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Ceramic-on-ceramic articulation in press-fit total hip arthroplasty as a potential reason for early failure, what about the survivors: a ten year follow-up. / van Loon, J.; Vervest, A. M. J. S.; van der Vis, H. M. et al.

In: International orthopaedics, Vol. 45, No. 6, 06.2021, p. 1447-1454.

Research output: Contribution to journal › Article › Academic › peer-review

Harvard

van Loon, J, Vervest, AMJS, van der Vis, HM, Sierevelt, IN, Baas, DC, Opdam, KTM, Kerkhoffs, GMMJ & Haverkamp, D 2021, 'Ceramic-on-ceramic articulation in press-fit total hip arthroplasty as a potential reason for early failure, what about the survivors: a ten year follow-up', International orthopaedics, vol. 45, no. 6, pp. 1447-1454. https://doi.org/10.1007/s00264-020-04895-1

APA

van Loon, J., Vervest, A. M. J. S., van der Vis, H. M., Sierevelt, I. N., Baas, D. C., Opdam, K. T. M., Kerkhoffs, G. M. M. J., & Haverkamp, D. (2021). Ceramic-on-ceramic articulation in press-fit total hip arthroplasty as a potential reason for early failure, what about the survivors: a ten year follow-up. International orthopaedics, 45(6), 1447-1454. https://doi.org/10.1007/s00264-020-04895-1

Vancouver

van Loon J, Vervest AMJS, van der Vis HM, Sierevelt IN, Baas DC, Opdam KTM et al. Ceramic-on-ceramic articulation in press-fit total hip arthroplasty as a potential reason for early failure, what about the survivors: a ten year follow-up. International orthopaedics. 2021 Jun;45(6):1447-1454. Epub 2021. doi: 10.1007/s00264-020-04895-1

Author

van Loon, J. ; Vervest, A. M. J. S. ; van der Vis, H. M. et al. / Ceramic-on-ceramic articulation in press-fit total hip arthroplasty as a potential reason for early failure, what about the survivors: a ten year follow-up. In: International orthopaedics. 2021 ; Vol. 45, No. 6. pp. 1447-1454.

BibTeX

@article{02aa0305a8b54410abf7d41d36402769,
title = "Ceramic-on-ceramic articulation in press-fit total hip arthroplasty as a potential reason for early failure, what about the survivors: a ten year follow-up",
abstract = "Purpose: In press-fit total hip arthroplasty (THA), primary stability is needed to avoid micromotion and hereby aseptic loosening, the main reason for early revision. High aseptic loosening revision rates of the seleXys TH+ cup (Mathys Medical) with Ceramys ceramic-on-ceramic (CoC) bearing are seen in literature. Since CoC is presumed to overcome long-term wear-related revisions, the reason for early failure of this cup is important to clarify. The aim is to investigate its ten year outcomes and differentiate between potential causes and identify risk factors for aseptic loosening. Methods: Retrospective screening of a prospectively documented series of 315 THAs was performed. Primary outcome was cumulative incidence of cup revision due to aseptic loosening. Secondary outcomes were component revision and reoperation. Additionally, potential predictive factors for aseptic loosening were evaluated. Results: At the median follow-up of 9.7 years [IQR 4.4; 10.3], 48 TH+ (15.2%) were revised due to aseptic loosening. Competing risk analysis showed a ten year cumulative incidence of cup revision due to aseptic loosening of 15.6% (95% CI 12.0–20.2). Stabilization of early revision rates was observed, following a high rate of respectively 81.3% (n = 39) and 95.8% (n = 46) within the first two and three years. No significant predictive factors for aseptic loosening were found. Conclusion: The ten year results of seleXys TH+ cup with Ceramys CoC bearing showed an unacceptable high aseptic loosening rate, which stabilized over time after a high early failure incidence. This could be attributed to a problem with osseointegration during the transition of primary to definitive stability.",
keywords = "Aseptic loosening, Ceramic-on-ceramic, Early failure, Primary stability, Total hip arthroplasty",
author = "{van Loon}, J. and Vervest, {A. M. J. S.} and {van der Vis}, {H. M.} and Sierevelt, {I. N.} and Baas, {D. C.} and Opdam, {K. T. M.} and Kerkhoffs, {G. M. M. J.} and D. Haverkamp",
note = "Publisher Copyright: {\textcopyright} 2021, The Author(s).",
year = "2021",
month = jun,
doi = "10.1007/s00264-020-04895-1",
language = "English",
volume = "45",
pages = "1447--1454",
journal = "International orthopaedics",
issn = "0341-2695",
publisher = "Springer Verlag",
number = "6",

}

RIS

TY - JOUR

T1 - Ceramic-on-ceramic articulation in press-fit total hip arthroplasty as a potential reason for early failure, what about the survivors: a ten year follow-up

AU - van Loon, J.

