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Minimum 5 year follow-up of clinical and radiographic results of cemented acetabular components with an interface bioactive bone cement technique in primary cemented total hip arthroplasty

  • Hip Arthroplasty
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

A well-fixed cement–bone interface is a crucial factor for acetabular and femoral components in cemented total hip arthroplasty (THA). The aim of the present study was to evaluate the middle-term clinical and radiological results of fixing the acetabular component with an interface bioactive bone cement (IBBC) technique in primary cemented THA.

Materials and methods

We undertook a retrospective review was undertaken of 193 primary cemented THAs in 174 patients using acetabular components cemented with an IBBC technique and followed for a minimum of 5 years (mean 8.3 years; range 5–17 years). Baseline data, clinical and radiological outcomes were evaluated.

Results

Japanese Orthopedic Association hip score and modified Harris hip scores demonstrated significant clinical improvement in all patients (p < 0.001). Radiolucent lines were detected in 15 hips (7.8%) at the first year and 24 hips (12.4%) at the final post-operative follow-up. The Kaplan–Meier survivorship with radiographic loosening as the end point was 97.8% [95% confidence interval (CI) 95.2–100]. With revision of the acetabular component for aseptic loosening as the end point, component survival was 99.0% (95% CI 97.5–100). With revision of the acetabular component for any reason as the end point, component survival was 97.0% (95% CI 93.9–100).

Conclusions

Clinical and radiological results of the acetabular component with the IBBC technique in primary cemented THA were excellent.

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Acknowledgements

We are grateful to Satoshi Iida, Chiho Suzuki, Takushi Nakatani, Yuya Kawarai, Junichi Nakamura, Associate Professor Sumihisa Orita and Professor Seiji Ohtori head of our department, for their valuable suggestions and support during this study. All authors have read and approved the submitted version. Study design: Shuichi Miyamoto, Satoshi Iida, Sumihisa Orita, Seiji Ohtori. Drafting the protocol: Shuichi Miyamoto, Satoshi Iida. Advice on the statistical analysis: Shuichi Miyamoto, Junichi Nakamura, Sumihisa Orita. Patient recruitment and data collection: Chiho Suzuki, Takushi Nakatani, Yuya Kawarai. First draft of the manuscript: Shuichi Miyamoto. The illustration in Fig. 2 was kindly provided by SAIKOU (Tokyo, Japan).

Funding

We did not receive any funding or financial support that may be perceived to have biased the study.

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Authors and Affiliations

  1. Matsudo City General Hospital, 993-1 Sendabori, Matsudo, Chiba, 270-2296, Japan

    Shuichi Miyamoto, Satoshi Iida, Chiho Suzuki & Takushi Nakatani

  2. Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba, 260-8677, Japan

    Yuya Kawarai, Junichi Nakamura & Seiji Ohtori

  3. Center for Advanced Joint Function and Reconstructive Spine Surgery Graduate School of Medicine, Chiba University, 1-8-1 Inohana Chuo-ku, Chiba, 260-8670, Japan

    Sumihisa Orita

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  1. Shuichi Miyamoto
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Correspondence to Shuichi Miyamoto.

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Miyamoto, S., Iida, S., Suzuki, C. et al. Minimum 5 year follow-up of clinical and radiographic results of cemented acetabular components with an interface bioactive bone cement technique in primary cemented total hip arthroplasty. Arch Orthop Trauma Surg 141, 139–147 (2021). https://doi.org/10.1007/s00402-020-03638-6

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