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Cementless total hip arthroplasty for osteonecrosis and osteoarthritis produce similar results at ten years follow-up when matched for age and gender

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Abstract

Purpose

The aim of this study was to compare the clinical outcomes of cementless total hip arthroplasty (THA) used for the treatment of osteonecrosis of the femoral head (ONFH) and for osteoarthritis (OA) at a mean ten years follow-up.

Methods

Case-control study of 78 patients (86 hips) who underwent THA for ONFH treatment (ONFH group). Patients were matched for age and sex to 78 patients (86 hips) who underwent THA for OA (OA group). We compared the clinical and patient-reported outcomes, implant survival rates, and rates of complications between the groups.

Results

There were no between-group differences in the Harris Hip Score and in the following patient-reported outcomes at the last follow-up: Japanese Orthopedic Association Hip-Disease Evaluation Questionnaire (JHEQ) pain and movement scores and the Physical Component Summary and Role/Social Component Summary scores of Short Form-36 (SF-36). However, the mental score of the JHEQ, the Mental Component Summary score of SF-36, and The Visual Analog Scale score for satisfaction were lower for the ONFH group than for OA group. The rate of complication was equivalent between the groups: 5% for the ONFH group and 3% for the OA group. The ten year implant survival rate was equivalent between the groups, at 97.5% for the ONFH group and 98.2% for the OA group.

Conclusion

The functional outcomes, implant survival, and rate of complications for cementless THAs are comparable at a mean follow-up of ten years for ONFH and OA.

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References

  1. Hauzeur JP, Malaise M, de Maertelaer V (2016) A prospective cohort study of the clinical presentation of non-traumatic osteonecrosis of the femoral head: spine and knee symptoms as clinical presentation of hip osteonecrosis. Int Orthop 40:1347–1351

    Article  PubMed  Google Scholar 

  2. Osawa Y, Seki T, Takegami Y, Kasai T, Higuchi Y, Ishiguro N (2018) Do femoral head collapse and contralateral condition affect patient-reported quality of life and referral pain in patients with osteonecrosis of the femoral head? Int Orthop Mar 9. https://doi.org/10.1007/s00264-018-3867-1. Accessed Online

  3. Johannson HR, Zywiel MG, Marker DR, Jones LC, McGrath MS, Mont MA (2011) Osteonecrosis is not a predictor of poor outcomes in primary total hip arthroplasty: a systematic literature review. Int Orthop 35:465–473

    Article  PubMed  Google Scholar 

  4. Kim YH, Choi Y, Kim JS (2010) Cementless total hip arthroplasty with ceramic-on-ceramic bearing in patients younger than 45 years with femoral-head osteonecrosis. Int Orthop 34:1123–1127

    Article  PubMed  Google Scholar 

  5. Bedard NA, Callaghan JJ, Liu SS, Greiner JJ, Klaassen AL, Johnston RC (2013) Cementless THA for the treatment of osteonecrosis at 10-year follow-up: have we improved compared to cemented THA? J Arthroplast 28:1192–1199

    Article  Google Scholar 

  6. Kim YG, Kim SY, Park BC, Kim PT, Ihn JC, Kim ID (2005) Uncemented Harris-Galante total hip arthroplasty in patients with osteonecrosis of the femoral head. A 10-16-year follow-up study. Acta Orthop 76:42–48

    Article  PubMed  Google Scholar 

  7. Han SI, Lee JH, Kim JW, Oh CW, Kim SY (2013) Long-term durability of the CLS femoral prosthesis in patients with osteonecrosis of the femoral head. J Arthroplast 28:828–831

    Article  Google Scholar 

  8. Radl R, Hungerford M, Materna W, Rehak P, Windhager R (2005) Higher failure rate and stem migration of an uncemented femoral component in patients with femoral head osteonecrosis than in patients with osteoarthrosis. Acta Orthop 76:49–55

    Article  PubMed  Google Scholar 

  9. Dudkiewicz I, Covo A, Salai M, Israeli A, Amit Y, Chechik A (2004) Total hip arthroplasty after avascular necrosis of the femoral head: does etiology affect the result? Arch Orthop Trauma Surg 124:82–85

    Article  PubMed  Google Scholar 

  10. Chiu KH, Shen WY, Ko CK (1997) Osteonecrosis of the femoral head treated with cementless total hip arthroplasty. A comparison with other diagnosis J Arthroplasty 12:683–688

    PubMed  CAS  Google Scholar 

  11. Ritter MA, Meding JB (1986) A comparison of osteonecrosis and osteoarthritis patients following total hip arthroplasty. A long-term follow-up study Clin Orthop Relat Res (206):139-146

  12. Saito S, Saito M, Nishina T, Ohzono K, Ono K (1989) Long-term results of total hip arthroplasty for osteonecrosis of the femoral head. A comparison with osteoarthritis. Clin Orthop Relat Res 244:198–207

    Google Scholar 

  13. Ortiguera CJ, Pulliam IT, Cabanela ME (1999) Total hip arthroplasty for osteonecrosis: matched-pair analysis of 188 hips with long-term follow-up. J Arthroplast 14:21–28

