A retrospective study on the application of cemented polyethylene liner technique in hip revision_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

LI Zhichen ¹ ,  LU Weijie ¹ , ZHAO Jie ² , CHEN Yi ¹ , CHEN Dongfeng ¹ , ZHENG Chong ¹

1. Department of Orthopedics, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou Guangdong, 510120, P.R.China;
2. College of Health Science, Guangdong Pharmaceutical University, Guangzhou Guangdong, 510224, P.R.China;

Corresponding author：

LU Weijie, Email: 13902280296@139.com

Keywords：

Total hip arthroplasty; hip revision; cemented polyethylene liner technique

DOI：

10.7507/1002-1892.201803071

Video：

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ObjectiveTo evaluate the effectiveness of cemented polyethylene liner technique in hip revision.MethodsBased on inclusion criteria, the clinical data of 26 patients who were undergone hip revision between January 2011 and December 2013, were retrospectively reviewed. Among them, 14 cases were treated with isolated liner exchange (group A) and 12 cases were treated with cemented polyethylene liner technique (group B). There was no significant difference in gender, age, the time from primary total hip arthroplasty to revision, and the preoperative Harris score between 2 groups (P>0.05). The post-operative Harris score and complications were compared between 2 groups, and X-ray findings of the hip joint were recorded to review the position of hip components.ResultsAll patients were followed up 4.4-6.4 years (mean, 5.4 years). Except for two femoral fractures during the revision (1 in each group), there was no other complication in 2 groups. The hip pain relieved and the lame gait corrected in 2 groups. The hip’s function of 2 groups improved gradually after operation, with a better Harris score at 3 months and the best at last follow-up, compared with preoperative scores (P<0.05). There was no significant difference in Harris score at difference time points after operation between 2 group (P>0.05). X-ray films showed no dislocation, aseptic loosening, and other interface related complication.ConclusionFor the cases without the chance to do change liner, cemented polyethylene liner technique has a good effectiveness. But restrict patient selection should be considered before hip revision.

Citation： LI Zhichen, LU Weijie, ZHAO Jie, CHEN Yi, CHEN Dongfeng, ZHENG Chong. A retrospective study on the application of cemented polyethylene liner technique in hip revision. Chinese Journal of Reparative and Reconstructive Surgery, 2018, 32(9): 1157-1161. doi: 10.7507/1002-1892.201803071 Copy

1.	Martin CT, Callaghan JJ, Gao Y, et al. What can we learn from 20-year followup studies of hip replacement? Clin Orthop Relat Res, 2016, 474(2): 402-407.
2.	Atrey A, Ward SE, Khoshbin A, et al. Ten-year follow-up study of three alternative bearing surfaces used in total hip arthroplasty in young patients: a prospective randomised controlled trial. Bone Joint J, 2017, 99-B(12): 1590-1595.
3.	Koyano G, Jinno T, Koga D, et al. Comparison of bone remodeling between an anatomic short stem and a straight stem in 1-stage bilateral total hip arthroplasty. J Arthroplasty, 2017, 32(2): 594-600.
4.	Delaunay CP, Putman S, Puliéro B, et al. Cementless total hip arthroplasty with metasul bearings provides good results in active young patients: A concise followup. Clin Orthop Relat Res, 2016, 474(10): 2126-2133.
5.	Stambough JB, Pashos G, Bohnenkamp FC, et al. Long-term results of total hip arthroplasty with 28-millimeter cobalt-chromium femoral heads on highly cross-linked polyethylene in patients 50 years and less. J Arthroplasty, 2016, 31(1): 162-167.
6.	Pisecky L, Hipmair G, Schauer B, et al. 30-years of experience with the cementless implanted Alloclassic total hip arthroplasty system-An ultra-long-term follow-up. J Orthop, 2018, 15(1): 18-23.
7.	Jacquot L, Bonnin MP, Machenaud A, et al. Clinical and radiographic outcomes at 25-30 years of a hip stem fully coated with hydroxylapatite. J Arthroplasty, 2018, 33(2): 482-490.
8.	Abdel M, von Roth P, Jennings M, et al. What safe zone? The vast majority of dislocated THAs are within the lewinnek safe zone for acetabular component position Clin Orthop Relat Res, 2016, 474(2): 386-391.
9.	Vadei L, Kieser DC, Frampton C, et al. Survivorship of total hip joint replacements following isolated liner exchange for wear. J Arthroplasty, 2017, 32(11): 3484-3487.
10.	卢伟杰, 李之琛, 陈艺, 等. 骨水泥聚乙烯内衬固定技术的生物力学研究. 中华骨与关节外科杂志, 2015, 8(4): 348-351.
11.	Kummer FJ, Adams MC, Dicesare PE. Revision of polyethylene acetabular liners with a cemented polyethylene cup: a laboratory study. J Arthroplasty, 2002, 17(8): 1055-1057.
12.	Mauerhan DR, Peindl RD, Coley ER, et al. Cementation of polyethylene liners into well-fixed metal shells at the time of revision total hip arthroplasty. J Arthroplasty, 2008, 23(6): 873-878.
13.	Kurdziel MD, Ennin KA, Baker KC, et al. Increasing liner anteversion decreases the interfacial strength of polyethylene liners cemented into titanium-alloy acetabular shells. J Arthroplasty, 2016, 31(12): 2922-2925.
14.	Blom A, Astle L, Loveridge J, et al. Revision of an acetabular liner has a high risk of dislocation. J Bone Joint Surg (Br), 2005, 87(12): 1636-1638.
15.	Mohaddes M, Garellick G, Kärrholm J. Method of fixation does not influence the overall risk of rerevision in first-time cup revisions. Clin Orthop Relat Res, 2013, 471(12): 3922-3931.
16.	Tan TL, Le Duff MJ, Ebramzadeh E, et al. Long-term outcomes of liner cementation into a stable retained shell: A concise follow-up of a previous report. J Bone Joint Surg (Am), 2015, 97(11): 920-924.
17.	Beaulé P, Ebramzadeh E, Le Duff M, et al. Cementing a liner into a stable cementless acetabular shell: the double-socket technique. J Bone Joint Surg (Am), 2004, 86(5): 929-934.
18.	Wang JP, Chen WM, Chen CF, et al. Cementation of cross-linked polyethylene liner into well-fixed acetabular shells: mean 6-year follow-up study. J Arthroplasty, 2010, 25(3): 420-424.
19.	Stamenkov R, Neale SD, Kane T, et al. Cemented liner exchange with bone grafting halts the progression of periacetabular osteolysis. J Arthroplasty, 2014, 29(4): 822-826.

