Abstract
Purpose
The purpose of this study is to clarify morphological changes of acetabular subchondral bone cyst after total hip arthroplasty for osteoarthritis secondary to developmental dysplasia of the hip.
Methods
Two hundred and sixty-one primary cementless total hip arthroplasties of 208 patients, 18 males, 190 females, were retrospectively reviewed. Morphological changes of subchondral bone cyst were evaluated by computed tomography (CT). The mean cross-sectional area of the cyst from CT scans at 3 months postoperatively and after 7–10 years (average 8.4 years) were compared.
Results
Acetabular subchondral bone cysts were found in 49.0% of all cases in preoperative CT scans. There was no cyst which was newly recognized in CT scan performed after postoperative 7–10 years. All the cross-sectional areas of the cysts evaluated in this study were reduced postoperatively.
Conclusions
This study revealed that acetabular subchondral bone cysts do not increase or expand after total hip arthroplasty and indicated that the longitudinal morphological change of acetabular bone cysts in patients of developmental dysplasia of the hip do not influence long-term implant fixation in total hip arthroplasty.
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References
Jingushi S, Ohfuji S, Sofue M, Hirota Y, Itoman M, Matsumoto T et al (2011) Osteoarthritis hip joints in Japan: involvement of acetabular dysplasia. J Orthop Sci 16(2):156–164
Landels JW (1953) The bone cysts of osteoarthritis. J Bone Joint Surg Br 35(4):643–649
Rhaney K, Lamb DW (1955) The cysts of osteoarthritis of the hip; a radiological and pathological study. J Bone Joint Surg Br 37(4):663–675
Ondrouch AS (1963) Cyst formation in osteoarthritis. J Bone Joint Surg Br 45(4):755–760
Chiba K, Burghardt AJ, Osaki M, Majumdar S (2014) Three-dimensional analysis of subchondral cysts in hip osteoarthritis: an ex vivo HR-pQCT study. Bone 66:140–145
Taljanovic MS, Graham AR, Benjamin JB, Gmitro AF, Krupinski EA, Schwartz SA, Hunter TB, Resnick DL (2008) Bone marrow edema pattern in advanced hip osteoarthritis: quantitative assessment with magnetic resonance imaging and correlation with clinical examination, radiographic findings, and histopathology. Skeletal Radiol 37(5):423–431
Imbuldeniya AM, Walter WL, Zicat BA, Walter WK (2014) Cementless total hip replacement without femoral osteotomy in patients with severe developmental dysplasia of the hip: minimum 15-year clinical and radiological results. Bone Joint J 96(11):1449–1454
Takada R, Jinno T, Koga D, Yamauchi Y, Asou Y, Muneta T, Okawa A (2016) Limited significance of screening computed tomography after cementless total hip arthroplasty with highly cross-linked polyethylene at 7–10 years of follow-up. Mod Rheumatol 26(5):757–760
Kobayashi S, Takaoka K, Saito N, Hisa K (1997) Factors affecting aseptic failure of fixation after primary Charnley total hip arthroplasty. Multivariate survival analysis. J Bone Joint Surg Am 79(11):1618–1627
Hozack WJ, Mesa JJ, Carey C, Rothman RH (1996) Relationship between polyethylene wear, pelvic osteolysis, and clinical symptomatology in patients with cementless acetabular components. A framework for decision making. J Arthroplasty 11(7):769–772
Kelly MP, Kitamura N, Leung SB, Engh C (2007) The natural history of osteoarthritic bone cysts after uncemented total hip arthroplasty. J Arthroplasty 22(8):1137–1142
Dougados M, Gueguen A, Nguyen M, Berdah L, Lequesne M, Mazières B, Vignon E (1997) Radiographic features predictive of radiographic progression of hip osteoarthritis. Rev Rhum Engl Ed 64(12):795–803
Koyano G, Jinno T, Koga D, Yamauchi Y, Muneta T, Okawa A (2017) Comparison of bone remodeling between an anatomic short stem and a straight stem in 1-stage bilateral total hip arthroplasty. J Arthroplasty 32(2):594–600
Yamauchi Y, Jinno T, Koga D, Asou Y, Morita S, Okawa A (2012) Comparison of different distal designs of femoral components and their effects on bone remodeling in 1-stage bilateral total hip arthroplasty. J Arthroplasty 27(8):1538–1543
Puri L, Wixson RL, Stern SH, Kohli J, Hendrix RW, Stulberg SD (2002) Use of helical computed tomography for the assessment of acetabular osteolysis after total hip arthroplasty. J Bone Joint Surg Am 84(4):609–614
Claus AM, Engh CA, Sychterz CJ, Xenos JS, Orishimo KF (2003) Radiographic definition of pelvic osteolysis following total hip arthroplasty. J Bone Joint Surg Am 85(8):1519–1526
DeLee JG, Charnley J (1976) Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop Relat Res 121:20–32
Massin P, Schmidt L, Engh CA (1989) Evaluation of cementless acetabular component migration. An experimental study. J Arthroplasty 4(3):245–251
Engh CA, Massin P, Suthers KE (1990) Roentgenographic assessment of the biologic fixation of porous-surfaced femoral components. Clin Orthop Relat Res 257:107–128
Lewinnek GE, Lewis JL, Tarr R, Compere CL, Zimmerman JR (1978) Dislocations after total hip-replacement arthroplasties. J Bone Joint Surg Am 60(2):217–220
Mechlenburg I, Nyengaard JR, Gelineck J, Soballe K, Troelsen A (2010) Cartilage thickness in the hip measured by MRI and stereology before and after periacetabular osteotomy. Clin Orthop Relat Res 468(7):1884–1890
Nakamura Y, Naito M, Akiyoshi Y, Shitama T (2007) Acetabular cysts heal after successful periacetabular osteotomy. Clin Orthop Relat Res 454:120–126
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Takada, R., Jinno, T., Miyatake, K. et al. Longitudinal morphological change of acetabular subchondral bone cyst after total hip arthroplasty in developmental dysplasia of the hip. Eur J Orthop Surg Traumatol 28, 621–625 (2018). https://doi.org/10.1007/s00590-017-2115-5
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DOI: https://doi.org/10.1007/s00590-017-2115-5