HIP International最新文献

{"title":"Acetabular morphology, centre-edge angle and cognitive impairment as predictors of dislocation and mortality after hip hemiarthroplasty.","authors":"Firas Nehme Abouzeid, Alejandro Mardomingo Alonso, Segundo José Sánchez Gutiérrez, Enrique Galeote Lopez, Rafael Rubio Quevedo","doi":"10.1177/11207000261478865","DOIUrl":"https://doi.org/10.1177/11207000261478865","url":null,"abstract":"<p><strong>Background: </strong>Dislocation after hip hemiarthroplasty (HHA) for intracapsular femoral neck fractures remains a serious complication associated with functional deterioration and increased mortality. This study aimed to evaluate the role of acetabular morphology and cognitive impairment as predictors of postoperative dislocation and mortality in patients treated with cemented bipolar HHA.</p><p><strong>Methods: </strong>A retrospective analytical cohort of 160 patients was analysed. Preoperative acetabular parameters, including acetabular depth and centre-edge angle (CEA), were measured on standardised anteroposterior pelvic radiographs, and cognitive status was evaluated using the GDS and FRAIL scales.</p><p><strong>Results: </strong>Multivariable logistic regression incorporating surgical approach identified acetabular depth <20 mm (OR 16.42; 95% CI, 4.88-55.27; <i>p</i> < 0.001) and CEA <40° (OR 3.27; 95% CI, 1.12-9.56; <i>p</i> = 0.031) as independent predictors of postoperative dislocation, while surgical approach did not remain independently associated after adjustment. Dislocation was associated with increased mortality at 3 and 12 months, supporting its interpretation as a marker of global vulnerability in this frail population. The final model demonstrated good calibration and acceptable discriminative capacity (AUC 0.794).</p><p><strong>Conclusions: </strong>Acetabular depth <20 mm and CEA <40° independently predict postoperative instability after cemented bipolar HHA, and reduced depth correlates with increased mortality, reinforcing its value as an anatomical and functional marker. Integrating radiographic acetabular evaluation with cognitive screening may enhance risk stratification and guide pre-operative planning and postoperative supervision.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000261478865"},"PeriodicalIF":1.3,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Range of motion simulated with patient-specific three-dimensional simulation analysis for evaluating anterior dislocation after total hip arthroplasty.","authors":"Ryo Mitsutake, Hiromasa Tanino, Hiroshi Ito","doi":"10.1177/11207000261486741","DOIUrl":"https://doi.org/10.1177/11207000261486741","url":null,"abstract":"<p><strong>Background: </strong>Dislocation is a common complication following total hip arthroplasty (THA). In our previous study, we investigated range of motion (ROM) before impingement using computed tomography-based three-dimensional simulation analysis (simulated ROM). We found significant differences between patients with and without posterior dislocation. However, it is unclear whether the simulated ROM was related to anterior dislocation after THA.</p><p><strong>Methods: </strong>In this study, we compared simulated ROM in patients with and without anterior dislocation (<i>n</i> = 12 and 36, respectively). Risk factors were also compared including preoperative hip bone morphology, implant position, change of femoral offset, change of leg length, ischiofemoral length, ischial angle, and spinopelvic parameters.</p><p><strong>Results: </strong>Mean external rotation at neutral (ER) angle, extension angle, cup anteversion, and ischiofemoral length were significantly different between the groups (<i>p</i> = <0.001, <0.001, 0.018, 0.026, respectively). Receiver-operating characteristic curve analysis identified cutoff points for ER angle, extension angle, cup anteversion, and ischiofemoral length of 36.5°, 31.5°, 19.9°, and 18.4 mm, respectively.</p><p><strong>Conclusions: </strong>Our findings suggest that preoperative planning to achieve a larger simulated ROM, ER angle, and extension angle may reduce the risk of anterior dislocation. Furthermore, fine-tuning of cup anteversion during preoperative planning may reduce the risk of anterior dislocation.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000261486741"},"PeriodicalIF":1.3,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Short- to mid-term outcomes of total hip arthroplasty in high hip dislocations: does age matter?","authors":"Serdar Hakan Başaran, Erdi İmre, Mustafa Yalın, Alkan Bayrak, Behlül Dönmez, Erim Demircan","doi":"10.1177/11207000261485833","DOIUrl":"https://doi.org/10.1177/11207000261485833","url":null,"abstract":"<p><strong>Background: </strong>Total hip arthroplasty (THA) is a complex intervention for patients with Crowe 3-4 high hip dislocations (HHD). The impact of age on outcomes in this patient group remains unclear.