Abstract
Past reports showed good mid-term results of RHA for Japanese patients. However, few reports have compared the mid- to long-term results for RHA in Japanese patients with and without osteoarthritis. Therefore, this study investigated the mid- to long-term results of RHA in Japanese patients with osteoarthritis compared to those without. We conducted a retrospective review of a consecutive series of 92 hips in 80 patients (59 men and 21 women). The minimum follow-up period was 5 years. The JOA hip scoring system was used to clinically evaluate hip function. In the radiological assessment, stem–shaft angle, inclination of the acetabular component, postoperative complications, and adverse reactions around RHA were evaluated. The 10-year survival rate using the Kaplan–Meier method was investigated to compare patients with and without osteoarthritis. A significant difference was observed between the preoperative and postoperative JOA hip scores of either group. Also, the radiological assessment revealed no significant changes in either group. All three revision THAs were performed on patients in the only non-osteoarthritis group. In the osteoarthritis group, the 10-year survival rate was 94% (95% CI 81.8–100) in males and 100% (95% CI 100) for females; in the non-osteoarthritis group, the rate was 80% (95% CI 55.1–100) in males and 66.7% (95% CI 13.3–100) for females. In conclusion, this study showed good mid- to long-term clinical results for young Japanese osteoarthritis patients, with less satisfactory mid- to long-term results in patients without osteoarthritis.
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Devane PA, Wraighte PJ, Ong DCG. Do joint registries report true rates of hip dislocation? Clin Orthop Relat Res. 2012;470:3003–6.
Yoo JJ, Kim YM, Yoon KS, Koo KH, Song WS, Kim HJ. Alumina-on-alumina total hip arthroplasty. A 5-year minimum follow-up study. J Bone Joint Surg Am. 2005;87:530–5.
Shimmin A, Beaulé PE, Campbell P. Metal-on-metal hip resurfacing arthroplasty. J Bone Joint Surg Am. 2008;90:637–54.
Carrothers AD, Gilbert RE, Jaiswal A, Richardson JB. Birmingham hip resurfacing: the prevalence of failure. J Bone Joint Surg Br. 2010;92:1344–50.
Corten K, MacDonald SJ. Hip resurfacing data from national joint registries: what do they tell us? What do they not tell us? Clin Orthop Relat Res. 2010;468:351–7.
Seppänen M, Karvonen M, Virolainen P, Remes V, Pulkkinen P, Eskelinen A, et al. Poor 10-year survivorship of hip resurfacing arthroplasty. Acta Orthop. 2016;87:554–9.
Amstutz HC, Le Duff MJ. Hip resurfacing for osteonecrosis: 2- to 18-year results of the Conserve Plus design and technique. Bone Joint J. 2016;298-B:901–9.
Nishi T, Sugano N, Miki H, Takao M, Koyama T, Yoshikawa H. Five-year results of metal-on-metal resurfacing arthroplasty in Asian patients. J Arthroplasty. 2007;22:176–83.
Sugano N, Atsumi T, Ohzono K, Kubo T, Hotokebuchi T, TakaokaK. The 2001 revised criteria for diagnosis, classification, and staging of idiopathic osteonecrosis of the femoral head. J Orthop Sci. 2002;7:601–5.
Shima Y. Standard for evaluation of osteoarthritis of the hip. Nippon Seiekeigekagakkai Zasshi. 1971;45:813–33. (in Japanese).
Hauptfleisch J, Pandit H, Grammatopoulos G, Gill HS, Murray DW, Ostlere S. A MRI classification of periprosthetic soft tissue masses (pseudotumours) associated with metal-on-metal resurfacing hip arthroplasty. Skeletal Radiol. 2012;41:149–55.
Amstutz HC, Le Duff MJ. Hip resurfacing results for osteonecrosis are as good as for other etiologies at 2–12 years. Clin Orthop Relat Res. 2010;468:375–81.
McMinn DJ, Daniel J, Ziaee H, Pradhan C. Indications and results of hip resurfacing. Int Orthop. 2011;35:231–7.
