Survivorship and clinical outcomes of 'cup-cage' reconstruction in revision of hip arthroplasty for chronic pelvic discontinuity: A systematic review

被引：13
作者：
Changjun, Chen [1 ]
Xin, Zhao [1 ]
Mohammed, Alqwbani [1 ]
Liyile, Chen [1 ]
Yue, Luo [1 ]
Pengde, Kang [1 ]
机构：
[1] Sichuan Univ, West China Hosp, Dept Orthopaed, 37 Guoxue Rd, Chengdu 610041, Sichuan, Peoples R China
来源：
SURGEON-JOURNAL OF THE ROYAL COLLEGES OF SURGEONS OF EDINBURGH AND IRELAND | 2021年 / 19卷 / 06期
基金：
中国国家自然科学基金;
关键词：
Cup-cage; Survivorship; Complication; Revision total hip arthroplasty; Chronic pelvic discontinuity; CUSTOM TRIFLANGE COMPONENT; ACETABULAR BONE LOSS;
D O I：
10.1016/j.surge.2020.11.007
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Background: This study was conducted to assess the survivorship and clinical outcomes of cup-cage reconstruction technique in the revision of THA. Methods: PubMed, OVID, EMBASE, and Cochrane Central Register of Controlled Trials (CENTRAL) up to February 2020 were searched. Studies that reported the clinical and radiological follow-up were identified. Results: A total of 151 hips (145 patients) in six studies were included. The all-cause revision-free survivorship of cup-cage implant at the end of follow-up was 90.1% (136/151), with a mean follow-up of 64.4 months(range 12-135). The overall complication rate was 23.8% (36 of 151 hips), of which component problem, dislocation, infection and sciatic nerve palsy/injury were relatively common. All included studies reported improved clinical outcomes at the end of follow-up. Conclusion: Results suggested that revision of THA with a cup-cage has a favourable implant survivorship and clinical outcomes for the treatment of pelvic discontinuity, despite the high complications occurrence rates. (c) 2020 Royal College of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal College of Surgeons in Ireland. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码：E475 / E484
页数：10
相关论文
共 22 条
[1]   The challenge of pelvic discontinuity CUP-CAGE RECONSTRUCTION DOES BETTER THAN CONVENTIONAL CAGES IN MID-TERM [J].
Abolghasemian, M. ;
Tangsaraporn, S. ;
Drexler, M. ;
Barbuto, R. ;
Backstein, D. ;
Safir, O. ;
Kuzyk, P. ;
Gross, A. .
BONE & JOINT JOURNAL, 2014, 96B (02) :195-200
[2]   Promising Mid-term Results With a Cup-cage Construct for Large Acetabular Defects and Pelvic Discontinuity [J].
Amenabar, Tomas ;
Rahman, Wael A. ;
Hetaimish, Bandar M. ;
Kuzyk, Paul R. ;
Safir, Oleg A. ;
Gross, Allan E. .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2016, 474 (02) :408-414
[3]  
Arvinte Dan, 2020, J Clin Orthop Trauma, V11, P62, DOI 10.1016/j.jcot.2019.04.021
[4]  
Alfaro JJB, 2010, HIP INT, V20, pS119, DOI 10.5301/HIP.2010.5297
[5]   Survivorship and Clinical Outcomes of Custom Triflange Acetabular Components in Revision Total Hip Arthroplasty: A Systematic Review [J].
De Martino, Ivan ;
Strigelli, Vanni ;
Cacciola, Giorgio ;
Gu, Alex ;
Bostrom, Mathias P. ;
Sculco, Peter K. .
JOURNAL OF ARTHROPLASTY, 2019, 34 (10) :2511-2518
[6]   Management of severe periacetabular bone loss combined with pelvic discontinuity in revision hip arthroplasty [J].
Friedrich, Max J. ;
Schmolders, Jan ;
Michel, Robert D. ;
Randau, Thomas M. ;
Wimmer, Matthias D. ;
Kohlhof, Hendrik ;
Wirtz, Dieter C. ;
Gravius, Sascha .
INTERNATIONAL ORTHOPAEDICS, 2014, 38 (12) :2455-2461
[7]   Midterm Survivorship After Revision Total Hip Arthroplasty With a Custom Triflange Acetabular Component [J].
Gladnick, Brian P. ;
Fehring, Keith A. ;
Odum, Susan M. ;
Christie, Michael J. ;
DeBoer, David K. ;
Fehring, Thomas K. .
JOURNAL OF ARTHROPLASTY, 2018, 33 (02) :500-504
[8]  
Hasenauer Mark D, 2018, J Clin Orthop Trauma, V9, P58, DOI 10.1016/j.jcot.2017.09.009
[9]   Cup-cage reconstruction for severe acetabular bone loss and pelvic discontinuity MID-TERM RESULTS OF A CONSECUTIVE SERIES OF 35 CASESd [J].
Hipfl, C. ;
Janz, V ;
Loechel, J. ;
Perka, C. ;
Wassilew, G., I .
BONE & JOINT JOURNAL, 2018, 100B (11) :1442-1448
[10]   Treatment of massive acetabular bone loss and pelvic discontinuity with a custom triflange component and ilio-sacral fixation based on preoperative CT templating. A report of 2 cases [J].
Hogan, Craig ;
Ries, Michael .
HIP INTERNATIONAL, 2015, 25 (06) :585-588
123