Acetabular component liner exchange with highly crosslinked polyethylene for wear and osteolysis.
Journal
The bone & joint journal
ISSN: 2049-4408
Titre abrégé: Bone Joint J
Pays: England
ID NLM: 101599229
Informations de publication
Date de publication:
01 May 2024
01 May 2024
Historique:
medline:
1
5
2024
pubmed:
1
5
2024
entrez:
30
4
2024
Statut:
epublish
Résumé
Isolated acetabular liner exchange with a highly crosslinked polyethylene (HXLPE) component is an option to address polyethylene wear and osteolysis following total hip arthroplasty (THA) in the presence of a well-fixed acetabular shell. The liner can be fixed either with the original locking mechanism or by being cemented within the acetabular component. Whether the method used for fixation of the HXLPE liner has any bearing on the long-term outcomes is still unclear. Data were retrieved for all patients who underwent isolated acetabular component liner exchange surgery with a HXLPE component in our institute between August 2000 and January 2015. Patients were classified according to the fixation method used (original locking mechanism (n = 36) or cemented (n = 50)). Survival and revision rates were compared. A total of 86 revisions were performed and the mean duration of follow-up was 13 years. A total of 20 patients (23.3%) had complications, with dislocation alone being the most common (8.1%; 7/86). Ten patients (11.6%) required re-revision surgery. Cementing the HXLPE liner (8.0%; 4/50) had a higher incidence of re-revision due to acetabular component liner-related complications than using the original locking mechanism (0%; 0/36; p = 0.082). Fixation using the original locking mechanism was associated with re-revision due to acetabular component loosening (8.3%; 3/36), compared to cementing (0%; 0/50; p = 0.038). Overall estimated mean survival was 19.2 years. There was no significant difference in the re-revision rate between the original locking mechanism (11.1%; 4/36) and cementing (12.0%; 6/50; p = 0.899). Using Kaplan-Meier survival analysis, the revision-free survival of HXLPE fixed with the original locking mechanism and cementing was 94.1% and 93.2%, respectively, at ten years, and 84.7% and 81.3%, respectively, at 20 years (p = 0.840). The re-revision rate and the revision-free survival following acetabular component liner exchange revision surgery using the HXLPE liner were not influenced by the fixation technique used. Both techniques were associated with good survival at a mean follow-up of 13 years. Careful patient selection is necessary for isolated acetabular component liner exchange revision surgery in order to achieve the best outcomes.
Identifiants
pubmed: 38688488
doi: 10.1302/0301-620X.106B5.BJJ-2023-0821.R2
pii: BJJ-2023-0821.R2
doi:
Substances chimiques
Polyethylene
9002-88-4
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
59-65Subventions
Organisme : The University of Hong Kong
Informations de copyright
© 2024 Liu et al.
Déclaration de conflit d'intérêts
H. Fu reports consulting fees and payment or honoraria for lectures, presentations, speakers bureaus, manuscript writing or educational events from Stryker, unrelated to this article.