Amstutz HC, Campbell PA, Le Duff MJ. Fracture of the neck of the femur after surface arthroplasty of the hip. J Bone Joint Surg Am. 2004;86-A:1874–7.
Macpherson GJ, Breusch SJ. Metal-on-metal hip resurfacing: a critical review. Arch Orthop Trauma Surg. 2011;131:101–10.
Khan M, Kuiper JH, Edwards D, Robinson E, Richardson JB. Birmingham hip arthroplasty: five to eight years of prospective multicenter results. J Arthroplasty. 2009;24:1044–50.
Beaulé PE, Lee JL, Le Duff MJ, Amstutz HC, Ebramzadeh E. Orientation of the femoral component in surface arthroplasty of the hip. A biomechanical and clinical analysis. J Bone Joint Surg Am. 2004;86-A:2015–21.
Zustin J, Sauter G, Morlock MM, Rüther W, Amling M. Association of osteonecrosis and failure of hip resurfacing arthroplasty. Clin Orthop Relat Res. 2010;468:756–61.
Campbell P, Beaulé PE, Ebramzadeh E, Le Duff MJ, De Smet K, Lu Z, et al. The John Charnley Award: a study of implant failure in metal-on-metal surface arthroplasties. Clin Orthop Relat Res. 2006;453:35–46.
Chalmers BP, Tibbo ME, Trousdale RT, Lewallen DG, Berry DJ, Abdel MP. Primary total hip arthroplasty for charcot arthropathy is associated with high complications but improved clinical outcomes. J Arthroplasty. 2018;33(9):2912–8. https://doi.org/10.1016/j.arth.2018.04.002.
Pandit H, Glyn-Jones S, McLardy-Smith P, Gundle R, Whitwell D, Gibbons CL, et al. Pseudotumours associated with metal-on-metal hip resurfacings. J Bone Joint Surg Br. 2008;90:847–51.
Canadian Hip Resurfacing Study Group. A survey on the prevalence of pseudotumors with metal-on-metal hip resurfacing in Canadian academic centers. J Bone Joint Surg Am. 2011;93:118–21.
Glyn-Jones S, Pandit H, Kwon YM, Doll H, Gill HS, Murray DW. Risk factors for inflammatory pseudotumour formation following hip resurfacing. J Bone Joint Surg Br. 2009;91:1566–74.
Langton DJ, Jameson SS, Joyce TJ, Webb J, Nargol AV. The effect of component size and orientation on the concentrations of metal ions after resurfacing arthroplasty of the hip. J Bone Joint Surg Br. 2008;90:1143–51.
Lombardi AV Jr, Barrack RL, Berend KR, Cuckler JM, Jacobs JJ, Mont MA, et al. The Hip Society: algorithmic approach to diagnosis and management of metal-on-metal arthroplasty. J Bone Joint Surg Br. 2012;94:14–8.
Sugano N, Iida H, Akiyama H, Takatori Y, Nagoya S, Hasegawa M, et al. Nationwide investigation into adverse tissue reactions to metal debris after metal-on-metal total hip arthroplasty in Japan. J Orthop Sci. 2014;19:85–9.
Macnair RD, Wynn-Jones H, Wimhurst JA, Toms A, Cahir J. Metal ion levels not sufficient as a screening measure for adverse reactions in metal-on-metal hip arthroplasties. J Arthroplasty. 2013;28:78–83.
Chang EY, McAnally JL, Van Horne JR, Van Horne JG, Wolfson T, Gamst A, et al. Relationship of plasma metal ions and clinical and imaging findings in patients with ASR XL metal-on-metal total hip replacements. J Bone Joint Surg Am.;95:2015–20.
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Inoue, D., Kabata, T., Kajino, Y. et al. Mid- to long-term results of resurfacing hip arthroplasty in Japanese patients: a comparison of osteoarthritic vs non-osteoarthritic patients. J Artif Organs 22, 77–83 (2019). https://doi.org/10.1007/s10047-018-1077-7
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DOI: https://doi.org/10.1007/s10047-018-1077-7