期刊
BMC MUSCULOSKELETAL DISORDERS
卷 22, 期 1, 页码 -出版社
BMC
DOI: 10.1186/s12891-021-04174-z
关键词
Finite element analysis; Total hip arthroplasty; Three-dimensional porous structure; Radiolucent line
The mid-term clinical results of total hip arthroplasty using a 3D porous titanium cup were excellent, but radiolucent lines frequently appeared. Finite element analysis indicated that there was significant micromotion at the site where radiolucent lines appeared.
BackgroundWe investigated the mid-term clinical and radiological results of total hip arthroplasty (THA) using a three-dimensional (3D) porous titanium cup and analyzed the micromotion at the interface of the cup using subject-specific finite element (FE) analysis.MethodsWe evaluated 73 hips of 65 patients (6 men and 59 women; mean age at the time of surgery, 62.2years; range, 45-86years) who had undergone THA using a 3D porous titanium cup. Clinical evaluations were performed using the Japanese Orthopaedic Association (JOA) hip score system. We assessed the fixation of the acetabular component based on the presence of radiolucent lines and cup migration using anteroposterior radiographs. Subject-specific FE models were constructed from computed tomography data.ResultsThe JOA score improved from a preoperative mean of 52.2 (range, 23-82) to a mean of 87.8 (range, 71-100) at the final follow-up. None of the patients underwent revisions during the follow-up period. Radiolucent lines were observed in 26 cases (35.6%) and frequently appeared at DeLee and Charnley Zone 3. Following the FE analysis, the micromotion at DeLee and Charnley Zone 3 was significantly larger than that at Zone 2. Furthermore, micromotion was large in the groups in which radiolucent lines appeared at Zone 3.ConclusionsThe mid-term clinical outcome of THA using a 3D porous titanium cup was excellent. However, radiolucent lines frequently appeared at DeLee and Charnley Zone 3. FE analysis indicated that micromotion was large at the same site, strongly suggesting that it contributes to the emergence of radiolucent lines. The 3D porous titanium cups are useful in THA, and with improvements focused on micromotion, we anticipate better long-term outcomes.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据