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Published in: International Orthopaedics 10/2012

01-10-2012 | Original Paper

The cartilage degeneration and joint motion of bipolar hemiarthroplasty

Authors: Yee-Suk Kim, Young-Ho Kim, Kyu-Tae Hwang, Il-Yong Choi

Published in: International Orthopaedics | Issue 10/2012

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Abstract

Purpose

The outcomes of bipolar hemiarthoplasty for osteonecrosis of femoral head have been disappointing due to cartilage degeneration and osteolysis. We investigated the cartilage degeneration, joint motion, and factors associated with osteolysis.

Methods

We retrospectively reviewed 134 bipolar hemiarthroplasties. The wear rate of acetabular cartilage was calculated. The ranges of motion of outer bearing and inner bearing were determined, and the ratio (O/I ratio) was calculated.

Results

The mean degeneration rate of acetabular cartilage was 0.34 ± 0.35 mm/year. We could observe that the outer bearing motion was dominant, but decreased over time. In addition, the degeneration rate of cartilage and the decline rate of outer bearing motion of the osteolysis group were significantly higher than those of the control group.

Conclusions

Close observation is needed in cases of high degeneration rate of cartilage and rapid decline of outer bearing motion due to possibility of osteolysis.
Literature
1.
go back to reference Bateman JE (1974) Single-assembly total hip prosthesis—preliminary report. Orthop Digest 2:15–22 Bateman JE (1974) Single-assembly total hip prosthesis—preliminary report. Orthop Digest 2:15–22
2.
go back to reference Giliberty RP (1974) A new concept of a bipolar endoprosthesis. Orthop Rev 3:40–45 Giliberty RP (1974) A new concept of a bipolar endoprosthesis. Orthop Rev 3:40–45
3.
go back to reference Hedbeck CJ, Blomfeldt R, Lapidus G, Tornkvist H, Ponzer S, Tidermark J (2011) Unipolar hemiarthroplasty versus bipolar hemiarthroplasty in the most elderly patients with displaced femoral neck fractures: a randomised, controlled trial. Int Orthop 35:1703–1711. doi:10.1007/s00264-011-1213-y PubMedCrossRef Hedbeck CJ, Blomfeldt R, Lapidus G, Tornkvist H, Ponzer S, Tidermark J (2011) Unipolar hemiarthroplasty versus bipolar hemiarthroplasty in the most elderly patients with displaced femoral neck fractures: a randomised, controlled trial. Int Orthop 35:1703–1711. doi:10.​1007/​s00264-011-1213-y PubMedCrossRef
4.
go back to reference Muraki M, Sudo A, Hasegawa M, Fukuda A, Uchida A (2008) Long-term results of bipolar hemiarthroplasty for osteoarthritis of the hip and idiopathic osteonecrosis of the femoral head. J Orthop Sci 13:313–317. doi:10.1007/s00776-008-1238-2 PubMedCrossRef Muraki M, Sudo A, Hasegawa M, Fukuda A, Uchida A (2008) Long-term results of bipolar hemiarthroplasty for osteoarthritis of the hip and idiopathic osteonecrosis of the femoral head. J Orthop Sci 13:313–317. doi:10.​1007/​s00776-008-1238-2 PubMedCrossRef
5.
go back to reference Drinker H, Murray WR (1979) The universal proximal femoral endoprosthesis. A short-term comparison with conventional hemiarthroplasty. J Bone Joint Surg Am 61:1167–1174PubMed Drinker H, Murray WR (1979) The universal proximal femoral endoprosthesis. A short-term comparison with conventional hemiarthroplasty. J Bone Joint Surg Am 61:1167–1174PubMed
6.
go back to reference Enocson A, Hedbeck CJ, Tornkvist H, Tidermark J, Lapidus LJ (2012) Unipolar versus bipolar Exeter hip hemiarthroplasty: a prospective cohort study on 830 consecutive hips in patients with femoral neck fractures. Int Orthop 36:711–717. doi:10.1007/s00264-011-1326-3 PubMedCrossRef Enocson A, Hedbeck CJ, Tornkvist H, Tidermark J, Lapidus LJ (2012) Unipolar versus bipolar Exeter hip hemiarthroplasty: a prospective cohort study on 830 consecutive hips in patients with femoral neck fractures. Int Orthop 36:711–717. doi:10.​1007/​s00264-011-1326-3 PubMedCrossRef