1. Martin CT, Callaghan JJ, Gao Y, et al. What can we learn from 20-year followup studies of hip replacement? Clin Orthop Relat Res, 2016, 474(2): 402-407.
2. Atrey A, Ward SE, Khoshbin A, et al. Ten-year follow-up study of three alternative bearing surfaces used in total hip arthroplasty in young patients: a prospective randomised controlled trial. Bone Joint J, 2017, 99-B(12): 1590-1595.
3. Koyano G, Jinno T, Koga D, et al. Comparison of bone remodeling between an anatomic short stem and a straight stem in 1-stage bilateral total hip arthroplasty. J Arthroplasty, 2017, 32(2): 594-600.
4. Delaunay CP, Putman S, Puliéro B, et al. Cementless total hip arthroplasty with metasul bearings provides good results in active young patients: A concise followup. Clin Orthop Relat Res, 2016, 474(10): 2126-2133.
5. Stambough JB, Pashos G, Bohnenkamp FC, et al. Long-term results of total hip arthroplasty with 28-millimeter cobalt-chromium femoral heads on highly cross-linked polyethylene in patients 50 years and less. J Arthroplasty, 2016, 31(1): 162-167.
6. Pisecky L, Hipmair G, Schauer B, et al. 30-years of experience with the cementless implanted Alloclassic total hip arthroplasty system-An ultra-long-term follow-up. J Orthop, 2018, 15(1): 18-23.
7. Jacquot L, Bonnin MP, Machenaud A, et al. Clinical and radiographic outcomes at 25-30 years of a hip stem fully coated with hydroxylapatite. J Arthroplasty, 2018, 33(2): 482-490.
8. Abdel M, von Roth P, Jennings M, et al. What safe zone? The vast majority of dislocated THAs are within the lewinnek safe zone for acetabular component position Clin Orthop Relat Res, 2016, 474(2): 386-391.
9. Vadei L, Kieser DC, Frampton C, et al. Survivorship of total hip joint replacements following isolated liner exchange for wear. J Arthroplasty, 2017, 32(11): 3484-3487.
10. 卢伟杰, 李之琛, 陈艺, 等. 骨水泥聚乙烯内衬固定技术的生物力学研究. 中华骨与关节外科杂志, 2015, 8(4): 348-351.
11. Kummer FJ, Adams MC, Dicesare PE. Revision of polyethylene acetabular liners with a cemented polyethylene cup: a laboratory study. J Arthroplasty, 2002, 17(8): 1055-1057.
12. Mauerhan DR, Peindl RD, Coley ER, et al. Cementation of polyethylene liners into well-fixed metal shells at the time of revision total hip arthroplasty. J Arthroplasty, 2008, 23(6): 873-878.
13. Kurdziel MD, Ennin KA, Baker KC, et al. Increasing liner anteversion decreases the interfacial strength of polyethylene liners cemented into titanium-alloy acetabular shells. J Arthroplasty, 2016, 31(12): 2922-2925.
14. Blom A, Astle L, Loveridge J, et al. Revision of an acetabular liner has a high risk of dislocation. J Bone Joint Surg (Br), 2005, 87(12): 1636-1638.
15. Mohaddes M, Garellick G, Kärrholm J. Method of fixation does not influence the overall risk of rerevision in first-time cup revisions. Clin Orthop Relat Res, 2013, 471(12): 3922-3931.
16. Tan TL, Le Duff MJ, Ebramzadeh E, et al. Long-term outcomes of liner cementation into a stable retained shell: A concise follow-up of a previous report. J Bone Joint Surg (Am), 2015, 97(11): 920-924.
17. Beaulé P, Ebramzadeh E, Le Duff M, et al. Cementing a liner into a stable cementless acetabular shell: the double-socket technique. J Bone Joint Surg (Am), 2004, 86(5): 929-934.
18. Wang JP, Chen WM, Chen CF, et al. Cementation of cross-linked polyethylene liner into well-fixed acetabular shells: mean 6-year follow-up study. J Arthroplasty, 2010, 25(3): 420-424.
19. Stamenkov R, Neale SD, Kane T, et al. Cemented liner exchange with bone grafting halts the progression of periacetabular osteolysis. J Arthroplasty, 2014, 29(4): 822-826.

Chinese Journal of Reparative and Reconstructive Surgery

A retrospective study on the application of cemented polyethylene liner technique in hip revision

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