Early low complication rate of ceramic-on-ceramic total hip arthroplasty by direct anterior approach
Introduction: Ceramic-on-ceramic couplings are an alternative bearing surface to reduce the problems related to polyethylene wear and debris. However, ceramic articulations have their own risk of unique complications: fracture, squeaking, or dislocation. Few studies have assessed the outcomes of cer...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
EDP Sciences
2020-01-01
|
Series: | SICOT-J |
Subjects: | |
Online Access: | https://www.sicot-j.org/articles/sicotj/full_html/2020/01/sicotj200086/sicotj200086.html |
id |
doaj-1b90d5037e9a461595afe7442384e389 |
---|---|
record_format |
Article |
spelling |
doaj-1b90d5037e9a461595afe7442384e3892021-03-15T08:26:59ZengEDP SciencesSICOT-J2426-88872020-01-0163010.1051/sicotj/2020027sicotj200086Early low complication rate of ceramic-on-ceramic total hip arthroplasty by direct anterior approachHenri Bauwens Paul0https://orcid.org/0000-0001-6033-9485Fary CamdonServien Elvire1Lustig Sébastien2Batailler Cécile3https://orcid.org/0000-0003-3990-0906Department of Orthopaedic Surgery, Lyon North University HospitalDepartment of Orthopaedic Surgery, Lyon North University HospitalDepartment of Orthopaedic Surgery, Lyon North University HospitalDepartment of Orthopaedic Surgery, Lyon North University HospitalIntroduction: Ceramic-on-ceramic couplings are an alternative bearing surface to reduce the problems related to polyethylene wear and debris. However, ceramic articulations have their own risk of unique complications: fracture, squeaking, or dislocation. Few studies have assessed the outcomes of ceramic-on-ceramic total hip arthroplasties (THA) by direct anterior approach (DAA). The aim was to evaluate the early complications and revision rate of ceramic-on-ceramic THA by DAA. Material: A retrospective single-center study of 116 consecutive THAs was performed by DAA (106 patients) with ceramic-on-ceramic bearing from January 2015 to February 2018 with a minimum 24 months of follow-up. No patients were lost to follow-up. The mean age was of 55.3 years ± 11.3. The same cementless acetabular shell with a Biolox Delta ceramic insert and head were used. The complication and revision rates were collected at the last follow-up. The positioning of the acetabular implant was assessed on standard radiographs. Postoperative clinical outcomes were assessed by the Harris Hip Score. Results: At a mean follow-up of 31.9 months ± 5.5, no THA was revised. Five patients had late complications: 3 squeaking (2.6%) and 2 psoas impingements (1.7%) and were managed conservatively. All patients had satisfactory bony ingrowth of acetabular component, with no radiolucent lines and no osteolysis. Eight patients (6.9%) had an anterior overhang of the cup. The mean overhang for these patients was 4.1 mm. 111 hips (96%) were perceived as forgotten or having no limitations. Conclusion: This ceramic-on-ceramic coupling and shell by DAA produced excellent clinical outcomes and implant survival rate at a minimum two-year follow-up study. No serious complication was observed during the follow-up.https://www.sicot-j.org/articles/sicotj/full_html/2020/01/sicotj200086/sicotj200086.htmltotal hip arthroplastyacetabular cupceramic-on-ceramiccomplicationsdirect anterior approach |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Henri Bauwens Paul Fary Camdon Servien Elvire Lustig Sébastien Batailler Cécile |
spellingShingle |
Henri Bauwens Paul Fary Camdon Servien Elvire Lustig Sébastien Batailler Cécile Early low complication rate of ceramic-on-ceramic total hip arthroplasty by direct anterior approach SICOT-J total hip arthroplasty acetabular cup ceramic-on-ceramic complications direct anterior approach |
author_facet |
Henri Bauwens Paul Fary Camdon Servien Elvire Lustig Sébastien Batailler Cécile |
author_sort |
Henri Bauwens Paul |
title |
Early low complication rate of ceramic-on-ceramic total hip arthroplasty by direct anterior approach |
title_short |
Early low complication rate of ceramic-on-ceramic total hip arthroplasty by direct anterior approach |
title_full |
Early low complication rate of ceramic-on-ceramic total hip arthroplasty by direct anterior approach |
title_fullStr |
Early low complication rate of ceramic-on-ceramic total hip arthroplasty by direct anterior approach |
title_full_unstemmed |
Early low complication rate of ceramic-on-ceramic total hip arthroplasty by direct anterior approach |
title_sort |
early low complication rate of ceramic-on-ceramic total hip arthroplasty by direct anterior approach |
publisher |
EDP Sciences |
series |
SICOT-J |
issn |
2426-8887 |
publishDate |
2020-01-01 |
description |
Introduction: Ceramic-on-ceramic couplings are an alternative bearing surface to reduce the problems related to polyethylene wear and debris. However, ceramic articulations have their own risk of unique complications: fracture, squeaking, or dislocation. Few studies have assessed the outcomes of ceramic-on-ceramic total hip arthroplasties (THA) by direct anterior approach (DAA). The aim was to evaluate the early complications and revision rate of ceramic-on-ceramic THA by DAA. Material: A retrospective single-center study of 116 consecutive THAs was performed by DAA (106 patients) with ceramic-on-ceramic bearing from January 2015 to February 2018 with a minimum 24 months of follow-up. No patients were lost to follow-up. The mean age was of 55.3 years ± 11.3. The same cementless acetabular shell with a Biolox Delta ceramic insert and head were used. The complication and revision rates were collected at the last follow-up. The positioning of the acetabular implant was assessed on standard radiographs. Postoperative clinical outcomes were assessed by the Harris Hip Score. Results: At a mean follow-up of 31.9 months ± 5.5, no THA was revised. Five patients had late complications: 3 squeaking (2.6%) and 2 psoas impingements (1.7%) and were managed conservatively. All patients had satisfactory bony ingrowth of acetabular component, with no radiolucent lines and no osteolysis. Eight patients (6.9%) had an anterior overhang of the cup. The mean overhang for these patients was 4.1 mm. 111 hips (96%) were perceived as forgotten or having no limitations. Conclusion: This ceramic-on-ceramic coupling and shell by DAA produced excellent clinical outcomes and implant survival rate at a minimum two-year follow-up study. No serious complication was observed during the follow-up. |
topic |
total hip arthroplasty acetabular cup ceramic-on-ceramic complications direct anterior approach |
url |
https://www.sicot-j.org/articles/sicotj/full_html/2020/01/sicotj200086/sicotj200086.html |
work_keys_str_mv |
AT henribauwenspaul earlylowcomplicationrateofceramiconceramictotalhiparthroplastybydirectanteriorapproach AT farycamdon earlylowcomplicationrateofceramiconceramictotalhiparthroplastybydirectanteriorapproach AT servienelvire earlylowcomplicationrateofceramiconceramictotalhiparthroplastybydirectanteriorapproach AT lustigsebastien earlylowcomplicationrateofceramiconceramictotalhiparthroplastybydirectanteriorapproach AT bataillercecile earlylowcomplicationrateofceramiconceramictotalhiparthroplastybydirectanteriorapproach |
_version_ |
1724220817220304896 |