Evidence map›Paper›PMID 34782910›Full record

ArticleArchives of orthopaedic and trauma surgery2022

Trabecular titanium cups in acetabular revision arthroplasty: analysis of 10-year survivorship, restoration of center of rotation and osteointegration.

Andrea Cozzi Lepri, Matteo Innocenti, Alberto Galeotti, Christian Carulli, Marco Villano, Roberto Civinini

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Article in Archives of orthopaedic and trauma surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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2 · The registry

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Andrea Cozzi LepriOrthopedic Unit, Department of Health Sciences, University of Florence, C.T.O. Largo Palagi 1, 50139, Firenze, Italy. andreaco84a@gmail.com.ORCID http://orcid.org/0000-0002-4001-5798
Matteo InnocentiOrthopedic Unit, Department of Health Sciences, University of Florence, C.T.O. Largo Palagi 1, 50139, Firenze, Italy.
Alberto GaleottiOrthopedic Unit, Department of Health Sciences, University of Florence, C.T.O. Largo Palagi 1, 50139, Firenze, Italy.
Christian CarulliOrthopedic Unit, Department of Health Sciences, University of Florence, C.T.O. Largo Palagi 1, 50139, Firenze, Italy.
Marco VillanoOrthopedic Unit, Department of Health Sciences, University of Florence, C.T.O. Largo Palagi 1, 50139, Firenze, Italy.
Roberto CivininiOrthopedic Unit, Department of Health Sciences, University of Florence, C.T.O. Largo Palagi 1, 50139, Firenze, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsIn case of severe bone loss, acetabular revision can be challenged using extra porous pure trabecular titanium (TT) revision cups designed to ensure enhanced iliac and ischiatic purchase. Aim of the study is to report on the clinical and radiological results of a TT acetabular component, evaluating functional outcome, restoration of the hip center of rotation and osteointegration.

methods85 patients, who underwent acetabular revision with a TT revision cup system between October 2009 and December 2018, were included in a retrospective study. Clinical outcome were assessed with Harris Hip Score (HHS). The hip rotation center was measured using the Pierchon method on the AP pelvis film. Loosening of the cup was determined according to the Kosashvili modification of Gill's criteria. Kaplan- Meier survivorship curve was performed. Results The mean follow-up was 6.12 years. The average HHS improved from 54.7 points to 89.7 points (p < 0.05). Two acetabular components (2.3%) were re-revised after a mean of 5.6 years, for aseptic loosening and for infection, with a progressive radiolucency and a > 5 mm vertical migration, respectively. The radiographic evaluation of the position of the hip rotation center revealed a statistically significant difference (p < 0.05) between the pre- and post-operative values. The hip rotation center was correctly restored within 5% of the reference Pierchon values in a percentage of 85.4% relative to horizontal parameters and within 8% in a percentage of 66.7% relative to vertical parameters. 5-year and 10-year survivorships were, respectively, 100% and 88%.

conclusionsIn case of severe bone loss, TT revision cup system allows for good restoration of center of rotation and osteointegration showing good 10-year survival rate.

Indexed as

Arthroplasty, Replacement, HipHip ProsthesisAcetabulumFollow-Up StudiesHumansProsthesis FailureReoperationRetrospective StudiesRotationSurvivorshipTitaniumTitaniumBone lossCenter of rotationOsteointegrationRevision total hip arthroplastyTrabecular titanium

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.