</p><p><strong>Aim: </strong>The current study evaluates short- to mid-term outcomes of THA in patients younger and older than 60 years, focusing on complication rates, clinical outcomes, and implant survival.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted on 77 patients with HHD (Crowe 3-4) who underwent cementless THA. Patients were stratified into 2 age groups: <60 years (<i>n</i> = 43) and ⩾60 years (<i>n</i> = 34). Outcomes assessed included Harris Hip Score (HHS), complications, and revision-free survival. Kaplan-Meier and Cox proportional hazards analyses were employed.</p><p><strong>Results: </strong>Older patients had significantly higher complication rates (20.6% vs. 4.7%, <i>p</i> = 0.045), primarily due to deep vein thrombosis (DVT) (11.8% vs. none, <i>p</i> = 0.045). However, complication rates were comparable between unilateral (14.9%) and staged bilateral THA (16.7%, <i>p</i> = 0.789). Cox regression identified ASA Class <b>3</b> as an independent predictor of complications (HR 1.89, <i>p</i> = 0.043), while age and procedure type were not significant. Functional outcomes, including HHS and SF-36 scores, improved significantly in both groups without age-related differences. Kaplan-Meier survival analysis showed similar revision-free survival rates between age groups at 2 years (95.3% vs. 91.2%) and 3 years (92.1% vs. 88.5%, <i>p</i> = 0.287).</p><p><strong>Conclusions: </strong>Age does not independently predict revision or inferior functional outcomes following THA in HHD. Higher complication rates in older patients are primarily attributed to comorbidities. Appropriate perioperative management ensures comparable long-term outcomes regardless of age, emphasing the importance of addressing comorbidities over chronological age in candidate selection for THA.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000261485833"},"PeriodicalIF":1.3,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Functional outcomes after total hip arthroplasty in young patients: comparison of patients younger than 35 years versus patients aged 35-40 years.","authors":"Jan Krautter, Markus Deckert, Sven Feil, Fritz Thorey","doi":"10.1177/11207000261485191","DOIUrl":"https://doi.org/10.1177/11207000261485191","url":null,"abstract":"<p><strong>Background: </strong>Young patients undergoing total hip arthroplasty (THA) have high functional demands and expectations. This study compared postoperative functional outcomes between 2 age groups.</p><p><strong>Methods: </strong>In a prospective cohort study, the participants were divided into 2 groups: Group A consists of 35 patients aged under 35 years, while Group B contains 33 patients aged between 35 and 40 years. Dysplasia coxarthrosis was identified as the primary cause, with a prevalence of 55.9%. The primary outcome of this study was the functional outcome after THA, measured by the Hip disability and Osteoarthritis Outcome Score (HOOS). The Harris Hip Score (HHS), visual analogue scale (VAS) and Oxford Hip Score (OHS) were used as patient-related outcome measurements as a secondary aim. As well as the patient-related variables included underlying disease, sex, follow-up, and BMI.</p><p><strong>Results: </strong>The entire cohort consists of 68 hips in 54 participants with a mean follow-up duration of 58.74 ± 35.22 months, including 9 patients who underwent bilateral simultaneous THA. Significant improvements were observed in all HOOS subscales (<i>p</i> < 0.05), with the total HOOS showing a mean increase of 41.66 ± 17.08 points from pre- to postoperative. Group B showed a significant greater improvement in the HOOS pain subscale and demonstrated superior outcomes in simultaneous bilateral THA. The HHS (Δ44.17 ± 14.03) and VAS pain score (mean decrease of 4,49 ± 2,63 points) also improved significantly (<i>p</i> < 0.05). The postoperative HHS exceeded 90 points in both groups, with no observed baseline differences. No major complications were observed, with exception of 2 required revisions (<3%).</p><p><strong>Conclusions: </strong>THA in young patients resulted in improved functional outcomes and high levels of patient satisfaction. Postoperative outcomes were found to be comparable between patients aged <35 and those aged between 35 and 40 years. These findings indicate that THA can provide functional improvement in young patients, when underlying diseases, complex deformities and prior surgeries are considered.