Document Detail


Revision hip arthroplasty for ceramic-on-ceramic squeaking hips does not compromise the results.
MedLine Citation:
PMID:  20637562     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Squeaking is a complication that may occur after ceramic-on-ceramic total hip arthroplasty (THA) that can be intolerable enough for some patients to seek revision THA. This prospective case series of 11 hips is the first to report on the results of these patients. All patients underwent isolated head and liner exchange to a metal-on-highly cross-linked polyethylene using the direct lateral approach. Mean age was 45.5 years, and body mass index was 30.0 kg/m(2). Hips were revised at an average of 40.1 months postindex THA. Retrieval analysis showed 7 of 7 liners/heads with edge loading wear and 5 of 7 liners with signs of neck-rim impingement. Short Form-36 mental dimension, Western Ontario McMaster Osteoarthritis Index, and Harris Hip Score (HHS) showed a statistically significant improvement (P < .05). All squeaking was eliminated after revision THA. There were no morbidities or complications after the revision surgery rendering isolated head-and-liner exchange to a metal-on-highly cross-linked polyethylene a relatively benign procedure.
Authors:
Wadih Y Matar; Camilo Restrepo; Javad Parvizi; Steven M Kurtz; William J Hozack
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2010-07-15
Journal Detail:
Title:  The Journal of arthroplasty     Volume:  25     ISSN:  1532-8406     ISO Abbreviation:  J Arthroplasty     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-24     Completed Date:  2011-01-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703515     Medline TA:  J Arthroplasty     Country:  United States    
Other Details:
Languages:  eng     Pagination:  81-6     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Elsevier Inc. All rights reserved.
Affiliation:
Rothman Institute of Orthopedics, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania 19107, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Arthroplasty, Replacement, Hip / adverse effects*,  instrumentation*
Ceramics*
Device Removal
Female
Follow-Up Studies
Hip Joint / radiography
Humans
Male
Metals
Middle Aged
Noise* / prevention & control
Osteoarthritis, Hip / surgery*
Polyethylene
Prospective Studies
Reoperation
Retrospective Studies
Treatment Outcome
Chemical
Reg. No./Substance:
0/Ceramics; 0/Metals; 9002-88-4/Polyethylene

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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