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Clinical and radiological outcomes of total hip arthroplasty in octogenarian patients using a three-dimensional porous titanium cup: a retrospective analysis in Japanese patients

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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Purpose

Osteointegration of a three-dimensional (3D) porous titanium material has been experimentally proven, but only a few studies have shown the clinical outcomes of a 3D porous titanium cup in the Japanese elderly population. The purpose of this study was to compare the short-and-medium term clinical and radiographic results of total hip arthroplasty (THA) using a 3D porous titanium cup in patients aged ≥ 80 (octogenarians) versus those aged < 80 (younger controls).

Methods

A total of 104 hips that underwent THA using a 3D porous titanium cup (SQRUM TT, Kyocera Medical) were enrolled in the study and were divided into two groups according to age: the octogenarian group (≥ 80, n = 42) and the younger control group (< 80, n = 62). Furthermore, we evaluated patient characteristics, clinical outcomes determined by the Japanese Orthopedic Association score, cup alignment, and incidence of radiolucent lines around the cup.

Results

The mean follow-up period was 4.2 and 4.0 years (p = 0.29) for octogenarians and younger controls, respectively. The clinical outcomes were excellent, and no revision surgery occurred until the last follow-up in both groups. The number of patients with radiolucent lines at the final evaluation was 21 of 62 (33.9%) in younger controls and 16 of 42 (38.1%) in octogenarians.

Conclusion

THA with 3D porous titanium cup for octogenarians had similar clinical outcomes and incidence of radiolucent lines as those of younger controls, suggesting that the 3D porous titanium cup may be useful in THA for octogenarians. Further investigations will confirm its long-term outcomes.

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Data availability

All data generated or analyzed during this study are included in this published article.

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Acknowledgements

We thank Editage (www.editage.com) for editing a draft of this manuscript.

Funding

This study was supported by a Grant-in-Aid for Translational Research, Tokyo Metropolitan Institute of Gerontology, and a scholarship grant from Teijin Pharma Limited.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology, Sakae-cho 35- 2, Itabashi-ku, Tokyo, 173-0015, Japan

    Taizo Kaneko, Shinya Nakamura, Kentaro Hayakawa, Fumiaki Tokimura & Tsuyoshi Miyazaki

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  1. Taizo Kaneko
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  2. Shinya Nakamura
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  3. Kentaro Hayakawa
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  4. Fumiaki Tokimura
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  5. Tsuyoshi Miyazaki
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Contributions

All authors have read and approved the final manuscript. TK, FT, and TM conceived and designed the study. TK, SN, KH, and TM analyzed and interpreted the data. TK and TM wrote the paper. TM supervised all the work.

Corresponding author

Correspondence to Tsuyoshi Miyazaki.

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The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/ or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The study was approved by the medical research ethics committee at our institute.

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Kaneko, T., Nakamura, S., Hayakawa, K. et al. Clinical and radiological outcomes of total hip arthroplasty in octogenarian patients using a three-dimensional porous titanium cup: a retrospective analysis in Japanese patients. Eur J Orthop Surg Traumatol 33, 2361–2367 (2023). https://doi.org/10.1007/s00590-022-03439-0

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