Skip to main content

Advertisement

SpringerLink
Log in

Outcomes of total hip arthroplasty in patients with osteonecrosis of the femoral head—a current review

  • Modern Surgical Treatment of Hip Avascular Necrosis (MA Mont, Section Editor)
  • Published:
Current Reviews in Musculoskeletal Medicine Aims and scope Submit manuscript

Abstract

The purpose of this review was to analyze (1) patient-reported outcomes and implant survivorship of osteonecrosis (ON) patients following total hip arthroplasty (THA), (2) if prior hip-preserving procedures influence these outcomes, (3) if resurfacing procedures alter outcomes; and (4) how these outcomes may have been impacted by the choice of different bearing surfaces. Today, with implant innovations such as cementless constructs, ceramic bearing surfaces, and highly cross-linked polyethylene, ON patients derive great benefit and have high survivorship following THA. Most studies have shown that previous hip-preserving procedures do not have a deleterious effect on outcomes. Literature on the use of ceramic and highly cross-linked polyethylene bearing surfaces have shown that these implant designs are useful in younger and more active patients. Future research should evaluate the long-term outcomes and survivorship of these new THA constructs.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

Papers of particular interest, published recently, have been highlighted as : •Of importance •• Of major importance

  1. Ganz R, Buchler U. Overview of attempts to revitalize the dead head in aseptic necrosis of the femoral head—osteotomy and revascularization. Hip. 1983;296.

  2. Kawasaki M, Hasegawa Y, Sakano S, Masui T, Ishiguro N. Total hip arthroplasty after failed transtrochanteric rotational osteotomy for avascular necrosis of the femoral head. J Arthroplast. 2005;20(5):574.

    Article  Google Scholar 

  3. Pailhe R, Sharma A, Reina N, Cavaignac E, Chiron P, Laffosse JM. Hip resurfacing: a systematic review of literature. Int Orthop. 2012;36(12):2399.

    Article  PubMed Central  PubMed  Google Scholar 

  4. van der Weegen W, Hoekstra HJ, Sijbesma T, Bos E, Schemitsch EH, Poolman RW. Survival of metal-on-metal hip resurfacing arthroplasty: a systematic review of the literature. J Bone Joint Surg Br. 2011;93(3):298.

    Article  PubMed  Google Scholar 

  5. Beaule PE, Amstutz HC. Management of Ficat stage III and IV osteonecrosis of the hip. J Am Acad Orthop Surg. 2004;12(2):96.

    PubMed  Google Scholar 

  6. Zalavras CG, Lieberman JR. Osteonecrosis of the femoral head: evaluation and treatment. J Am Acad Orthop Surg. 2014;22(7):455.

    Article  PubMed  Google Scholar 

  7. Pivec R, Johnson AJ, Harwin SF, Mont MA. Differentiation, diagnosis, and treatment of osteoarthritis, osteonecrosis, and rapidly progressive osteoarthritis. Orthopedics. 2013;36(2):118.

    Article  PubMed  Google Scholar 

  8. Lieberman JR, Berry DJ, Mont MA, Aaron RK, Callaghan JJ, Rajadhyaksha AD, et al. Osteonecrosis of the hip: management in the 21st century. Instr Course Lect. 2003;52:337.

    PubMed  Google Scholar 

  9. Seyler TM, Cui Q, Mihalko WM, Mont MA, Saleh KJ. Advances in hip arthroplasty in the treatment of osteonecrosis. Instr Course Lect. 2007;56:221.

    PubMed  Google Scholar 

  10. Saito S, Saito M, Nishina T, Ohzono K, Ono K. Long-term results of total hip arthroplasty for osteonecrosis of the femoral head. A comparison with osteoarthritis. Clin Orthop Relat Res. 1989;(244):198.

  11. Brinker MR, Rosenberg AG, Kull L, Galante JO. Primary total hip arthroplasty using noncemented porous-coated femoral components in patients with osteonecrosis of the femoral head. J Arthroplast. 1994;9(5):457.

    Article  CAS  Google Scholar 

  12. Johannson HR, Zywiel MG, Marker DR, Jones LC, McGrath MS, Mont MA. Osteonecrosis is not a predictor of poor outcomes in primary total hip arthroplasty: a systematic literature review. Int Orthop. 2011;35(4):465.

