Cargando…

Early proximal migration of cups is associated with late revision in THA: A systematic review and meta-analysis of 26 RSA studies and 49 survival studies

BACKGROUND AND PURPOSE: The association between excessive early migration of acetabular cups and late aseptic revision has been scantily reported. We therefore performed 2 parallel systematic reviews and meta-analyses to determine the association between early migration of acetabular cups and late a...

Descripción completa

Detalles Bibliográficos
Autores principales: Pijls, Bart G, Nieuwenhuijse, Marc J, Fiocco, Marta, Plevier, Josepha WM, Middeldorp, Saskia, Nelissen, Rob GHH, Valstar, Edward R
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Informa Healthcare 2012
Materias:
Hip
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3555453/
https://www.ncbi.nlm.nih.gov/pubmed/23126575
http://dx.doi.org/10.3109/17453674.2012.745353
_version_ 1782257042762760192
author Pijls, Bart G
Nieuwenhuijse, Marc J
Fiocco, Marta
Plevier, Josepha WM
Middeldorp, Saskia
Nelissen, Rob GHH
Valstar, Edward R
author_facet Pijls, Bart G
Nieuwenhuijse, Marc J
Fiocco, Marta
Plevier, Josepha WM
Middeldorp, Saskia
Nelissen, Rob GHH
Valstar, Edward R
author_sort Pijls, Bart G
collection PubMed
description BACKGROUND AND PURPOSE: The association between excessive early migration of acetabular cups and late aseptic revision has been scantily reported. We therefore performed 2 parallel systematic reviews and meta-analyses to determine the association between early migration of acetabular cups and late aseptic revision. METHODS: One review covered early migration data from radiostereometric analysis (RSA) studies, while the other focused on revision rates for aseptic loosening from long-term survival studies. Thresholds for acceptable and unacceptable migration were classified according the Swedish Hip Arthroplasty Register and the Australian National Joint Replacement Registry: < 5% revision at 10 years. RESULTS: Following an elaborate literature search, 26 studies (involving 700 cups) were included in the RSA review and 49 studies (involving 38,013 cups) were included in the survival review. For every mm increase in 2-year proximal migration, there was a 10% increase in revision rate, which remained after correction for age, sex, diagnosis, hospital type, continent, and study quality. Consequently, proximal migration of up to 0.2 mm was considered acceptable and proximal migration of 1.0 mm or more was considered unacceptable. Cups with proximal migration of between 0.2 and 1.0 mm were considered to be at risk of having revision rates higher than 5% at 10 years. INTERPRETATION: There was a clinically relevant association between early migration of acetabular cups and late revision due to loosening. The proposed migration thresholds can be implemented in a phased evidence-based introduction, since they allow early detection of high-risk cups while exposing a small number of patients.
format Online
Article
Text
id pubmed-3555453
institution National Center for Biotechnology Information
language English
publishDate 2012
publisher Informa Healthcare
record_format MEDLINE/PubMed
spelling pubmed-35554532013-01-28 Early proximal migration of cups is associated with late revision in THA: A systematic review and meta-analysis of 26 RSA studies and 49 survival studies Pijls, Bart G Nieuwenhuijse, Marc J Fiocco, Marta Plevier, Josepha WM Middeldorp, Saskia Nelissen, Rob GHH Valstar, Edward R Acta Orthop Hip BACKGROUND AND PURPOSE: The association between excessive early migration of acetabular cups and late aseptic revision has been scantily reported. We therefore performed 2 parallel systematic reviews and meta-analyses to determine the association between early migration of acetabular cups and late aseptic revision. METHODS: One review covered early migration data from radiostereometric analysis (RSA) studies, while the other focused on revision rates for aseptic loosening from long-term survival studies. Thresholds for acceptable and unacceptable migration were classified according the Swedish Hip Arthroplasty Register and the Australian National Joint Replacement Registry: < 5% revision at 10 years. RESULTS: Following an elaborate literature search, 26 studies (involving 700 cups) were included in the RSA review and 49 studies (involving 38,013 cups) were included in the survival review. For every mm increase in 2-year proximal migration, there was a 10% increase in revision rate, which remained after correction for age, sex, diagnosis, hospital type, continent, and study quality. Consequently, proximal migration of up to 0.2 mm was considered acceptable and proximal migration of 1.0 mm or more was considered unacceptable. Cups with proximal migration of between 0.2 and 1.0 mm were considered to be at risk of having revision rates higher than 5% at 10 years. INTERPRETATION: There was a clinically relevant association between early migration of acetabular cups and late revision due to loosening. The proposed migration thresholds can be implemented in a phased evidence-based introduction, since they allow early detection of high-risk cups while exposing a small number of patients. Informa Healthcare 2012-12 2012-11-26 /pmc/articles/PMC3555453/ /pubmed/23126575 http://dx.doi.org/10.3109/17453674.2012.745353 Text en Copyright: © Nordic Orthopaedic Federation http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the source is credited.
spellingShingle Hip
Pijls, Bart G
Nieuwenhuijse, Marc J
Fiocco, Marta
Plevier, Josepha WM
Middeldorp, Saskia
Nelissen, Rob GHH
Valstar, Edward R
Early proximal migration of cups is associated with late revision in THA: A systematic review and meta-analysis of 26 RSA studies and 49 survival studies
title Early proximal migration of cups is associated with late revision in THA: A systematic review and meta-analysis of 26 RSA studies and 49 survival studies
title_full Early proximal migration of cups is associated with late revision in THA: A systematic review and meta-analysis of 26 RSA studies and 49 survival studies
title_fullStr Early proximal migration of cups is associated with late revision in THA: A systematic review and meta-analysis of 26 RSA studies and 49 survival studies
title_full_unstemmed Early proximal migration of cups is associated with late revision in THA: A systematic review and meta-analysis of 26 RSA studies and 49 survival studies
title_short Early proximal migration of cups is associated with late revision in THA: A systematic review and meta-analysis of 26 RSA studies and 49 survival studies
title_sort early proximal migration of cups is associated with late revision in tha: a systematic review and meta-analysis of 26 rsa studies and 49 survival studies
topic Hip
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3555453/
https://www.ncbi.nlm.nih.gov/pubmed/23126575
http://dx.doi.org/10.3109/17453674.2012.745353
work_keys_str_mv AT pijlsbartg earlyproximalmigrationofcupsisassociatedwithlaterevisioninthaasystematicreviewandmetaanalysisof26rsastudiesand49survivalstudies
AT nieuwenhuijsemarcj earlyproximalmigrationofcupsisassociatedwithlaterevisioninthaasystematicreviewandmetaanalysisof26rsastudiesand49survivalstudies
AT fioccomarta earlyproximalmigrationofcupsisassociatedwithlaterevisioninthaasystematicreviewandmetaanalysisof26rsastudiesand49survivalstudies
AT plevierjosephawm earlyproximalmigrationofcupsisassociatedwithlaterevisioninthaasystematicreviewandmetaanalysisof26rsastudiesand49survivalstudies
AT middeldorpsaskia earlyproximalmigrationofcupsisassociatedwithlaterevisioninthaasystematicreviewandmetaanalysisof26rsastudiesand49survivalstudies
AT nelissenrobghh earlyproximalmigrationofcupsisassociatedwithlaterevisioninthaasystematicreviewandmetaanalysisof26rsastudiesand49survivalstudies
AT valstaredwardr earlyproximalmigrationofcupsisassociatedwithlaterevisioninthaasystematicreviewandmetaanalysisof26rsastudiesand49survivalstudies