Abstract
Background
Unacceptably high rates of loosening of a novel cementless cup system (Mathys, SeleXys TH+) have been reported. In this study, our mid-term-results with the SeleXys TH+ cup are compared with an established pressfit cup (Ceraver, Cerafit-R).
Methods
Between 2008 and 2011, a total of 407 implantations, 19 of them bilaterally, were conducted on 388 patients with the implants in question. A total of 280 cups were available for follow-up. Of these, 160 SeleXys TH+ cups and 120 Cerafit-R cups had been used.
Results
The mean follow-up period was 48.6 months (min. 28, max. 75). A total of 18 cases of loosening were found in the SeleXys TH+ group. Of these, one was of a traumatic nature and one was of septic origin. This left 16 cases of aseptic, atraumatic loosening (10 % loosening rate). In the Cerafit-R group, only two cases (1.7 %) of loosening were seen over the same period. Both were of traumatic origin. No cases of aseptic, atraumatic loosening were seen in the follow-up period. Further, significantly more cases of loosening were observed in women than in men with the SeleXys cup.
Conclusions
The SeleXys TH+ cup shows an unacceptably high failure rate after six years. The time of revision is not limited to the first months after implantation, which means that close clinical and radiological controls will continue to be necessary in future in patients treated with SeleXys TH+ cups.
Level of Evidenve: III (retrospective cohort study)
Similar content being viewed by others
References
Hamadouche M, Boutin P, Daussange J et al (2002) Alumina-on-alumina total hip arthroplasty: a minimum 18.5-year follow-up study. J Bone Joint Surg Am 84-A:69–77
Ihle M, Mai S, Pfluger D, Siebert W (2008) The results of the titanium-coated RM acetabular component at 20 years: a long-term follow-up of an uncemented primary total hip replacement. J Bone Joint Surg (Br) 90:1284–1290
Petsatodis GE, Papadopoulos PP, Papavasiliou KA et al (2010) Primary cementless total hip arthroplasty with an alumina ceramic-on-ceramic bearing: results after a minimum of twenty years of follow-up. J Bone Joint Surg Am 92:639–644
Molloy D, Jack C, Esposito C, Walter WL (2012) A mid-term analysis suggests ceramic on ceramic hip arthroplasty is durable with minimal wear and low risk of squeak. HSS J 8:291–294
Tozun IR, Ozden VE, Dikmen G, Beksac B (2014) Mid-term result of ceramic bearings in total hip arthroplasty. Int Orthop 38:2027–2031
Synder M, Drobniewski M, Sibiński M (2012) Long-term results of cementless hip arthroplasty with ceramic-on-ceramic articulation. Int Orthop 36:2225–2229
Chevillotte C, Trousdale RT, An K-N et al (2012) Retrieval analysis of squeaking ceramic implants: are there related specific features? Orthop Traumatol Surg Res 98:281–287
Hannouche D, Zaoui A, Zadegan F et al (2011) Thirty years of experience with alumina-on-alumina bearings in total hip arthroplasty. Int Orthop 35:207–213
Goebel P, Kluess D, Wieding J et al (2013) The influence of head diameter and wall thickness on deformations of metallic acetabular press-fit cups and UHMWPE liners: a finite element analysis. J Orthop Sci 18:264–270
Haverkamp D, Westerbos S, Campo MM et al (2013) Early loosening of a press-fit cup with ceramic-on-ceramic articulation: our early results. Arch Orthop Trauma Surg 133:1757–1762
Ilchmann T, Zwicky L, Gersbach S, Clauss M (2014) Poor outcome of a spherical pressfit cup with a modern ceramic liner: a prospective cohort study of 181 cups. Hip Int 24:333–339
Bauer R, Kerschbaumer F, Poisel S, Oberthaler W (1979) The transgluteal approach to the hip joint. Arch Orthop Trauma Surg 95:47–49
Boyer P, Huten D, Loriaut P et al (2010) Is alumina-on-alumina ceramic bearings total hip replacement the right choice in patients younger than 50 years of age? A 7- to 15-year follow-up study. Orthop Traumatol Surg Res 96:616–622
Nowak M, Nowak TE, Schmidt R et al (2011) Prospective study of a cementless total hip arthroplasty with a collum femoris preserving stem and a trabeculae oriented pressfit cup: minimun 6-year follow-up. Arch Orthop Trauma Surg 131:549–555
Schroeder K, Moehlenbruch A, Zimmermann-Stenzel M, Parsch D (2010) Five-year survival rate of the Allofit titanium press-fit cup. Orthopade 39:87–91
Streit MR, Weiss S, Andreas F et al (2014) 10-year results of the uncemented Allofit press-fit cup in young patients. Acta Orthop 85:368–374
Hothan A, Huber G, Weiss C et al (2011) Deformation characteristics and eigenfrequencies of press-fit acetabular cups. Clin Biomech (Bristol, Avon) 26:46–51
Maistrelli GL, Fornasier V, Binnington A et al (1991) Effect of stem modulus in a total hip arthroplasty model. J Bone Joint Surg (Br) 73:43–46
Pilliar RM, Lee JM, Maniatopoulos C (1986) Observations on the effect of movement on bone ingrowth into porous-surfaced implants. Clin Orthop Relat Res 108–113
Le Cann S, Galland A, Rosa B et al (2014) Does surface roughness influence the primary stability of acetabular cups? A numerical and experimental biomechanical evaluation. Med Eng Phys 36:1185–1190
Schreiner U, Simnacher M, Scheller G, Scharf H-P (2007) The influence of different surface treatments on the primary stability of cementless acetabular cups: an in vitro study. Biomed Tech (Berl) 52:243–247
Lass R, Kolb A, Skrbensky G et al (2014) A cementless hip system with a new surface for osseous integration. Int Orthop 38:703–709
Chung YY, Kim HD, Kim KS (2002) Bone ingrowth on a smooth-surfaced hydroxyapatite-coated acetabular cup. Int Orthop 26:283–286
Nordin BE, MacGregor J, Smith DA (1966) The incidence of osteoporosis in normal women: its relation to age and the menopause. Q J Med 35:25–38
Adler E, Stuchin SA, Kummer FJ (1992) Stability of press-fit acetabular cups. J Arthroplasty 7:295–301
Ries MD, Harbaugh M, Shea J, Lambert R (1997) Effect of cementless acetabular cup geometry on strain distribution and press-fit stability. J Arthroplasty 12:207–212
Toossi N, Adeli B, Timperley AJ et al (2013) Acetabular components in total hip arthroplasty: is there evidence that cementless fixation is better? J Bone Joint Surg Am 95:168–174
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Brodt, S., Matziolis, G., Windisch, C. et al. High failure rate of a new pressfit cup in mid-term follow-up. International Orthopaedics (SICOT) 39, 1813–1817 (2015). https://doi.org/10.1007/s00264-015-2872-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00264-015-2872-x