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Revision Hip Arthroplasty Using a Modular Head–Neck Adapter System and a Ceramic Head: 5-Year Clinical and Radiographic Outcomes
Introduction: A modular head–neck adapter system may help surgeons restore the proximal hip biomechanics in revision hip arthroplasty. However, the clinical and radiographic 5-year outcomes of the system are still scarcely reported. The aim of this study is the assessment of (1) complications and su...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10380548/ https://www.ncbi.nlm.nih.gov/pubmed/37510814 http://dx.doi.org/10.3390/jcm12144699 |
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author | Caternicchia, Filippo Fantoni, Valentina Poletto, Andrea Pardo, Francesco Castagnini, Francesco Traina, Francesco |
author_facet | Caternicchia, Filippo Fantoni, Valentina Poletto, Andrea Pardo, Francesco Castagnini, Francesco Traina, Francesco |
author_sort | Caternicchia, Filippo |
collection | PubMed |
description | Introduction: A modular head–neck adapter system may help surgeons restore the proximal hip biomechanics in revision hip arthroplasty. However, the clinical and radiographic 5-year outcomes of the system are still scarcely reported. The aim of this study is the assessment of (1) complications and survival rates, (2) clinical and (3) radiological outcomes of the modular head–neck adapter system with a ceramic head in revision hip arthroplasty at 5 years. Methods: 32 revision hip arthroplasties using a modular head–neck adapter system and a ceramic head were retrospectively recorded. Preoperative demographic and implant features were collected. Clinical and radiographic outcomes, failures and reasons for re-revisions were recorded at the last follow-up. Results: A mean follow-up of 59.8 ± 26 months was achieved. The survival rate was 90.6% at 5 years. Post-operative complications occurred in nine cases (28.1%): two dislocations (6.2%), one aseptic cup loosening (3.1%) requiring re-revision, one (3.1%) persistent pelvic pseudotumor requiring embolization. No mechanical failures of the adapter or ceramic head occurred. The mean post-operative HHS score was 84.4 points. Thirteen cases (40.6%) showed optimal radiographic cup osseointegration, and 17 hips (53.1%) showed valid stem osseointegration. The mean post-operative femoral offset was 48.84 mm, larger than the contralateral side (p = 0.02). The post-operative lateralization of the hip joint was 38.09 mm, close to the contralateral side (p = 0.4). Conclusions: In revisions, the modular head–neck adapter system with ceramic head provided good clinical outcomes and acceptable radiographic reconstruction of hip biomechanics, with a survival rate of 87.9% at 5 years. |
format | Online Article Text |
id | pubmed-10380548 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-103805482023-07-29 Revision Hip Arthroplasty Using a Modular Head–Neck Adapter System and a Ceramic Head: 5-Year Clinical and Radiographic Outcomes Caternicchia, Filippo Fantoni, Valentina Poletto, Andrea Pardo, Francesco Castagnini, Francesco Traina, Francesco J Clin Med Article Introduction: A modular head–neck adapter system may help surgeons restore the proximal hip biomechanics in revision hip arthroplasty. However, the clinical and radiographic 5-year outcomes of the system are still scarcely reported. The aim of this study is the assessment of (1) complications and survival rates, (2) clinical and (3) radiological outcomes of the modular head–neck adapter system with a ceramic head in revision hip arthroplasty at 5 years. Methods: 32 revision hip arthroplasties using a modular head–neck adapter system and a ceramic head were retrospectively recorded. Preoperative demographic and implant features were collected. Clinical and radiographic outcomes, failures and reasons for re-revisions were recorded at the last follow-up. Results: A mean follow-up of 59.8 ± 26 months was achieved. The survival rate was 90.6% at 5 years. Post-operative complications occurred in nine cases (28.1%): two dislocations (6.2%), one aseptic cup loosening (3.1%) requiring re-revision, one (3.1%) persistent pelvic pseudotumor requiring embolization. No mechanical failures of the adapter or ceramic head occurred. The mean post-operative HHS score was 84.4 points. Thirteen cases (40.6%) showed optimal radiographic cup osseointegration, and 17 hips (53.1%) showed valid stem osseointegration. The mean post-operative femoral offset was 48.84 mm, larger than the contralateral side (p = 0.02). The post-operative lateralization of the hip joint was 38.09 mm, close to the contralateral side (p = 0.4). Conclusions: In revisions, the modular head–neck adapter system with ceramic head provided good clinical outcomes and acceptable radiographic reconstruction of hip biomechanics, with a survival rate of 87.9% at 5 years. MDPI 2023-07-15 /pmc/articles/PMC10380548/ /pubmed/37510814 http://dx.doi.org/10.3390/jcm12144699 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Caternicchia, Filippo Fantoni, Valentina Poletto, Andrea Pardo, Francesco Castagnini, Francesco Traina, Francesco Revision Hip Arthroplasty Using a Modular Head–Neck Adapter System and a Ceramic Head: 5-Year Clinical and Radiographic Outcomes |
title | Revision Hip Arthroplasty Using a Modular Head–Neck Adapter System and a Ceramic Head: 5-Year Clinical and Radiographic Outcomes |
title_full | Revision Hip Arthroplasty Using a Modular Head–Neck Adapter System and a Ceramic Head: 5-Year Clinical and Radiographic Outcomes |
title_fullStr | Revision Hip Arthroplasty Using a Modular Head–Neck Adapter System and a Ceramic Head: 5-Year Clinical and Radiographic Outcomes |
title_full_unstemmed | Revision Hip Arthroplasty Using a Modular Head–Neck Adapter System and a Ceramic Head: 5-Year Clinical and Radiographic Outcomes |
title_short | Revision Hip Arthroplasty Using a Modular Head–Neck Adapter System and a Ceramic Head: 5-Year Clinical and Radiographic Outcomes |
title_sort | revision hip arthroplasty using a modular head–neck adapter system and a ceramic head: 5-year clinical and radiographic outcomes |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10380548/ https://www.ncbi.nlm.nih.gov/pubmed/37510814 http://dx.doi.org/10.3390/jcm12144699 |
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