Evidence map›Paper›PMID 39331068›Full record

ArticleInternational orthopaedics2024

Age, activity, and native femoral offset are associated with articular noise in ceramic on ceramic total hip arthroplasty (THA) with custom stems.

Idriss Tourabaly, Cyril Courtin, Elodie Baraduc, ReSurg, Alexis Nogier

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Article in International orthopaedics, 2024. 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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1 · What the graph read from it

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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

5 authors.

Idriss TourabalyService de Chirurgie Orthopédique, Clinique Maussins-Nollet, Ramsay Santé, Rue de Romainville 67, 75019, Paris, France.
Cyril CourtinService de Chirurgie Orthopédique, Clinique Trenel, Rue du Dr Trenel 575, 69560, Sainte-Colombe, France.
Elodie BaraducService de Chirurgie Orthopédique, Clinique Maussins-Nollet, Ramsay Santé, Rue de Romainville 67, 75019, Paris, France.
ReSurg
Alexis NogierService de Chirurgie Orthopédique, Clinique Maussins-Nollet, Ramsay Santé, Rue de Romainville 67, 75019, Paris, France. submissions@resurg.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo report the prevalence of articular noise following total hip arthroplasty (THA) with custom stems and ceramic-on-ceramic (CoC) bearings, to determine the risk factors for articular noise, and the effect of articular noise on quality of life (QoL).

methodsA consecutive series of uncemented primary THAs using custom stems implanted between 01/02/ 2014-01/04/2017 were evaluated. The cohort comprised 479 patients (529 hips, 301 males and 228 females), aged 55.9 ± 11.6 with a BMI of 25.8 ± 4.3 kg/m

resultsAt a minimum follow-up of five years, 431 patients (476 hips) were available for postoperative assessment. OHS was 45.3 ± 6.1, FJS was 83.6 ± 24.7, and 69 patients (71 hips, 15%) reported articular noise. The impact of noise on QoL was 1.4 ± 2.1. Multivariable analyses confirmed that the presence of articular noise was associated with younger age (OR,0.95; 95%CI,0.93-0.97; p < 0.001), smaller native femoral offset (OR, 0.95; 95%CI,0.90-1.00;p = 0.034), as well as intense (OR, 3.15; 95%CI, 1.15-9.79; p = 0.033) and very intense physical activity (OR, 4.71; 95%CI, 1.52-16.15; p = 0.009).

conclusionThe prevalence of articular noise following primary THA with custom stems and CoC bearings was 15%, but the impact of noise on QoL was minimal for most patients. Younger, highly active patients should be advised of an increased likelihood of noise from CoC THA, particularly if they have low native femoral offset on preoperative imaging.

Indexed as

Arthroplasty, Replacement, HipCeramicsHip ProsthesisNoiseProsthesis DesignQuality of LifeAdultAgedAge FactorsFemaleFemurHip JointHumansMaleMiddle AgedPostoperative ComplicationsArticular noiseCeramic-on-ceramicCustom stemQuality of lifeTHATotal hip arthroplasty

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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.