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000261485191"},"PeriodicalIF":1.3,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aseptic loosening of small hydroxyapatite-coated quadrangular tapered femoral stems: camouflage in the Canadian Joint Replacement Registry.","authors":"Christiaan H Righolt, Colton Poitras, Rohit Bansal, Colin D Burnell, Thomas R Turgeon, Eric R Bohm","doi":"10.1177/11207000261475482","DOIUrl":"https://doi.org/10.1177/11207000261475482","url":null,"abstract":"<p><strong>Background: </strong>Small cementless hydroxyapatite-coated quadrangular tapered femoral stems are at increased risk of revision, but it is unclear whether this holds for appropriately-sized and undersized stems alike. This study aimed to assess the association between stem size and revisions for aseptic loosening.</p><p><strong>Methods: </strong>Primary total hip arthroplasties with an Avenir (1547; Zimmer-Biomet), Corail (16,893; DePuy Synthes), or Polarstem (3403; Smith+Nephew) stem during 2012-2023 were identified from the Canadian Joint Replacement Registry. Cox proportional hazards models were used to estimate the association between stem/cup size and revision for aseptic loosening while adjusting for age, sex, and implant characteristics. Standardised stem sizing from A-K (smallest-largest) was utilised.</p><p><strong>Results: </strong>Between different stems, the proportion of size A was 1.2-5.0% and of size B 3.6-12.2%. ⅓ (21/63) of aseptic loosening revisions occurred for size A/B. Increased risk of revision for aseptic loosening for size A stems was found with a hazard ratio (HR) of 46 (95% CI, 9-226) when paired with ⩾56-mm cups, 47 (14-157) when paired with 52-54-mm cups, and 17 (4-78) when paired with ⩽50-mm cups (reference size C+ with ⩾56-mm cups). Size B stems were also at increased risk of aseptic loosening, with an HR of 15 (95% CI, 4-52) and 9 (95% CI, 3-32) for ⩾56 and 52-54-mm cups respectively.</p><p><strong>Conclusions: </strong>The increased risk of revision of these small stems camouflages a highly increased risk of revision for aseptic loosening in undersized stems (small stem/big cup). This study was unable to ascertain whether this applies to other quadrangular tapered stems. Due to the small number of affected patients, it is important to repeat this study in other jurisdictions. Surgeons should be skeptical if a smaller size stem seems appropriate during broaching than preoperative templating or cup size suggests, as this may increase the risk of aseptic loosening.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000261475482"},"PeriodicalIF":1.3,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk Factors for 30- and 1-year mortality in the Australian Hip Fracture Cohort: insights from the Australian and New Zealand Hip Fracture Registry.","authors":"Sofia Marasco, Zachary Wong, Tim Cheok, Christopher Wall, Raphael Hau","doi":"10.1177/11207000261487955","DOIUrl":"https://doi.org/10.1177/11207000261487955","url":null,"abstract":"<p><strong>Background: </strong>Geriatric hip fractures carry significant risk of mortality. Early identification and mitigation of mortality risk factors in this population is crucial to improve outcomes. We assessed these risk factors within the Australian hip fracture cohort.</p><p><strong>Methods: </strong>A retrospective cohort study was performed using Australian and New Zealand Hip Fracture Registry (ANZHFR) data. The primary objective was to identify the pre-hospital risk factors for 30-day mortality. Secondary objectives were to assess the 1-year mortality and associated risk factors. Factors assessed included age, residence, surgical timing and reasons for delay.</p><p><strong>Results: </strong>Mortality risk factors include increasing age, male sex, altered cognitive state at hospital presentation, increasing comorbidities, usual residence in a residential aged care facility and requirement for inter-facility transfer.Early surgical management was independently associated with a lower mortality risk. Delays of greater than 48 hours due to medical issues increased the odds of 30-day and 1-year mortality. Delays due to anticoagulation use or inter-facility transfer significantly increased the odds of 1-year mortality.</p><p><strong>Conclusions: </strong>Early surgical management is a modifiable risk factor that independently lowers mortality risk. This study supports the recent reduction in target time to surgery by the ANZHFR to improve patient outcomes.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000261487955"},"PeriodicalIF":1.3,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Functional outcomes of gluteus medius repair after prior primary THA: a case series with 2-year minimum follow-up.","authors":"Roger Quesada-Jimenez, Krishi Rana, Shahar R Barda, Isabella Wallace, Etan P Sugarman, Benjamin G Domb","doi":"10.1177/11207000261475997","DOIUrl":"https://doi.org/10.1177/11207000261475997","url":null,"abstract":"<p><strong>Purpose: </strong>Degenerative gluteus medius (GM) pathology is a known contributor to lateral hip pain and functional deficits after total hip arthroplasty (THA). While concurrent GM repair at the time of THA has been described, outcomes of repair performed after THA remain limited. This study evaluated patient-reported outcomes (PROs), satisfaction, and complication rates following open GM repair after THA, with a minimum 2-year follow-up.