    Article  PubMed Central  PubMed  Google Scholar 

  13. Malizos KN, Karantanas AH, Varitimidis SE, Dailiana ZH, Bargiotas K, Maris T. Osteonecrosis of the femoral head: etiology, imaging and treatment. Eur J Radiol. 2007;63(1):16.

    Article  PubMed  Google Scholar 

  14. Ortiguera CJ, Pulliam IT, Cabanela ME. Total hip arthroplasty for osteonecrosis: matched-pair analysis of 188 hips with long-term follow-up. J Arthroplast. 1999;14(1):21.

    Article  CAS  Google Scholar 

  15. Ritter MA, Meding JB. A comparison of osteonecrosis and osteoarthritis patients following total hip arthroplasty. A long-term follow-up study. Clin Orthop Relat Res. 1986;(206):139.

  16. Kantor SG, Huo MH, Huk OL, Salvati EA. Cemented total hip arthroplasty in patients with osteonecrosis. A 6-year minimum follow-up study of second-generation cement techniques. J Arthroplast. 1996;11(3):267.

    Article  CAS  Google Scholar 

  17. Goffin E, Baertz G, Rombouts JJ. Long-term survivorship analysis of cemented total hip replacement (THR) after avascular necrosis of the femoral head in renal transplant recipients. Nephrol Dial Transplant Off Publ Eur Dial Transplant Assoc Eur Renal Assoc. 2006;21(3):784.

    Google Scholar 

  18. Kim YH, Oh SH, Kim JS, Koo KH. Contemporary total hip arthroplasty with and without cement in patients with osteonecrosis of the femoral head. J Bone Joint Surg Am. 2003;85-A(4):675.

    PubMed  Google Scholar 

  19. Kim YG, Kim SY, Kim SJ, Park BC, Kim PT, Ihn JC. The use of cementless expansion acetabular component and an alumina-polyethylene bearing in total hip arthroplasty for osteonecrosis. J Bone Joint Surg Br. 2005;87(6):776.

    Article  PubMed  Google Scholar 

  20. Kim YG, Kim SY, Park BC, Kim PT, Ihn JC, Kim ID. Uncemented Harris-Galante total hip arthroplasty in patients with osteonecrosis of the femoral head. A 10-16-year follow-up study. Acta Orthop. 2005;76(1):42.

    Article  PubMed  Google Scholar 

  21. Ince A, Lermann J, Gobel S, Wollmerstedt N, Hendrich C. No increased stem subsidence after arthroplasty in young patients with femoral head osteonecrosis: 41 patients followed for 1-9 years. Acta Orthop. 2006;77(6):866.

    Article  PubMed  Google Scholar 

  22. Min BW, Song KS, Bae KC, Cho CH, Lee KJ, Kim HJ. Second-generation cementless total hip arthroplasty in patients with osteonecrosis of the femoral head. J Arthroplast. 2008;23(6):902.

    Article  Google Scholar 

  23. Han SI, Lee JH, Kim JW, Oh CW, Kim SY. Long-term durability of the CLS femoral prosthesis in patients with osteonecrosis of the femoral head. J Arthroplast. 2013;28(5):828.

    Article  Google Scholar 

  24. Wang TI, Hung SH, Su YP, Feng CQ, Chiu FY, Liu CL. Noncemented total hip arthroplasty for osteonecrosis of the femoral head in elderly patients. Orthopedics. 2013;36(3):e271.

    Article  PubMed  Google Scholar 

  25. Issa K, Naziri Q, Rasquinha V, Maheshwari AV, Delanois RE, Mont MA. Outcomes of cementless primary THA for osteonecrosis in HIV-infected patients. J Bone Joint Surg Am. 1845;95(20):2013.

    Google Scholar 

  26. Chang JS, Han DJ, Park SK, Sung JH, Ha YC. Cementless total hip arthroplasty in patients with osteonecrosis after kidney transplantation. J Arthroplast. 2013;28(5):824.