AU - Vervest, A. M. J. S.

AU - van der Vis, H. M.

AU - Sierevelt, I. N.

AU - Baas, D. C.

AU - Opdam, K. T. M.

AU - Kerkhoffs, G. M. M. J.

AU - Haverkamp, D.

N1 - Publisher Copyright: © 2021, The Author(s).

PY - 2021/6

Y1 - 2021/6

N2 - Purpose: In press-fit total hip arthroplasty (THA), primary stability is needed to avoid micromotion and hereby aseptic loosening, the main reason for early revision. High aseptic loosening revision rates of the seleXys TH+ cup (Mathys Medical) with Ceramys ceramic-on-ceramic (CoC) bearing are seen in literature. Since CoC is presumed to overcome long-term wear-related revisions, the reason for early failure of this cup is important to clarify. The aim is to investigate its ten year outcomes and differentiate between potential causes and identify risk factors for aseptic loosening. Methods: Retrospective screening of a prospectively documented series of 315 THAs was performed. Primary outcome was cumulative incidence of cup revision due to aseptic loosening. Secondary outcomes were component revision and reoperation. Additionally, potential predictive factors for aseptic loosening were evaluated. Results: At the median follow-up of 9.7 years [IQR 4.4; 10.3], 48 TH+ (15.2%) were revised due to aseptic loosening. Competing risk analysis showed a ten year cumulative incidence of cup revision due to aseptic loosening of 15.6% (95% CI 12.0–20.2). Stabilization of early revision rates was observed, following a high rate of respectively 81.3% (n = 39) and 95.8% (n = 46) within the first two and three years. No significant predictive factors for aseptic loosening were found. Conclusion: The ten year results of seleXys TH+ cup with Ceramys CoC bearing showed an unacceptable high aseptic loosening rate, which stabilized over time after a high early failure incidence. This could be attributed to a problem with osseointegration during the transition of primary to definitive stability.

AB - Purpose: In press-fit total hip arthroplasty (THA), primary stability is needed to avoid micromotion and hereby aseptic loosening, the main reason for early revision. High aseptic loosening revision rates of the seleXys TH+ cup (Mathys Medical) with Ceramys ceramic-on-ceramic (CoC) bearing are seen in literature. Since CoC is presumed to overcome long-term wear-related revisions, the reason for early failure of this cup is important to clarify. The aim is to investigate its ten year outcomes and differentiate between potential causes and identify risk factors for aseptic loosening. Methods: Retrospective screening of a prospectively documented series of 315 THAs was performed. Primary outcome was cumulative incidence of cup revision due to aseptic loosening. Secondary outcomes were component revision and reoperation. Additionally, potential predictive factors for aseptic loosening were evaluated. Results: At the median follow-up of 9.7 years [IQR 4.4; 10.3], 48 TH+ (15.2%) were revised due to aseptic loosening. Competing risk analysis showed a ten year cumulative incidence of cup revision due to aseptic loosening of 15.6% (95% CI 12.0–20.2). Stabilization of early revision rates was observed, following a high rate of respectively 81.3% (n = 39) and 95.8% (n = 46) within the first two and three years. No significant predictive factors for aseptic loosening were found. Conclusion: The ten year results of seleXys TH+ cup with Ceramys CoC bearing showed an unacceptable high aseptic loosening rate, which stabilized over time after a high early failure incidence. This could be attributed to a problem with osseointegration during the transition of primary to definitive stability.

KW - Aseptic loosening

KW - Ceramic-on-ceramic

KW - Early failure

KW - Primary stability

KW - Total hip arthroplasty

UR - http://www.scopus.com/inward/record.url?scp=85100203471&partnerID=8YFLogxK

U2 - 10.1007/s00264-020-04895-1

DO - 10.1007/s00264-020-04895-1

M3 - Article

C2 - 33459828

VL - 45

SP - 1447

EP - 1454

JO - International orthopaedics

JF - International orthopaedics

SN - 0341-2695

IS - 6

ER -

ID: 15596691