</p><p><strong>Methods: </strong>Prospectively collected data from a hip preservation registry were analysed for patients who underwent open GM repair after prior ipsilateral THA between February 2015 and June 2022. Inclusion required preoperative and ⩾2-year follow-up scores for the modified Harris Hip Score (mHHS), International Hip Outcome Tool-12 (iHOT-12), visual analogue scale (VAS) for pain, and satisfaction. Exclusion criteria were prior GM repair, revision THA, additional concomitant procedures, or open workers' compensation claims. Minimal clinically important difference (MCID) and patient acceptable symptom state (PASS) rates were calculated.</p><p><strong>Results: </strong>16 patients met criteria: 14 (87.5%) had complete follow-up at a mean of 55.4 ± 27.2 months. Mean age was 68.1 ± 9.4 years, and 64.3% were female. Tear patterns included low-grade partial (7.1%), high-grade partial (57.1%), and full-thickness (35.7%); 35.7% had gluteus minimus involvement. Significant improvements were observed in mHHS (44.3 ± 14.3 to 71.9 ± 16.4, Δ = 27.6 ± 20.7, <i>p</i> < 0.01), iHOT-12 (24.7 ± 12.2 to 57.5 ± 24.5, Δ = 32.8 ± 27.9, <i>p</i> < 0.01), and VAS (5.7 ± 2.7 to 2.6 ± 2.0, Δ = -3.1 ± 3.2, <i>p</i> = 0.01). Mean satisfaction was 7.2 ± 3.2. 1 patient (7.1%) required revision GM repair; no THA implant revisions were done.</p><p><strong>Conclusions: </strong>GM repair following THA was associated with favourable outcomes, high satisfaction, and low re-operation rates at mid-term follow-up. A high proportion of patients achieved clinically meaningful improvements, supporting the role of GM repair as an effective intervention for abductor pathology after THA.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000261475997"},"PeriodicalIF":1.3,"publicationDate":"2026-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149060426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pain management in osteoarthritis of the hip using percutaneous obturator nerve neuromodulation with pulsed radiofrequency ablation under CT guidance.","authors":"Panagiotis Kosmoliaptsis, Danae Makri, Antonis Michailidis, Georgios Dimou, Georgia Mingou, Ioannis Papadimitriou, Alexandros Kalinderis, Filon Agathangelidis, Lazaros Poultsides, Evangelos Petsatodis","doi":"10.1177/11207000261472760","DOIUrl":"https://doi.org/10.1177/11207000261472760","url":null,"abstract":"<p><strong>Introduction: </strong>The effectiveness of percutaneous neuromodulation of the obturator nerve using pulsed radiofrequency ablation (PRF) in patients with hip osteoarthritis refractory to conservative treatment should be evaluated.</p><p><strong>Methods: </strong>33 hips in 30 patients with radiographically confirmed hip osteoarthritis (Kellgren-Lawrence grades 2-4), underwent CT-guided pulsed radiofrequency ablation (PRF), targeting the obturator nerve. The mean age of patients was 69 (range 25-90) years. PRF was applied for 12 minutes. The effectiveness of the procedure was evaluated retrospectively based on a pain analog scale (VAS) prior and 1 week, 1, 3, 6 and 12 months post PRF. Paired samples <i>t-</i>test analysis was used to compare baseline and follow-up VAS scores. CIRSE classification system was used for complication reportingResults:A marked reduction in pain intensity was observed immediately following the procedure, with a mean decrease of approximately 9 points on the VAS scale. Patients with mild osteoarthritis seem to benefit more from the procedure with a reduction in pain scale of an average of 6 points at 6 months and an average of 4 points at 12 months. Cases with end-stage osteoarthritis (stage 4) had recurred pain at an average of 3 months post intervention. No complications were reported during or after the procedure.</p><p><strong>Conclusions: </strong>Percutaneous neuromodulation of the obturator nerve with the use of PRF ablation is an effective and safe procedure with durable pain relief in patients with mild-to-moderate osteoarthritis up to 12 months, whereas in severe disease (grade 4) disease the effect is predominantly short-term, with recurrence of pain after approximately 3 months.