Comparative Study of Peripheral Rim Fixation Using Jumbo Cup in Revisional Hip Arthroplasty.
OBJECTIVE
It is challenging procedure to revise acetabular component in acetabulum with severe bone defect or deformity. The jumbo cup is good option for revisional arthroplasty in large bone defect. The purpose of this study is to compare the prognosis of revisional total hip arthroplasty using jumbo cup with peripheral rim fixation and no rim fixation.


METHODS
We included the patients who had performed acetabular revisional total hip arthroplasty from January 2002 to March 2015 in our institute. Total of 51 hips (51 patients) were included. The mean follow up period was 51 months (range, 12 to 154 months) and mean age was 60.7 years (range, 30 to 81 years). We divided into two groups (peripheral rim fixation group and no rim fixation group) by anteroposterior and lateral plain radiograph. We compared survival rate, hip center change and clinical outcomes between two groups.


RESULTS
There were 37 patients in peripheral rim fixation group and 14 patients in no rim fixation group. There was one patient who had aseptic loosening necessary to re-revision in rim fixation group and 3 patients in no rim fixation group. And one patient had superficial infection in rim fixation group and one patient had periprosthetic fracture in no rim fixation group. Survival rate was higher in the peripheral rim fixation group (97.3%) than no rim fixation group (78.6%,P=0.028).


CONCLUSIONS
Based on our findings, peripheral rim fixation might be recommended to improve short-term outcome after revision total hip arthroplasty using jumbo cup.
Department of Orthopaedic Surgery, The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul, Korea.
Woo-Lam
WL
Jo
Department of Orthopaedic Surgery, The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul, Korea.
Young-Wook
YW
Lim
Department of Orthopaedic Surgery, Gyeongsang National University Changwon Hospital, Changwon, Korea.
Jin-Hyung
JH
Im
Department of Orthopaedic Surgery, The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul, Korea.
Seung-Chan
SC
Kim
Department of Orthopaedic Surgery, The Catholic University of Korea, Yeoeuido St. Mary's Hospital, Seoul, Korea.
Soon-Yong
SY
Kwon
Department of Orthopaedic Surgery, The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul, Korea.
Yong-Sik
YS
Kim
Cementless; Jumbo cup; Peripheral rim fixation; Revisional arthroplasty