Abstract
Purpose
Posterior soft tissue repair is one of the methods for preventing dislocation after total hip arthroplasty (THA). This study aimed to evaluate durability of two separate suture materials in THA patients who underwent posterior soft tissue repair.
Methods
42 THA patients were included in the study. The patients were randomly divided into two groups, where braided nonabsorbable suture was used in group A (n = 22), while braided absorbable suture was used in group B (n = 20). While repairing the posterior soft tissues, the piriformis and triceps coxae tendons together with the capsule were reattached to the greater trochanter via pull out sutures. Two hemoclips were attached as distance markers to both pull out sutures on the medial and lateal sides of the greater trochanter. Anteroposterior radiographs were taken one day, 15 days, 3 months and 6 months after operation. Distances between the hemoclips medial and lateral to the greater trochanter were measured on the radiographs, and the closest distances were recorded. The repair was considered a failure if the difference of distances between the first and any of the follow-up measurements exceeded 15 mm.
Results
No statistically significant difference was observed between the groups. In both groups, elongation magnitudes in all time intervals were statistically significant while the results obtained from measurements taken 15 days after operation were more significant (p < 0.01). No dislocations were observed.
Conclusion
We conclude that for transosseous posterior soft tissue repair in THA, both absorbable and nonabsorbable sutures are similarly durable and can be routinely performed.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
Change history
29 August 2022
Editor’s Note: Authorship of this manuscript is currently under dispute. Appropriate editorial action will be taken once this matter is resolved.
18 July 2024
A Correction to this paper has been published: https://doi.org/10.1007/s00402-024-05445-9
References
Soohoo NF, Farng E, Lieberman JR, Chambers L, Zingmond DS (2010) Factors that predict short-term complication rates after total hip arthroplasty. Clin Orthop Relat Res 468(9):2363–2371
Morrey BF (1992) Instability after total hip arthroplasty. Orthop Clin North Am 23(2):237–248
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
Suh KT, Park BG, Choi YJ (2004) A posterior approach to primary total hip arthroplasty with soft tissue repair. Clin Orthop Relat Res 418:162–167
Weeden SH, Paprosky WG, Bowling JW (2003) The early dislocation rate in primary total hip arthroplasty following the posterior approach with posterior soft-tissue repair. J Arthroplasty 18(6):709–713
White RE Jr, Forness TJ, Allman JK, Junick DW (2001) Effect of posterior capsular repair on early dislocation in primary total hip replacement. Clin Orthop Relat Res 393:163–167
Tsai SJ, Wang CT, Jiang CC (2008) The effect of posterior capsule repair upon post-operative hip dislocation following primary total hip arthroplasty. BMC Musculoskelet Disord 9:29
Stähelin T, Vienne P, Hersche O (2002) Failure of reinserted short external rotator muscles after total hip arthroplasty. J Arthroplasty 17(5):604–607
Stähelin T, Drittenbass L, Hersche O, Miehlke W, Munzinger U (2004) Failure of capsular enhanced short external rotator repair after total hip replacement. Clin Orthop Relat Res 420:199–204
Moon JK, Kim Y, Hwang KT, Yang JH, Kim YH (2018) The incidence of hip dislocation and suture failure according to two different types of posterior soft tissue repair techniques in total hip arthroplasty: a prospective randomized controlled trial. Int Orthop 42(9):2049–2056. https://doi.org/10.1007/s00264-018-3884-0
Wu F, Yin P, Yu X, Liu G, Zheng W (2019) Comparison of two posterior soft tissue repair techniques to prevent dislocation after total hip arthroplasty via the posterolateral approach. J Invest Surg. https://doi.org/10.1080/08941939.2019.1651922
Loiba V, Stucinskas J, Robertsson O, Wingstrand H, Tarasevicius S (2015) The analysis of posterior soft tissue repair durability after total hip arthroplasty in primary osteoarthritis patients. Hip Int 25(5):420–423. https://doi.org/10.5301/hipint.5000232
Gerber C, Schneeberger AG, Beck M, Schlegel U (1994) Mechanical strength of repairs of the rotator cuff. J Bone Joint Surg Br 76(3):371–380
Najibi S, Banglmeier R, Matta J, Tannast M (2010) Material properties of common suture materials in orthopaedic surgery. Iowa Orthop J 30:84–88
Vavken P, Proffen B, Peterson C, Fleming BC, Machan JT, Murray MM (2013) Effects of suture choice on biomechanics and physeal status after bioenhanced anterior cruciate ligament repair in skeletally immature patients: a large-animal study. Arthroscopy 29(1):122–132. https://doi.org/10.1016/j.arthro.2012.07.006
Jordan MC, Boelch S, Jansen H, Meffert RH, Hoelscher-Doht S (2016) (2016) Does plastic suture deformation induce gapping after tendon repair? A biomechanical comparison of different suture materials. J Biomech 49(13):2607–2612. https://doi.org/10.1016/j.jbiomech.05.023
McLawhorn AS, Potter HG, Cross MB et al (2015) Posterior soft tissue repair after primary THA is durable at mid-term followup: a prospective MRI study. Clin Orthop Relat Res 473(10):3183–3189. https://doi.org/10.1007/s11999-015-4380-0
Schmidt-Braekling T, Waldstein W, Akalin E, Benavente P, Frykberg B, Boettner F (2015) Minimal invasive posterior total hip arthroplasty: are 6 weeks of hip precautions really necessary? Arch Orthop Trauma Surg 135(2):271–274. https://doi.org/10.1007/s00402-014-2146-x
Peters A, Ter Weele K, Manning F, Tijink M, Pakvis D, Veld HIH (2019) Less postoperative restrictions following total hip arthroplasty with use of a posterolateral approach: a prospective, randomized noninferiority trial. J Arthroplasty 34(10):2415–2419. https://doi.org/10.1016/j.arth.2019.05.038
Pellicci PM, Potter HG, Foo LF, Boettner F (2009) MRI shows biologic restoration of posterior soft tissue repairs after THA. Clin Orthop Relat Res 467(4):940–945
Funding
There is no funding source.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The corresponding author states that there is no conflict of interest.
Human and animal rights
This article does not contain any studies with human participants or animals performed by any of the authors.
Informed consent
Informed consent was obtained from all individual participants included in the study.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Edipoglu, E. Durability of transosseous repair of posterior soft tissues after primary total hip arthroplasty: a prospective randomized controlled trial. Arch Orthop Trauma Surg (2021). https://doi.org/10.1007/s00402-021-04118-1
Received:
Accepted:
Published:
DOI: https://doi.org/10.1007/s00402-021-04118-1