Webbläsaren som du använder stöds inte av denna webbplats. Alla versioner av Internet Explorer stöds inte längre, av oss eller Microsoft (läs mer här: * https://www.microsoft.com/en-us/microsoft-365/windows/end-of-ie-support).

Var god och använd en modern webbläsare för att ta del av denna webbplats, som t.ex. nyaste versioner av Edge, Chrome, Firefox eller Safari osv.

Excellent long-term results of the Müller acetabular reinforcement ring in primary total hip arthroplasty.

In English

Författare

  • Aurimas Sirka
  • Martin Clauss
  • Sarunas Tarasevicius
  • Hans Wingstrand
  • Justinas Stucinskas
  • Otto Robertsson
  • Peter Emil Ochsner
  • Thomas Ilchmann

Summary, in English

Background and purpose - The original Müller acetabular reinforcement ring (ARR) shows favorable medium-term results for acetabular reconstruction in total hip arthroplasty, where it is used when the acetabular bone stock is deficient. However, there are no data regarding long-term survival of the device. We therefore investigated long-term survival and analyzed radiological modes of failure. Patients and methods - Between 1984 and 2002, 321 consecutive primary arthroplasties using an ARR were performed in 291 patients. The mean follow-up time was 11 (0-25) years, and 24 hips were lost to follow-up. For survival analysis, we investigated 321 hips and the end of the follow-up was the date of revision, date of death, or the last patient contact date with implant still in situ. Radiological assessment was performed for 160 hips with a minimum of 10 years of follow-up and with radiographs of sufficient quality. It included evaluation of osteolysis, migration, and loosening. Results - 12 ARR THAs were revised: 1 isolated ARR revision for aseptic loosening, 4 revisions of the ARR and the stem for aseptic loosening, 6 for infection, and 1 for recurrent dislocation. The cumulative revision rate for all components, for any reason, at 20 years was 15% (95% CI: 10-22), while for the ARR only it was 7% (95% CI: 4-12) for any reason and 3.4% (95% CI: 1-9) for aseptic loosening. 21 (13%) of 160 ARR THAs examined had radiological changes: 7 had osteolysis but were not loose, and 14 were radiologically loose but were not painful and not revised. Interpretation - Our data suggest that the long-term survival of the ARR is excellent.

Publiceringsår

2016

Språk

Engelska

Publikation/Tidskrift/Serie

Acta Orthopaedica

Volym

87

Dokumenttyp

Artikel i tidskrift

Förlag

Taylor & Francis

Ämne

  • Orthopedics

Status

Published

ISBN/ISSN/Övrigt

  • ISSN: 1745-3682