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Total hip arthroplasty using a Kerboull-type plate for rapidly destructive coxarthrosis: comparison with uncemented acetabular component

  • Original Article • HIP - ARTHROPLASTY
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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Introduction

Clinical outcomes of total hip arthroplasty (THA) to treat rapidly destructive coxarthrosis (RDC) have been reported, but to our knowledge, there have been no studies comparing implants. The aim of this study was to examine the effectiveness of acetabular reconstruction for RDC by comparing the clinical results of THA using a Kerboull-type plate with an uncemented cup.

Patients and methods

Among 921 primary THAs performed between 2006 and 2014, 27 were performed for the treatment for RDC using a Kerboull-type plate or a conventional uncemented cup. A Kerboull-type plate for acetabular reinforcement device was used in 13 hips and an uncemented cup in 14 hips. The mean follow-up period was 61.2 months.

Results

The duration of surgery was 156.8 ± 36.4 min in the Kerboull-type plate group and 103.3 ± 14.4 min in the uncemented cup group, being significantly longer in the former (P = 0.0002). In the Kerboull-type plate group and the uncemented cup group, the 5-year survival rates were 100 and 83.9 %, respectively. Recurrent dislocation was observed in two cases in which the posterior approach had been used.

Conclusions

In our study, the loosening of the acetabular components was noted in 14.3 % of uncemented cup-applied cases, but no loosening was noted in any Kerboull-type plate-applied case. Therefore, for RDC, in which objective evaluation of fragile bone quality is difficult, the use of the Kerboull-type plate, which disperses weight-bearing of the acetabular, may be an effective means to achieve early functional recovery as well as a long-term favorable outcome.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, Japan

    Tomonori Baba, Yasuhiro Homma, Hidenori Ochi, Yu Ozaki, Mikio Matsumoto & Kazuo Kaneko

  2. Department of Orthopedic Surgery, Juntendo Urayasu Hospital, Chiba, Japan

    Katsuo Shitoto

Authors
  1. Tomonori Baba
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  2. Yasuhiro Homma
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  3. Hidenori Ochi
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  4. Yu Ozaki
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  5. Mikio Matsumoto
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  6. Katsuo Shitoto
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  7. Kazuo Kaneko
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Correspondence to Tomonori Baba.

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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 university.

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Informed consent was obtained from all individual patients in this study.

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Baba, T., Homma, Y., Ochi, H. et al. Total hip arthroplasty using a Kerboull-type plate for rapidly destructive coxarthrosis: comparison with uncemented acetabular component. Eur J Orthop Surg Traumatol 26, 189–194 (2016). https://doi.org/10.1007/s00590-015-1738-7

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  • DOI: https://doi.org/10.1007/s00590-015-1738-7

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