Application of SLR-PLUS biological lengthened revision stem in the revision of aseptic loosening of femoral prosthesis

doi:10.12307/2021.189

Abstract

Abstract: BACKGROUND: Revision hip joint is a kind of surgical treatment that causes failure of hip joint replacement for various reasons. Selecting appropriate revision prosthesis and surgical method are the conditions to restore good joint function of patients.
OBJECTIVE: To investigate the clinical effect of SLR-PLUS biotype extended rectangular stalk in the revision of femoral prosthesis with aseptic loosening.
METHODS: Sixteen patients undergoing revision of the hip joint admitted to the Second Affiliated Hospital of Nanjing Medical University from June 2017 to December 2018 were included. The reason for the revision was aseptic loosening of the femoral side prosthesis, including 7 males and 9 females, aged 63-82 years. All patients underwent SLR-PLUS biologic long rectangular handle revision surgery, and imaging assessment and hip function assessment were performed postoperatively. All patients gave informed consent to the treatment plan. The trial was approved by the Ethics Committee of the Second Affiliated Hospital of Nanjing Medical University.
RESULTS AND CONCLUSION: (1) All the 16 patients successfully completed the operation without complications such as hip joint infection, dislocation and deep venous thrombosis of lower limbs. After the operation, all patients’ blood sedimentation and C-reactive protein levels were reduced to normal levels without signs of infection. The patients were followed up for 6-30 months after operation. (2) The imaging examination at 12 weeks after the operation and the last follow-up showed that the prosthesis was in good position; no new transparent belt appeared around the prosthesis; and the femoral prosthesis was well matched with the surrounding bone. (3) Harris score of hip joint function 12 weeks after operation was higher than that before operation in 16 patients (P < 0.05), and the excellent and good rate reached 94%. (4) The results showed that SLR-PLUS biotype extended rectangular handle revision treatment for femoral side prosthesis aseptic loosening of hip joint has good immediate stability and medium-term stability, and the curative effect is satisfactory.

Key words: bone, prosthesis, SLR-PLUS, lengthened revision stem, hip replacement, aseptic loosening, revision

CLC Number:

Lu Yiqing, He Bin, Wang Boyao, Qin Hu, Fan Lei, Wang Yunhua. Application of SLR-PLUS biological lengthened revision stem in the revision of aseptic loosening of femoral prosthesis[J]. Chinese Journal of Tissue Engineering Research, 2021, 25(27): 4318-4321.

Figures/Tables 2

References

[1] 胡海贝,周建生.全髋关节置换术中髋臼假体定位的研究进展[J].创伤外科杂志,2016,18(3):182-184.
[2] 裴福兴.髋关节翻修术若干问题探讨[J].中华外科杂志,2009,47(3):161-163.
[3] KONOPKA JF, LEE YY, SU EP, et al. Quality-Adjusted Life Years After Hip and Knee Arthroplasty: Health-Related Quality of Life After 12,782 Joint Replacements. JBJS Open Access. 2018;3(3):e0007.
[4] SWARUP I, LEE YY, CHIU YF, et al.Implant Survival and Patient-Reported Outcomes After Total Hip Arthroplasty in Young Patients. J Arthroplasty. 2018;33(9):2893-2898.
[5] FALDINI C, STEFANINI N, FENGA D, et al.How to prevent dislocation after revision total hip arthroplasty: a systematic review of the risk factors and a focus on treatment options. J Orthop Traumatol. 2018;19(1):17.
[6] WRIGHT EA, KATZ JN, BARON JA, et al. Risk factors for revision of primary total hip replacement: results from a national case-control study. Arthritis Care Res. 2012;64(12):1879-1885.
[7] ZWEYMÜLLER KA, SCHWARZINGER UM, STEINDL MS. Radiolucent lines and osteolysis along tapered straight cementless titanium hip stems: a comparison of 6-year and 10-year follow-up results in 95 patients. Acta Orthop. 2006;77(6):871-876.
[8] KLEMENT MR, PENROSE CT, BALA A, et al. Complications of total hip arthroplasty following solid organ transplantation. J Orthop Sci. 2017;22(2):295-299.
[9] INACIO MC, AKE CF, PAXTON EW, et al. Sex and risk of hip implant failure: assessing total hip arthroplasty outcomes in the United States. JAMA Intern Med. 2013;173(6):435-441.
[10] 王少华,孙福斋,王茜,等.人工关节置换后无菌性松动病理学研究进展[J].世界最新医学信息文摘,2018,18(24):100-102.
[11] 张涛,杨扉扉,邱冰,等.生物型翻修加长柄在人工全髋关节翻修术中的应用[J].中国骨与关节损伤杂志,2013,8(8):749-750.
[12] 潘琦,吴烨,王力军,等.生物型加长柄联合同种异体骨移植在股骨假体翻修术中的应用[J].中国骨与关节损伤杂志,2018,33(4):408-410.
[13] CAVAGNARO L, FORMICA M, BASSO M, et al. Femoral revision with primary cementless stems: a systematic review of the literature. Musculoskelet Surg. 2018;102(1):1-9.
[14] DWIVEDI C, GOKHALE S, KHIM HG, et al. Acetabular Defect Reconstruction with Trabecular Metal Augments: Study with Minimum One-year Follow-up. Hip Pelvis. 2017;29(3):168-175.
[15] IORIO R, HEALY WL, PRESUTTI AH. A prospective outcomes analysis of femoral component fixation in revision total hip arthroplasty. J Arthroplasty. 2008;23(5): 662-669.
[16] 孙俊英,唐天驷,洪天禄,等.全髋关节股骨侧假体翻修术[J].中华骨科杂志, 2001,21(6):346-349.
[17] NEUMANN D, DUECKELMANN L, THALER C. Revision total hip arthroplasty using a cementless tapered revision stem in patients with a mean age of 82 years. Int Orthop. 2012;36(5):961-965.
[18] 李朋,朱智奇,侯明,等. Zweymüller SLR-Plus非骨水泥柄用于髋关节翻修的中期效果[J].中国组织工程研究,2018,18(35):5600-5605.
[19] AFFATATO S, COMITINI S, FOSCO M, et al. Radiological identification of Zweymüller- type femoral stem prosthesis in revision cases. Int Orthop. 2016;40(11):2261-2269.
[20] BROWN NM, TETREAULT M, CIPRIANO CA, et al. Modular tapered implants for severe femoral bone loss in THA: reliable osseointegration but frequent complications. Clin Orthop Relat Res. 2015;473(2):555-560.
[21] KOROVESSIS P, REPANTIS T. High medium-term survival of Zweymüller SLR-Plus® stem used in femoral revision. Clin Orthop Relat Res. 2009;467(8):2032-2040.