    Article  Google Scholar 

  27. Kim SM, Lim SJ, Moon YW, Kim YT, Ko KR, Park YS. Cementless modular total hip arthroplasty in patients younger than fifty with femoral head osteonecrosis: minimum fifteen-year follow-up. J Arthroplast. 2013;28(3):504.

    Article  Google Scholar 

  28. Bedard NA, Callaghan JJ, Liu SS, Greiner JJ, Klaassen AL, Johnston RC. Cementless THA for the treatment of osteonecrosis at 10-year follow-up: have we improved compared to cemented THA? J Arthroplast. 2013;28(7):1192.

    Article  Google Scholar 

  29. Issa K, Johnson AJ, Naziri Q, Khanuja HS, Delanois RE, Mont MA. Hip osteonecrosis: does prior hip surgery alter outcomes compared to an initial primary total hip arthroplasty? J Arthroplast. 2014;29(1):162. This showed that outcomes following THA are not negatively impacted by undergoing previous hip-preserving procedures or resurfacing.

    Article  Google Scholar 

  30. Lim SJ, Moon YW, Eun SS, Park YS. Total hip arthroplasty using the S-ROM modular stem after joint-preserving procedures for osteonecrosis of the femoral head. J Arthroplast. 2008;23(4):495.

    Article  Google Scholar 

  31. Rijnen WH, Lameijn N, Schreurs BW, Gardeniers JW. Total hip arthroplasty after failed treatment for osteonecrosis of the femoral head. Orthop Clin North Am. 2009;40(2):291.

    Article  PubMed  Google Scholar 

  32. Berend KR, Gunneson E, Urbaniak JR, Vail TP. Hip arthroplasty after failed free vascularized fibular grafting for osteonecrosis in young patients. J Arthroplast. 2003;18(4):411.

    Article  Google Scholar 

  33. Fehrle MJ, Callaghan JJ, Clark CR, Peterson KK. Uncemented total hip arthroplasty in patients with aseptic necrosis of the femoral head and previous bone grafting. J Arthroplast. 1993;8(1):1.

    Article  CAS  Google Scholar 

  34. Park KS, Tumin M, Peni I, Yoon TR. Conversion total hip arthroplasty after previous transtrochanteric rotational osteotomy for osteonecrosis of the femoral head. J Arthroplast. 2014;29(4):813. This study showed no difference in THA outcomes for those who have underwent a failed transtrochanteric rotatoinal osteotomy.

    Article  Google Scholar 

  35. Benke GJ, Baker AS, Dounis E. Total hip replacement after upper femoral osteotomy. A clinical review. J Bone Joint Surg Br. 1982;64(5):570.

    CAS  PubMed  Google Scholar 

  36. Koo KH MM, Jones LC. Osteonecrosis. New York: Springer; 2014.

    Book  Google Scholar 

  37. Korim M, Scholes S, Unsworth A, Power R. Retrieval analysis of alumina ceramic-on-ceramic bearing couples. Acta Orthop. 2014;85(2):133.

    Article  PubMed Central  PubMed  Google Scholar 

  38. Kang BJ, Ha YC, Ham DW, Hwang SC, Lee YK, Koo KH. Third-generation alumina-on-alumina total hip arthroplasty: 14 to 16-year follow-up study. J Arthroplast. 2014.

  39. Kumar N, Arora GN, Datta B. Bearing surfaces in hip replacement—evolution and likely future. Med J Armed Forces India. 2014;70(4):371.

    Article  PubMed  Google Scholar 

  40. Bauer TW, Campbell PA, Hallerberg G, Biological Working G. How have new bearing surfaces altered the local biological reactions to byproducts of wear and modularity? Clin Orthop Relat Res. 2014;472(12):3687.

    Article  PubMed  Google Scholar 

  41. Millar NL, Halai M, McKenna R, McGraw IW, Millar LL, Hadidi M. Uncemented ceramic-on-ceramic THA in adults with osteonecrosis of the femoral head. Orthopedics. 2010;33(11):795.

    PubMed  Google Scholar 

  42. Finkbone PR, Severson EP, Cabanela ME, Trousdale RT. Ceramic-on-ceramic total hip arthroplasty in patients younger than 20 years. J Arthroplast. 2012;27(2):213.