7.
go back to reference Madanat R, Makinen TJ, Ovaska MT, Soiva M, Vahlberg T, Haapala J (2011) Dislocation of hip hemiarthroplasty following posterolateral surgical approach: a nested case–control study. Int Orthop. doi:10.1007/s00264-011-1353-0 Madanat R, Makinen TJ, Ovaska MT, Soiva M, Vahlberg T, Haapala J (2011) Dislocation of hip hemiarthroplasty following posterolateral surgical approach: a nested case–control study. Int Orthop. doi:10.​1007/​s00264-011-1353-0
8.
go back to reference Orwin JF, Fisher RC, Wiedel JD (1991) Use of the uncemented bipolar endoprosthesis for the treatment of steroid-induced osteonecrosis of the hip in renal transplantation patients. J Arthroplast 6:1–9CrossRef Orwin JF, Fisher RC, Wiedel JD (1991) Use of the uncemented bipolar endoprosthesis for the treatment of steroid-induced osteonecrosis of the hip in renal transplantation patients. J Arthroplast 6:1–9CrossRef
9.
go back to reference Cabanela ME (1990) Bipolar versus total hip arthroplasty for avascular necrosis of the femoral head. A comparison. Clin Orthop Relat Res 261:59–62PubMed Cabanela ME (1990) Bipolar versus total hip arthroplasty for avascular necrosis of the femoral head. A comparison. Clin Orthop Relat Res 261:59–62PubMed
10.
go back to reference Ito H, Matsuno T, Kaneda K (2000) Bipolar hemiarthroplasty for osteonecrosis of the femoral head. A 7- to 18-year followup. Clin Orthop Relat Res 374:201–211PubMedCrossRef Ito H, Matsuno T, Kaneda K (2000) Bipolar hemiarthroplasty for osteonecrosis of the femoral head. A 7- to 18-year followup. Clin Orthop Relat Res 374:201–211PubMedCrossRef
11.
go back to reference Hubbard MJ (1969) The measurement of progression in protrusio acetabuli. Am J Roentgenol Radium Ther Nucl Med 106:506–508PubMed Hubbard MJ (1969) The measurement of progression in protrusio acetabuli. Am J Roentgenol Radium Ther Nucl Med 106:506–508PubMed
12.
go back to reference Gruen TA, McNeice GM, Amstutz HC (1979) “Modes of failure” of cemented stem-type femoral components: a radiographic analysis of loosening. Clin Orthop Relat Res 141:17–27PubMed Gruen TA, McNeice GM, Amstutz HC (1979) “Modes of failure” of cemented stem-type femoral components: a radiographic analysis of loosening. Clin Orthop Relat Res 141:17–27PubMed
13.
go back to reference Engh CA, Massin P, Suthers KE (1990) Roentgenographic assessment of the biologic fixation of porous-surfaced femoral components. Clin Orthop Relat Res 257:107–128PubMed Engh CA, Massin P, Suthers KE (1990) Roentgenographic assessment of the biologic fixation of porous-surfaced femoral components. Clin Orthop Relat Res 257:107–128PubMed
14.
go back to reference Bochner RM, Pellicci PM, Lyden JP (1988) Bipolar hemiarthroplasty for fracture of the femoral neck. Clinical review with special emphasis on prosthetic motion. J Bone Joint Surg Am 70:1001–1010PubMed Bochner RM, Pellicci PM, Lyden JP (1988) Bipolar hemiarthroplasty for fracture of the femoral neck. Clinical review with special emphasis on prosthetic motion. J Bone Joint Surg Am 70:1001–1010PubMed
15.
go back to reference Kaplan EL, Meier P (1958) Nonparametric estimation from incomplete observations. J Am Stat Assoc 53:457–481CrossRef Kaplan EL, Meier P (1958) Nonparametric estimation from incomplete observations. J Am Stat Assoc 53:457–481CrossRef
16.
go back to reference Yamamuro T, Ueo T, Okumura H, Iida H, Hamamoto T (1990) Five-year results of bipolar arthroplasty with bone grafts and reamed acetabula for osteoarthritis in young adults. Clin Orthop Relat Res 251:75–81PubMed Yamamuro T, Ueo T, Okumura H, Iida H, Hamamoto T (1990) Five-year results of bipolar arthroplasty with bone grafts and reamed acetabula for osteoarthritis in young adults. Clin Orthop Relat Res 251:75–81PubMed
