Metal-on-metal cups cemented into reinforcement rings: a possible new acetabular reconstruction procedure for young and active patients.
The purpose of this study was to evaluate the clinical and radiological results of Metasul cups cemented into reinforcement rings for young and active patients. Twenty-three total hip arthroplasties with Metasul cups were cemented into Muller reinforcement rings. Mean follow-up was 6.1 years (5-10). At final follow-up, the Harris hip score increased from 62.2 (39-85) to 95.2 (84-100, P = .01): no revision was undertaken for aseptic loosening or fixation failure. Considering reoperation and bearing revision as end points, survival rates were 95.8% and 100%, respectively. The mean blood concentrations of chromium, cobalt, and titanium were 1.85 μg/L, 1.24 μg/L, and 9.62 μg/L, respectively. A longer follow-up is mandatory, but it seems possible to use hard-on-hard bearings with metallic rings in young patients during hip revisions or in dysplastic cases with encouraging intermediate follow-up results.
Girard
Julien
J
Division of Orthopaedic Surgery, Lille Universitary Hospital, Avenue Oscar Lambret, 59037 Lille, France.
Combes
Antoine
A
Herent
Stephane
S
Migaud
Henri
H
D000077:Acetabulum / Q000000981:diagnostic imaging / Q000601:surgery*; D000328:Adult; D001172:Arthritis, Rheumatoid / Q000601:surgery; D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation*; D001843:Bone Cements; D005260:Female; D005500:Follow-Up Studies; D006618:Hip Dislocation, Congenital / Q000601:surgery; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008670:Metals; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000601:surgery; D010014:Osteolysis / Q000601:surgery; D011474:Prosthesis Design; D011475:Prosthesis Failure; D011859:Radiography; D012086:Reoperation; D012189:Retrospective Studies; D016896:Treatment Outcome
D001843:Bone Cements; D008670:Metals