Références
Martell JM , Verner JJ , Incavo SJ . Clinical performance of a highly cross-linked polyethylene at two years in total hip arthroplasty: a randomized prospective trial . J Arthroplasty . 2003 ; 18 ( 7 Suppl 1 ): 55 – 59 . 10.1016/s0883-5403(03)00341-3 14560412
Muratoglu OK , Bragdon CR , O’Connor DO , Jasty M , Harris WH . A novel method of cross-linking ultra-high-molecular-weight polyethylene to improve wear, reduce oxidation, and retain mechanical properties. Recipient of the 1999 HAP Paul Award . J Arthroplasty . 2001 ; 16 ( 2 ): 149 – 160 . 10.1054/arth.2001.20540 11222887
Fransen BL , Bengoa FJ , Neufeld ME , Sheridan GA , Garbuz DS , Howard LC . Thin highly cross-linked polyethylene liners combined with large femoral heads in primary total hip arthroplasty show excellent survival and low wear rates at a mean follow-up of 12.8 years . Bone Joint J . 2023 ; 105-B ( 1 ): 29 – 34 . 10.1302/0301-620X.105B1.BJJ-2022-0812.R1 36587249
Liu WKT , Cheung A , Fu H , Cheung MH , Chan PK , Chiu KY . Isolated liner exchange in total hip arthroplasty at a mean of 13 years of follow-up: does fixation technique matter? J Arthroplasty . 2023 ; 38 ( 5 ): 893 – 898 . 10.1016/j.arth.2022.11.012 36493971
Chan VW , Chan PK , Chiu KY , Yan CH , Ng FY . Why do Hong Kong patients need total hip arthroplasty? An analysis of 512 hips from 1998 to 2010 . Hong Kong Med J . 2016 ; 22 ( 1 ): 11 – 15 . 10.12809/hkmj144483 26416175
Furnes O , Lie SA , Espehaug B , Vollset SE , Engesaeter LB , Havelin LI . Hip disease and the prognosis of total hip replacements. A review of 53,698 primary total hip replacements reported to the Norwegian Arthroplasty Register 1987-99 . J Bone Joint Surg Br . 2001 ; 83-B ( 4 ): 579 – 586 . 10.1302/0301-620x.83b4.11223 11380136
Adelani MA , Mall NA , Nyazee H , Clohisy JC , Barrack RL , Nunley RM . Revision total hip arthroplasty with retained acetabular component . J Bone Joint Surg Am . 2014 ; 96-A ( 12 ): 1015 – 1020 . 10.2106/JBJS.L.01177 24951737
Wang JP , Chen WM , Chen CF , Chiang CC , Huang CK , Chen TH . Cementation of cross-linked polyethylene liner into well-fixed acetabular shells: mean 6-year follow-up study . J Arthroplasty . 2010 ; 25 ( 3 ): 420 – 424 . 10.1016/j.arth.2008.12.003 20347715
Hamilton WG , Hopper RH , Engh CA , Engh CA . Survivorship of polyethylene liner exchanges performed for the treatment of wear and osteolysis among porous-coated cups . J Arthroplasty . 2010 ; 25 ( 6 Suppl ): 75 – 80 . 10.1016/j.arth.2010.04.004 20558030
Lim SJ , Lee KH , Park SH , Park YS . Medium-term results of cementation of a highly cross-linked polyethylene liner into a well-fixed acetabular shell in revision hip arthroplasty . J Arthroplasty . 2014 ; 29 ( 3 ): 634 – 637 . 10.1016/j.arth.2013.07.042 24029718
Petis SM , Kubista B , Hartzler RU , Abdel MP , Berry DJ . Polyethylene liner and femoral head exchange in total hip arthroplasty: factors associated with long-term success and failure . J Bone Joint Surg Am . 2019 ; 101-A ( 5 ): 421 – 428 . 10.2106/JBJS.18.00522 30845036
Walmsley DW , Waddell JP , Schemitsch EH . Isolated head and liner exchange in revision hip arthroplasty . J Am Acad Orthop Surg . 2017 ; 25 ( 4 ): 288 – 296 . 10.5435/JAAOS-D-15-00144 28291145
Yoon TR , Seon JK , Song EK , Chung JY , Seo HY , Park YB . Cementation of a metal-inlay polyethylene liner into a stable metal shell in revision total hip arthroplasty . J Arthroplasty . 2005 ; 20 ( 5 ): 652 – 657 . 10.1016/j.arth.2005.01.019 16310003
