Evidence map›Paper›PMID 38994294›Full record

ArticleWorld journal of clinical cases2024

Mid-term clinical outcomes of the uncemented Robert Mathys pressfit cup.

Kishan Ritek Ramsodit, Inger N Sierevelt, Esther R C Janssen, Sjoerd Kaarsemaker, Daniël Haverkamp

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Article in World journal of clinical cases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Kishan Ritek RamsoditDepartment of Orthopedic Surgery, Xpert Clinics Amsterdam, Amsterdam 1101EA, North-Holland, Netherlands.
Inger N SiereveltDepartment of Orthopedic Surgery, Xpert Clinics Amsterdam, Amsterdam 1101EA, North-Holland, Netherlands.
Esther R C JanssenDepartment of Orthopaedic Surgery, Viecuri Medical Centre, Venlo 5912 BL, Netherlands.
Sjoerd KaarsemakerDepartment of Orthopaedic Surgery, Viecuri Medisch Centrum, Venlo 5912 BL, Netherlands.
Daniël HaverkampDepartment of Orthopedic Surgery, Xpert Clinics Amsterdam, Amsterdam 1101EA, North-Holland, Netherlands. d.haverkamp@xpertclinics.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of uncemented cups during total hip arthroplasty (THA) has gained popularity in recent years. The Robert Mathys (RM) pressfit cup, an uncemented monoblock implant is expected to preserve bone density due to its composition and external surface, while reducing backside wear with its monoblock construction. These factors should lead to a high survival rate of the implant.

aimTo evaluate the mid-term survival and functional outcome of the RM Pressfit cup in a large study population.

methodsBetween 2011 and 2020, we included 1324 patients receiving a primary THA using the RM pressfit cup. Final clinical follow-up was performed at 2 years postoperatively with the Dutch arthroplasty register used to assess implant status thereafter. Revision for acetabular failure and reason for revision were reported to evaluate implant survival, while the hip disability and osteoarthritis outcome score (HOOS) scores were used to assess functional outcome.

resultsThe mean age at surgery was 64.9 years. The mean follow-up was 4.6 years. Of the 1324 THAs performed, 13 needed cup revisions within 5 years after index THA: 5 due to aseptic loosening, 6 due to infection, 2 due to dislocation and 2 due to other causes. This resulted in a 5-year cup survival of 98.8% (95%CI: 98.1-99.5). Nine of the cup revisions occurred within the first year after index THA. HOOS scores increased significantly in all domains during the first year and levelled out during the second year.

conclusionIn the present study, the RM pressfit cup demonstrated excellent clinical outcomes at mid-term follow-up; however, future studies are needed to assess the long-term outcomes of this acetabular implant.

Indexed as

Aseptic looseningCup revisionHip osteoarthritisPressfitTotal hip arthroplastyUncemented RM pressfit cup

Identifiers

PMID38994294
PMCPMC11235464

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