17.
go back to reference Takaoka K, Nishina T, Ohzono K, Saito M, Matsui M, Sugano N, Saito S, Kadowaki T, Ono K (1992) Bipolar prosthetic replacement for the treatment of avascular necrosis of the femoral head. Clin Orthop Relat Res 277:121–127PubMed Takaoka K, Nishina T, Ohzono K, Saito M, Matsui M, Sugano N, Saito S, Kadowaki T, Ono K (1992) Bipolar prosthetic replacement for the treatment of avascular necrosis of the femoral head. Clin Orthop Relat Res 277:121–127PubMed
18.
go back to reference Burton P, Prieskorn D, Smith R, Page BJn, Swienckowski J (1994) Component motion in bipolar hip arthroplasty: an evaluation of reamed and non-reamed acetabula. Orthopedics 17:319–324PubMed Burton P, Prieskorn D, Smith R, Page BJn, Swienckowski J (1994) Component motion in bipolar hip arthroplasty: an evaluation of reamed and non-reamed acetabula. Orthopedics 17:319–324PubMed
19.
go back to reference Cruess RL, Kwok DC, Duc PN, Lecavalier MA, Dang GT (1984) The response of articular cartilage to weight-bearing against metal. A study of hemiarthroplasty of the hip in the dog. J Bone Joint Surg Br 66:592–597PubMed Cruess RL, Kwok DC, Duc PN, Lecavalier MA, Dang GT (1984) The response of articular cartilage to weight-bearing against metal. A study of hemiarthroplasty of the hip in the dog. J Bone Joint Surg Br 66:592–597PubMed
20.
go back to reference Minihane KP, Turner TM, Urban RM, Williams JM, Thonar EJ, Sumner DR (2005) Effect of hip hemiarthroplasty on articular cartilage and bone in a canine model. Clin Orthop Relat Res 437:157–163PubMedCrossRef Minihane KP, Turner TM, Urban RM, Williams JM, Thonar EJ, Sumner DR (2005) Effect of hip hemiarthroplasty on articular cartilage and bone in a canine model. Clin Orthop Relat Res 437:157–163PubMedCrossRef
21.
go back to reference Eckstein F, von Eisenhart-Rothe R, Landgraf J, Adam C, Loehe F, Müller-Gerbl M, Putz R (1997) Quantitative analysis of incongruity, contact areas and cartilage thickness in the human hip joint. Acta Anat (Basel) 158:192–204CrossRef Eckstein F, von Eisenhart-Rothe R, Landgraf J, Adam C, Loehe F, Müller-Gerbl M, Putz R (1997) Quantitative analysis of incongruity, contact areas and cartilage thickness in the human hip joint. Acta Anat (Basel) 158:192–204CrossRef
23.
24.
go back to reference Vazquez-Vela E, Vazquez-Vela G (1990) Acetabular reaction to the Bateman bipolar prosthesis. Clin Orthop Relat Res 251:87–91PubMed Vazquez-Vela E, Vazquez-Vela G (1990) Acetabular reaction to the Bateman bipolar prosthesis. Clin Orthop Relat Res 251:87–91PubMed
25.
go back to reference Mess D, Barmada R (1990) Clinical and motion studies of the Bateman bipolar prosthesis in osteonecrosis of the hip. Clin Orthop Relat Res 251:44–47PubMed Mess D, Barmada R (1990) Clinical and motion studies of the Bateman bipolar prosthesis in osteonecrosis of the hip. Clin Orthop Relat Res 251:44–47PubMed
26.
go back to reference Giliberty RP (1983) Hemiarthroplasty of the hip using a low-friction bipolar endoprosthesis. Clin Orthop Relat Res 175:86–92PubMed Giliberty RP (1983) Hemiarthroplasty of the hip using a low-friction bipolar endoprosthesis. Clin Orthop Relat Res 175:86–92PubMed
Metadata
Title
The cartilage degeneration and joint motion of bipolar hemiarthroplasty
Authors
Yee-Suk Kim
Young-Ho Kim
Kyu-Tae Hwang
Il-Yong Choi
Publication date
01-10-2012
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 10/2012
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-012-1567-9

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