
Chen M, Luo ZL, Wu KR, Zhang XQ, Ling XD, Shang XF. Cementless total hip arthroplasty with a high hip center for Hartofilakidis type B developmental dysplasia of the hip: results of midterm follow-up. J Arthroplasty. 2016;31:1027–34.
Kaneuji A, Sugimori T, Ichiseki T, Yamada K, Fukui K, Matsumoto T. Minimum ten-year results of a porous acetabular component for Crowe I to III hip dysplasia using an elevated hip center. J Arthroplasty. 2009;24:187–94.
Harris WH, Crothers O, Oh J. Total hip replacement and femoral-head bone-grafting for severe acetabular deficiency in adults. J Bone Joint Surg Am. 1977;59:752–9.
Kim M, Kadowaki T. High long-term survival of bulk femoral head autograft for acetabular reconstruction in cementless THA for developmental hip dysplasia. Clin Orthop Relat Res. 2010;468:1611–20.
Hartofilakidis G, Georgiades G, Babis GC, Yiannakopoulos CK. Evaluation of two surgical techniques for acetabular reconstruction in total hip replacement for congenital hip disease: results after a minimum ten-year follow-up. J Bone Joint Surg Br. 2008;90:724–30.
Hartofilakidis G, Karachalios T. Total hip arthroplasty for congenital hip disease. J Bone Joint Surg Am. 2004;86:242–50.
de Jong PT, Haverkamp D, van der Vis HM, Marti RK. Total hip replacement with a superolateral bone graft for osteoarthritis secondary to dysplasia: a long-term follow-up. J Bone Joint Surg Br. 2006;88:173–8.
Zahar A, Papik K, Lakatos J, Cross MB. Total hip arthroplasty with acetabular reconstruction using a bulk autograft for patients with developmental dysplasia of the hip results in high loosening rates at mid-term follow-up. Int Orthop. 2014;38:947–51.
Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg Am. 1969;51:737–55.
Keršič M, Dolinar D, Antolič V, Mavčič B. The impact of leg length discrepancy on clinical outcome of total hip arthroplasty: comparison of four measurement methods. J Arthroplasty. 2014;29:137–41.
Li H, Mao Y, Oni JK, Dai K, Zhu Z. Total hip replacement for developmental dysplasia of the hip with more than 30% lateral uncoverage of uncemented acetabular components. Bone Joint J. 2015;95:1178–83.
Mu W, Yang D, Xu B, Mamtimin A, Guo W, Cao L. Midterm outcome of cementless total hip arthroplasty in Crowe IV-Hartofilakidis type III developmental dysplasia of the hip. J Arthroplasty. 2016;31:668–75.
Dorr LD, Tawakkol S, Moorthy M, Long W, Wan Z. Medial protrusio technique for placement of a porous-coated, hemispherical acetabular component without cement in a total hip arthroplasty in patients who have acetabular dysplasia. J Bone Joint Surg Am. 1999;81:83–92.
Kim YL, Nam KW, Yoo JJ, Kim YM, Kim HJ. Cotyloplasty in cementless total hip arthroplasty for an insufficient acetabulum. Clin Orthop Surg. 2010;2:148–53.
Bernasek TL, Haidukewych GJ, Gustke KA, Hill O, Levering M. Total hip arthroplasty requiring subtrochanteric osteotomy for developmental hip dysplasia: 5- to 14-year results. J Arthroplasty. 2007;22:145–50.
Krych AJ, Howard JL, Trousdale RT, Cabanela ME, Berry DJ. Total hip arthroplasty with shortening subtrochanteric osteotomy in Crowe type-IV developmental dysplasia: surgical technique. J Bone Joint Surg Am. 2010;92(Suppl 1 Pt 2):176–87.
Shinar AA, Harris WH. Bulk structural autogenous grafts and allografts for reconstruction of the acetabulum in total hip arthroplasty. Sixteen-year-average follow-up. J Bone Joint Surg Am. 1997;79:159–68.
Haraguchi A, Nakashima Y, Miyahara H, Esaki Y, Okazaki K, Fukushi JI, et al. Minimum 10-year results of cementless total hip arthroplasty in patients with rheumatoid arthritis. Mod Rheumatol. 2017;27:598–04.
Tsukanaka M, Halvorsen V, Nordsletten L, EngesæTer IØ, EngesæTer LB, Marie Fenstad A, et al. Implant survival and radiographic outcome of total hip replacement in patients less than 20 years old. Acta Orthop. 2016;87:479–84.
Chougle A, Hemmady MV, Hodgkinson JP. Severity of hip dysplasia and loosening of the socket in cemented total hip replacement. A long-term follow-up. J Bone Joint Surg Br. 2005;87:16–20.
Pagnano W, Hanssen AD, Lewallen DG, Shaughnessy WJ. The effect of superior placement of the acetabular component on the rate of loosening after total hip arthroplasty. J Bone Joint Surg Am. 1996;78:1004–14.
Russotti GM, Harris WH. Proximal placement of the acetabular component in total hip arthroplasty. A long-term follow-up study. J Bone Joint Surg Am. 1991;73:587–92.
Bicanic G, Barbaric K, Bohacek I, Aljinovic A, Delimar D. Current concept in dysplastic hip arthroplasty: techniques for acetabular and femoral reconstruction. World J Orthop. 2014;5:412–24.
Bicanic G, Delimar D, Delimar M, Pecina M. Influence of the acetabular cup position on hip load during arthroplasty in hip dysplasia. Int Orthop. 2009;33:397–02.
Stans AA, Pagnano MW, Shaughnessy WJ, Hanssen AD. Results of total hip arthroplasty for Crowe type III developmental hip dysplasia. Clin Orthop Relat Res. 1998;348:149–57.
Karachalios T, Roidis N, Lampropoulou-Adamidou K, Hartofilakidis G. Acetabular reconstruction in patients with low and high dislocation: 20- to 32-year survival of an impaction grafting technique (named cotyloplasty). Bone Joint J. 2013;95:887–92.
Gorski JM. Modular noncemented total hip arthroplasty for congenital dislocation of the hip. Case report and design rationale. Clin Orthop Relat Res. 1988;228:110–6.
Cameron HU. The two- to six-year results with a proximally modular noncemented total hip replacement used in hip revisions. Clin Orthop Relat Res. 1994;298:47–53.
Al-Khateeb H, Kwok IH, Hanna SA, Sewell MD, Hashemi-Nejad A. Custom cementless THA in patients with Legg-Calve-Perthes disease. J Arthroplasty. 2014;29:792–6.
Seufert CR, McGrory BJ. Treatment of arthritis associated with Legg-Calve-Perthes disease with modular total hip arthroplasty. J Arthroplasty. 2015;30:1743–6.
Bobyn JD, Tanzer M, Krygier JJ, Dujovne AR, Brooks CE. Concerns with modularity in total hip arthroplasty. Clin Orthop Relat Res. 1994;298:27–36.
Kong X, Sun Y, Yang M, Zhou Y, Chen J, Chai W, Wang Y. Total hip arthroplasty with modular stem for Crowe I and II developmental dysplasia of the hip. J Orthop Surg Res. 2019;14(1):362.