    Article  CAS  Google Scholar 

  14. Ancelin D, Reina N, Cavaignac E, Delclaux S, Chiron P (2016) Total hip arthroplasty survival in femoral head avascular necrosis versus primary hip osteoarthritis: case-control study with a mean 10-year follow-up after anatomical cementless metal-on-metal 28-mm replacement. Orthop Traumatol Surg Res 102:1029–1034

    Article  PubMed  CAS  Google Scholar 

  15. Sugano N, Kubo T, Takaoka K, Ohzono K, Hotokebuchi T, Matsumoto T, Igarashi H, Ninomiya S (1999) Diagnostic criteria for non-traumatic osteonecrosis of the femoral head. A multicentre study. J Bone Joint Surg Br 81:590–595

    Article  PubMed  CAS  Google Scholar 

  16. Fukuhara S, Bito S, Green J, Hsiao A, Kurokawa K (1998) Translation, adaptation, and validation of the SF-36 Health Survey for use in Japan. J Clin Epidemiol 51:1037–1044

    Article  PubMed  CAS  Google Scholar 

  17. Matsumoto T, Kaneuji A, Hiejima Y, Sugiyama H, Akiyama H, Atsumi T, Ishii M, Izumi K, Ichiseki T, Ito H, Okawa T, Ohzono K, Otsuka H, Kishida S, Kobayashi S, Sawaguchi T, Sugano N, Nakajima I, Nakamura S, Hasegawa Y, Fukuda K, Fujii G, Mawatari T, Mori S, Yasunaga Y, Yamaguchi M (2012) Japanese Orthopaedic Association Hip Disease Evaluation Questionnaire (JHEQ): a patient-based evaluation tool for hip-joint disease. The Subcommittee on Hip Disease Evaluation of the Clinical Outcome Committee of the Japanese Orthopaedic Association. J Orthop Sci 17:25–38

    Article  PubMed  Google Scholar 

  18. Lewinnek GE, Lewis JL, Tarr R, Compere CL, Zimmerman JR (1978) Dislocations after total hip-replacement arthroplasties. J Bone Joint Surg Am 60:217–220

    Article  PubMed  CAS  Google Scholar 

  19. Pellicci PM, Bostrom M, Poss R (1998) Posterior approach to total hip replacement using enhanced posterior soft tissue repair. Clin Orthop Relat Res 355:224–228

    Article  Google Scholar 

  20. Kanoh T, Hasegawa Y, Masui T, Yamaguchi J, Kawabe K, Ishiguro N (2010) Accurate acetabular component orientation after total hip arthroplasty using an acetabular alignment guide. J Arthroplast 25:81–86

    Article  Google Scholar 

  21. Rahman WA, Garbuz DS, Masri BA (2013) Total hip arthroplasty in steroid-induced osteonecrosis: early functional and radiological outcomes. Can J Surg 56:41–46

    Article  PubMed  PubMed Central  Google Scholar 

  22. SooHoo NF, Li Z, Chenok KE, Bozic KJ (2015) Responsiveness of patient reported outcome measures in total joint arthroplasty patients. J Arthroplast 30:176–191

    Article  Google Scholar 

  23. Ortiz-Declet VR, Iacobelli DA, Yuen LC, Perets I, Chen AW, Domb BG (2017) Birmingham hip resurfacing vs total hip arthroplasty: a matched-pair comparison of clinical outcomes. J Arthroplast 32:3647–3651

    Article  Google Scholar 

  24. Bergh C, Fenstad AM, Furnes O, Garellick G, Havelin LI, Overgaard S, Pedersen AB, Mäkelä KT, Pulkkinen P, Mohaddes M, Kärrholm J (2014) Increased risk of revision in patients with non-traumatic femoral head necrosis. Acta Orthop 85:11–17

    Article  PubMed  PubMed Central  Google Scholar 

  25. Tsukanaka M, Halvorsen V, Nordsletten L, EngesæTer IØ, EngesæTer LB, Marie Fenstad A, Röhrl SM (2016) Implant survival and radiographic outcome of total hip replacement in patients less than 20 years old. Acta Orthop 87:479–484

    Article  PubMed  PubMed Central  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan

    Yusuke Osawa, Taisuke Seki, Yasuhiko Takegami, Taiki Kusano, Kazuya Makida & Naoki Ishiguro

Authors
  1. Yusuke Osawa
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  2. Taisuke Seki
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  3. Yasuhiko Takegami
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  4. Taiki Kusano
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  5. Kazuya Makida
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  6. Naoki Ishiguro
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Correspondence to Yusuke Osawa.

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Osawa, Y., Seki, T., Takegami, Y. et al. Cementless total hip arthroplasty for osteonecrosis and osteoarthritis produce similar results at ten years follow-up when matched for age and gender. International Orthopaedics (SICOT) 42, 1683–1688 (2018). https://doi.org/10.1007/s00264-018-3987-7

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  • DOI: https://doi.org/10.1007/s00264-018-3987-7

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