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000261472760"},"PeriodicalIF":1.3,"publicationDate":"2026-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149060367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the impact of dialysis on short, intermediate, and long-term outcomes following total hip arthroplasty: a propensity-matched analysis.","authors":"Braeden R Gooch, Nicholas R Kiritsis, Benjamin P Cassidy, Brady S Ernst, Jibanananda Satpathy, Molly Hartzler","doi":"10.1177/11207000261476977","DOIUrl":"https://doi.org/10.1177/11207000261476977","url":null,"abstract":"<p><strong>Introduction: </strong>Patients requiring dialysis are historically associated with poor outcomes and increased rates of complications following total hip arthroplasty (THA). However, earlier studies have not analysed patients with end-stage renal disease (ESRD) under matched conditions with large cohorts. This study compares short-, mid-, and long-term postoperative outcomes of THA between matched cohorts of dialysis-dependent and non-dialysis patients.</p><p><strong>Methods: </strong>We conducted a retrospective cohort study using the TriNetX global research network, identifying patients undergoing primary THA between 2005 and 2025. We formed 2 cohorts, with 1 comprised of renal disease patients requiring dialysis and the other including patients without any instance of dialysis before or after surgery. Propensity score matching was performed based on demographics and comorbidities, resulting in 707 matched patients per group. Outcomes were assessed at 90 days, 2 years, and 5 years. Primary outcomes included short-term rates of any adverse event (AAE) and surgical site infection and rates of infected hip prosthesis and revision THA at all time points.</p><p><strong>Results: </strong>Dialysis-dependent patients experienced significantly worse outcomes across all time points. At 90 days, rates of AAE were nearly double in the dialysis group (24.5% vs. 13.6%, <i>p <</i> 0.001), with higher rates of infected hip prosthesis (4.4% vs. 1.4%, <i>p</i> = 0.001). SSI rates were higher but not significant (2.4% vs. 1.4%, <i>p</i> = 0.174), and revision THA trended towards significance (2.5% vs. 1.4%, <i>p</i> = 0.127). At 2 years, dialysis patients had higher rates of an infected hip prosthesis (6.1% vs. 2.3%, <i>p <</i> 0.001) and revision THA (5.0% vs. 2.4%, <i>p</i> = 0.011). These disparities persisted at 5 years, with dialysis patients exhibiting higher rates of an infected hip prosthesis (6.6% vs. 2.5%, <i>p <</i> 0.001) and revision THA (6.1% vs. 2.7%, <i>p</i> = 0.002).</p><p><strong>Conclusions: </strong>Dialysis-dependent patients undergoing THA face significantly higher rates of short-term and long-term orthopedic complications. Surgeons should discuss with patients the demonstrated elevated risk of complications with elective THA in patient's dependent on dialysis.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000261476977"},"PeriodicalIF":1.3,"publicationDate":"2026-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149060413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mid- to long-term follow-up of trabecular titanium acetabular cups in hip revision surgery for acetabular bone defects.","authors":"Lorenza Siracusano, Federico De Meo, Antongiulio Bruschetta, Giorgio Cacciola, Angela Alibrandi, Danilo Leonetti, Biagio Zampogna, Pietro Cavaliere","doi":"10.1177/11207000261474821","DOIUrl":"https://doi.org/10.1177/11207000261474821","url":null,"abstract":"<p><strong>Background: </strong>Acetabular defects can be restored using different surgical techniques. Excellent results have been observed with trabecular titanium (TT) which mimic the structure of trabecular bone. The aim of our study is to evaluate the mid-to-long-term outcome in revision surgery due to severe acetabular defect using TT cups.</p><p><strong>Materials and methods: </strong>We performed a retrospective analysis of patients undergoing revision with Paprosky IIa or higher using modular TT cup. We evaluated clinical outcomes using FJS, WOMAC, OHS, and WORQ. Radiolucency and integration were used to assess radiographic results. We collected information on complications and revisions.</p><p><strong>Results: </strong>Data from 217 consecutive patients was collected. Mean age was 71,01 ± 11,40 years. In regard to diagnosis, patients were affected by: aseptic loosening (55,3%); debris-induced osteolysis (18%); infection (11,5%); PPF (7.8%); and dislocation (7.4%). At the final floow-up, we documented the following: OHS 35.06 ± 4,31; WORQ 26.69 ± 4.18; WOMAC 27.59 ± 7.57; FJS of 55.3 ± 10.39 (<i>p</i>-value < 0.005). Complication rate was 9.2%. The most frequent complication was dislocation, followed by deep infection and aseptic loosening. The Kaplan-Meier survivorship curve showed a 96.3% rate of acetabular implant survival at 12 years.</p><p><strong>Discussion and conclusions: </strong>This is the study with the largest population using TT for acetabular defects. We report good outcomes and an acceptable rate of complications, also due to implant modularity allowing stable fixation with secondary osseointegration.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000261474821"},"PeriodicalIF":1.3,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149038327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}