Hofmann AA , Prince EJ , Drake FT , Hunt KJ . Cementation of a polyethylene liner into a metal acetabular shell: a biomechanical study . J Arthroplasty . 2009 ; 24 ( 5 ): 775 – 782 . 10.1016/j.arth.2008.05.027 18701253
Bonner KF , Delanois RE , Harbach G , Bushelow M , Mont MA . Cementation of a polyethylene liner into a metal shell. Factors related to mechanical stability . J Bone Joint Surg Am . 2002 ; 84-A ( 9 ): 1587 – 1593 . 10.2106/00004623-200209000-00011 12208915
Archibeck MJ , Junick DW , Cummins T , Carothers J , White RE . Polyethylene exchange in a second-generation cementless acetabular component . J Arthroplasty . 2009 ; 24 ( 6 Suppl ): 69 – 72 . 10.1016/j.arth.2009.05.004 19577889
Park MS , Yoon SJ , Lee JR . Outcomes of polyethylene liner cementation into a fixed metal acetabular shell with minimum follow-up of 7 years . Hip Int . 2015 ; 25 ( 1 ): 61 – 66 . 10.5301/hipint.5000191 25264205
Rivkin G , Kandel L , Qutteineh B , Liebergall M , Mattan Y . Long term results of liner polyethylene cementation technique in revision for peri-acetabular osteolysis . J Arthroplasty . 2015 ; 30 ( 6 ): 1041 – 1043 . 10.1016/j.arth.2015.01.041 25680448
Ramsay N , Close JCT , Harris IA , Harvey LA . The impact of cement fixation on early mortality in arthroplasty for hip fracture . Bone Jt Open . 2023 ; 4 ( 3 ): 198 – 204 . 10.1302/2633-1462.43.BJO-2023-0006.R1 37051818
Vadei L , Kieser DC , Frampton C , Hooper G . Survivorship of total hip joint replacements following isolated liner exchange for wear . J Arthroplasty . 2017 ; 32 ( 11 ): 3484 – 3487 . 10.1016/j.arth.2017.05.055 28668211
Sheth NP , Rozell JC , Paprosky WG . Evaluation and treatment of patients with acetabular osteolysis after total hip arthroplasty . J Am Acad Orthop Surg . 2019 ; 27 ( 6 ): e258 – e267 . 10.5435/JAAOS-D-16-00685 30325878
Sutter EG , Akram F , Miller A , Paprosky WG , Berger RA , Gerlinger TL . Outcomes of isolated head and liner exchange using large femoral heads and modern liners in revision total hip arthroplasty . J Arthroplasty . 2020 ; 35 ( 4 ): 1064 – 1068 . 10.1016/j.arth.2019.11.015 31812483
Boucher HR , Lynch C , Young AM , Engh CA , Engh C . Dislocation after polyethylene liner exchange in total hip arthroplasty . J Arthroplasty . 2003 ; 18 ( 5 ): 654 – 657 . 10.1016/s0883-5403(03)00266-3 12934221
Griffin WL , Fehring TK , Mason JB , McCoy TH , Odum S , Terefenko CS . Early morbidity of modular exchange for polyethylene wear and osteolysis . J Arthroplasty . 2004 ; 19 ( 7 Suppl 2 ): 61 – 66 . 10.1016/j.arth.2004.06.014 15457420
Lie SA , Hallan G , Furnes O , Havelin LI , Engesaeter LB . Isolated acetabular liner exchange compared with complete acetabular component revision in revision of primary uncemented acetabular components: a study of 1649 revisions from the Norwegian Arthroplasty Register . J Bone Joint Surg Br . 2007 ; 89-B ( 5 ): 591 – 594 . 10.1302/0301-620X.89B5.18623 17540741
Talmo CT , Kwon YM , Freiberg AA , Rubash HE , Malchau H . Management of polyethylene wear associated with a well-fixed modular cementless shell during revision total hip arthroplasty . J Arthroplasty . 2011 ; 26 ( 4 ): 576 – 581 . 10.1016/j.arth.2010.05.028 20647163
Schmalzried TP , Fowble VA , Amstutz HC . The fate of pelvic osteolysis after reoperation. No recurrence with lesional treatment . Clin Orthop Relat Res . 1998 ; 350 ( 350 ): 128 – 137 . 9602811