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International Orthopaedics
Published in: International Orthopaedics 7/2012

01-07-2012 | Original Paper

Total hip replacement in developmental dysplasia using an oval-shaped cementless press-fit cup

Authors: Boris M. Holzapfel, Felix Greimel, Peter M. Prodinger, Hakan Pilge, Ulrich Nöth, Hans Gollwitzer, Maximilian Rudert

Published in: International Orthopaedics | Issue 7/2012

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Abstract

Purpose

Acetabular roof deficiency due to subluxation of the femoral head (Hartofilakidis type II) increases the complexity of total hip arthroplasty. In these cases some form of support is usually required, to reach stable fixation of the acetabular component. Pursuing this aim, the oval-shaped cementless cranial socket could be an alternative to conventional treatment options.

Methods

Between 1998 and 2008, 37 patients (40 hips) underwent primary total hip arthroplasty using the cranial socket (mean follow-up 5.6 years, range 26 to 133 months). In a retrospective study we compared these clinical and radiological results with the results of a matched control group consisting of 35 patients (40 hips) treated with a standard cementless hemispherical cup in combination with bulk femoral autografting (mean follow-up 6.9 years, range 30 to 151 months).

Results

There were no statistically significant differences in the HHS (p = 0.205) or the SF-36 (p = 0.26) between both groups. There was no prosthesis failure due to septic or aseptic loosening. Time of surgery was significantly shorter in the cranial socket group (p < 0.001). The acetabular component could be placed in the ideal rotational hip centre in 24 (60%) hips in the cranial socket group and 32 (80%) hips in the control group, respectively.

Conclusions

Our study indicates, that the cranial socket can be an alternative treatment option for the reconstruction of acetabular deficiency in osteoarthritis secondary to developmental dysplasia.
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Metadata
Title
Total hip replacement in developmental dysplasia using an oval-shaped cementless press-fit cup
Authors
Boris M. Holzapfel
Felix Greimel
Peter M. Prodinger
Hakan Pilge
Ulrich Nöth
Hans Gollwitzer
Maximilian Rudert
Publication date
01-07-2012
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 7/2012
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-012-1510-0

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