Prevalence of articular noise in ceramic-on-ceramic total hip arthroplasty with short stems.

IF 1.3 4区医学 Q3 ORTHOPEDICS

HIP International Pub Date : 2025-06-27 DOI:10.1177/11207000251346917

Frederic Laude, ReSurg, Christian Matar, Sonia Ramos-Pascual, Bethany Grew, Sonia Dubreil, Mo Saffarini

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引用次数: 0

Abstract

Purpose: To determine: (1) the prevalence of articular noise in primary ceramic-on-ceramic (CoC) total hip arthroplasty (THA) using 2 different designs of short uncemented stems; (2) risk factors for noise; and (3) the impact of noise on quality of life (QoL), at a minimum follow-up of 5 years.

Methods: 70 patients (81 hips) that underwent primary CoC THA with either SMS or Minimax stems (Medacta, Switzerland) between 01 February 2015 and 31 December 2017 were retrospectively reviewed. Clinical assessment included Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), modified Harris Hip Score (mHHS), and a questionnaire on articular noise. Regression analyses were performed to find associations with articular noise.

Results: 64 patients (74 hips; 40 SMS, 34 Minimax) were available for clinical assessment at ⩾5 years. There were no significant differences between the SMS and Minimax groups in terms of postoperative WOMAC (93.5 ± 6.7 vs. 90.9 ± 11.8, p = 0.746) and mHHS (94.9 ± 12.7 vs. 95.7 ± 9.7, p = 0.641). The prevalence of articular noise was 23% (9 hips) in the SMS group and 24% (8 hips) in the Minimax group (p = 1.000). Regression analyses revealed that presence of noise was associated with preoperative WOMAC (OR 1.05; 95% CI, 1.01-1.10; p = 0.023), and tended to be associated with age (OR 0.96; 95%CI, 0.91-1.00; p = 0.060), cup diameter of 58-60 mm (OR 4.43; 95% CI, 0.86-23.44; p = 0.070), and head diameter of 36 mm (OR, 5.29; 95% CI, 0.86-38.10; p = 0.080). Impact of noise on QoL was low for both groups (1.0 ± 1.4 vs. 1.3 ± 2.2, p = 0.862).

Conclusions: The present study on primary CoC THA reported an overall prevalence of articular noise of 24% for 2 designs of short stems. Clinical outcomes and satisfaction rates were high for most patients, with noise having little impact on QoL and no noise-related clinical complications being observed. Risk factors for articular noise may be better preoperative WOMAC, younger age, and larger femoral head and cup diameter.

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短柄陶瓷对陶瓷全髋关节置换术中关节噪声的发生率。

目的：确定：(1)使用2种不同设计的短非骨水泥假体进行一期陶瓷对陶瓷（CoC）全髋关节置换术（THA）时关节噪声的发生率；（二）噪声危险因素；(3)噪音对生活品质（QoL）的影响，最少随访5年。方法：对2015年2月1日至2017年12月31日期间接受SMS或Minimax茎（Medacta, Switzerland）原发性CoC THA的70例患者（81髋）进行回顾性分析。临床评估包括西安大略和麦克马斯特大学骨关节炎指数（WOMAC）、改良Harris髋关节评分（mHHS）和关节噪声问卷。进行回归分析以发现与关节噪声的关联。结果：64例患者(74髋；40个SMS， 34个Minimax)可用于在大于或等于5年的临床评估。SMS组和Minimax组术后WOMAC（93.5±6.7比90.9±11.8,p = 0.746）和mHHS（94.9±12.7比95.7±9.7,p = 0.641）差异无统计学意义。关节噪音的患病率在SMS组为23%（9髋），在Minimax组为24%（8髋）（p = 1.000）。回归分析显示，噪声的存在与术前WOMAC相关(OR 1.05；95% ci, 1.01-1.10；p = 0.023)，且倾向于与年龄相关(OR 0.96；95%置信区间,0.91 - -1.00;p = 0.060)，杯径为58 ~ 60mm (OR 4.43；95% ci, 0.86-23.44；p = 0.070)，封头直径为36 mm (OR, 5.29；95% ci, 0.86-38.10；p = 0.080)。噪声对两组生活质量的影响均较低（1.0±1.4比1.3±2.2,p = 0.862）。结论：目前关于原发性CoC THA的研究报告了2种短茎设计的关节噪声的总体患病率为24%。大多数患者的临床结果和满意率较高，噪音对生活质量的影响较小，未见噪音相关的临床并发症。关节噪声的危险因素可能是术前WOMAC较好、年龄较小、股骨头和股杯直径较大。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

HIP International 医学-整形外科

CiteScore

4.20

自引率

0.00%

发文量

审稿时长

2 months

期刊介绍： HIP International is the official journal of the European Hip Society. It is the only international, peer-reviewed, bi-monthly journal dedicated to diseases of the hip. HIP International considers contributions relating to hip surgery, traumatology of the hip, prosthetic surgery, biomechanics, and basic sciences relating to the hip. HIP International invites reviews from leading specialists with the aim of informing its readers of current evidence-based best practice. The journal also publishes supplements containing proceedings of symposia, special meetings or articles of special educational merit. HIP International is divided into six independent sections led by editors of the highest scientific merit. These sections are: • Biomaterials • Biomechanics • Conservative Hip Surgery • Paediatrics • Primary and Revision Hip Arthroplasty • Traumatology