    Article  Google Scholar 

  43. Byun JW, Yoon TR, Park KS, Seon JK. Third-generation ceramic-on-ceramic total hip arthroplasty in patients younger than 30 years with osteonecrosis of femoral head. J Arthroplast. 2012;27(7):1337.

    Article  Google Scholar 

  44. Seyler TM, Bonutti PM, Shen J, Naughton M, Kester M. Use of an alumina-on-alumina bearing system in total hip arthroplasty for osteonecrosis of the hip. J Bone Joint Surg Am. 2006;88 Suppl 3:116.

    Article  PubMed  Google Scholar 

  45. Solarino G, Piazzolla A, Notarnicola A, Moretti L, Tafuri S, De Giorgi S, et al. Long-term results of 32-mm alumina-on-alumina THA for avascular necrosis of the femoral head. J Orthop Traumatol Off J Ital Soc Orthop Traumatol. 2012;13(1):21. This recent study showed positive long-term outcomes for alumina-on-alumnia bearings in patients with osteonecrosis of the femoral head.

    Article  Google Scholar 

  46. Park YS, Park SJ, Lim SJ. Ten-year results after cementless THA with a sandwich-type alumina ceramic bearing. Orthopedics. 2010;33(11):796.

    PubMed  Google Scholar 

  47. Baek SH, Kim SY. Cementless total hip arthroplasty with alumina bearings in patients younger than fifty with femoral head osteonecrosis. J Bone Joint Surg Am. 2008;90(6):1314.

    Article  PubMed  Google Scholar 

  48. Min BW, Lee KJ, Song KS, Bae KC, Cho CH. Highly cross-linked polyethylene in total hip arthroplasty for osteonecrosis of the femoral head: a minimum 5-year follow-up study. J Arthroplast. 2013;28(3):526.

    Article  Google Scholar 

  49. Lee JH, Lee BW, Lee BJ, Kim SY. Midterm results of primary total hip arthroplasty using highly cross-linked polyethylene: minimum 7-year follow-up study. J Arthroplast. 2011;26(7):1014.

    Article  Google Scholar 

  50. Kim YH, Choi Y, Kim JS. Cementless total hip arthroplasty with alumina-on-highly cross-linked polyethylene bearing in young patients with femoral head osteonecrosis. J Arthroplast. 2011;26(2):218.

    Article  CAS  Google Scholar 

Download references

Compliance with Ethics Guidelines

Conflict of Interest

Todd P. Pierce, Randa K. Elmallah, Julio J. Jauregui, and Daniel F. Verna declare that they have no conflict of interest.

Michael A. Mont has received grants and personal fees from Stryker, Wright Medical Technology, Inc., DJ Orthopaedics, Joint Active Systems, Sage Products, Inc., and TissueGene. Dr. Mont has also received personal fees from Janssen, Medical Compression Systems, Medtronic, and grants from the National Institutes of Health (NIAMS and NICHD). Dr. Mont also serves on the editorial/governing board of the American Journal of Orthopedics, Journal of Arthroplasty, Journal of Bone and Joint Surgery (American), Journal of Knee Surgery, Orthopedics, and Surgical Techniques International and is also a board member/committee appointment for the AAOS Society.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Author information

Authors and Affiliations

  1. Center for Joint Preservation and Replacement, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, 2401 West Belvedere Avenue, Baltimore, MD, 21215, USA

    Todd P. Pierce, Randa K. Elmallah, Julio J. Jauregui, Daniel F. Verna & Michael A. Mont

Authors
  1. Todd P. Pierce
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Randa K. Elmallah
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Julio J. Jauregui
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Daniel F. Verna
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Michael A. Mont
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Michael A. Mont.

Additional information

This article is part of the Topical Collection on Modern Surgical Treatment of Hip Avascular Necrosis

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Pierce, T.P., Elmallah, R.K., Jauregui, J.J. et al. Outcomes of total hip arthroplasty in patients with osteonecrosis of the femoral head—a current review. Curr Rev Musculoskelet Med 8, 246–251 (2015). https://doi.org/10.1007/s12178-015-9283-x

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12178-015-9283-x

Keywords

Search

Navigation