ANALYSIS OF REVISION OPERATIONS AFTER HIP JOINT REPLACEMENT
Abstract
Based on our experience and the analysis of the available literature the article presents details of possible complications associated with surgical technique, the process of osteo-integration and wear of components of a hip joint endoprosthesis of original design. The data presented in the article show the high medico-social and economic effectiveness of the developed model of endoprosthesis. The risk factors of complications of hip replacement were identified, which must be taken into account in the implementation of preventive measures. It has been established that the main direction in improving the longterm results of hip replacement using an endoprosthesis of cementless fixation of SLPS is to improve its tribological properties.
About the Authors
A. P. MaslovBelarus
D. Sc. (Med.), Assistant Professor, Head of the Department
1, a/g Lesnoy, Minsk district, Minsk region
A. S. Korolko
Belarus
Chief doctor
1, a/g Lesnoy, Minsk district, Minsk region
A. N. Solovei
Belarus
doctor orthopedist-traumatologist
1, a/g Lesnoy, Minsk district, Minsk region
References
1. Kornilov N. V., Shapiro K.I. The actual questions of trauma and orthopedic assistance to the population. Travmatologiya i ortopediya Rossii [Traumatology and Orthopedics of Russia], 2002, no. 2, pp. 35–39 (in Russian).
2. Orletskii A. K., Karpov I. N., Omel’ianenko N. P., Markov Iu. A., Mironov S.P. Osteoarthritis: current state of the problem (analytical review). Vestnik travmatologii i ortopedii imeni H.H. Priorova [Bulletin of Traumatology and Orthopedics named H.H. Priorov], 2001, no. 2, pp. 96–99 (in Russian).
3. Zagorodnii N. V., Elkin D. V., Makunin V. I., Banetskii M.V. Clinical and anatomical substantiation of the use of femoral components of hip joint endoprostheses. Endoprotezirovanie v Rossii [Endoprosthesis Replacement in Russia]. Kazan ; St. Petersburg, 2005, rel. 1, pp. 8–39 (in Russian).
4. Callaghan J., Rosenberg A., Rubash H. E. The Adult Hip. Lippincott, 2-nd ed. Philadephia, Williams & Wilkins, 2006. 1569 p.
5. Flecher X., Sporer S., Paprosky W. Management of severe bone loss in acetabular revision using a trabecular metal shell. Journal of Arthroplasty, 2008, vol. 23, no. 7, pp. 949–955. DOI: 10.1016/j.arth.2007.08.019
6. Brånemark P.I. Osseointegration and its experimental background. Journal of Prosthetic Dentistry, 1983, vol. 50, no. 3, pp. 399–410. DOI: 10.1016/S0022–3913(83)80101–2
7. Linder L., Carlsson A., Marsal L., Bjursten L. M., Brånemark P.I. Clinical aspects of osseointegration in joint replacement. A histologycal study of titanium implants. Journal of Bone and Joint Surgery (Br.), 1988, vol. 70, no. 4, pp. 550–555.
8. Tindall A., James K. D., Slack R., James C., Shetty A.A. Long-term follow-up of a hydroxyapatite ceramic-coated threaded cup: an analysis of survival and fixation at up to 15 years. Journal of Arthroplasty, 2007, vol. 22, no. 8, pp. 1079– 1082. DOI:10.1016/j.arth.2006.11.019
9. Teloken M. A., Bissett G., Hozack W. J., Sharkey P. F., Rothman R.H. Ten to fifteen-year follow-up after total hip arthroplasty with a tapered cobalt-chromium femoral component (tri-lock) inserted without cement. Journal of Bone and Joint Surgery (Am.), 2002, vol. 84-A, no. 12. p. 2140.
10. Sul Y. T., Johansson C., Byon E., Albrektsson T. The bone response of oxidized bioactive and non-bioactive titanium implants. Biomaterials, 2005, vol. 26, no. 33, pp. 6720–6730. DOI: 10.1016/j.biomaterials.2005.04.058
11. Brunette D. M., Tengvall P., Textor M., Thomsen P. Titanium in medicine: material science, surface science, engineering, biological responses and medical applications, series: Engineering materials. Berlin, Heidelberg, Springer-Verlag, 2001. 1019 p. DOI: 10.1007/978–3-642–56486–4
12. Savich V. V., Kiselev M. G., Voronovich A.I. Modern materials of surgical implants and instruments, 2nd ed., supplemented and revised. Minsk, DoktorDizain Publ., 2004. 104 p. (in Russian).
13. Bobyn J. D., Poggie R. A., Krygier J. J., Lewallen D. G., Hanssen A. D., Lewis R. J., Unger A. S., O’Keefe T. J., Christie M. J., Nasser S., Wood J. E., Stulberg S. D., Tanzer M. Clinical validation of a structural porous tantalum biomaterial for adult reconstruction. Journal of Bone and Joint Surgery (Am.), 2004, vol. 86-A, suppl. 2, pp. 123–129.
14. Levine B.C. A new era in porous metals: Applications in orthopaedics. MetFoam 2007: Porous metals and metallic forms: proceedings of the fifth International conference …, ed.: L.P. Lefebvre, J. Banhart, D.C. Dunand. Lancaster, 2008, pp. 251–254.
15. Ryan G. E., Pandit A. S., Apatsidis D.P. Porous titanium scaffolds fabricated using a rapid prototyping and powder metallurgy technique. Biomaterials, 2008, vol. 29, no. 27, pp. 3625–3635. DOI: 10.1016/j.biomaterials.2008.05.032
16. Maslov A.P. Aspects of osteointegration of the helical cup of the hip joint endoprosthesis with reinforced cementless fixation. Meditsina [Medicine], 2013, no. 3, pp. 10–16 (in Russian).
17. Rutskii, A. V., Maslov A.P. Cementless endoprosthesis of the hip joint endoprosthesis own design. Litopys travmatologii ta ortopedii [The Chronicle of Traumatology and Orthopedics], 2006, no. 1/2, pp. 31–36 (in Russian).
Review
For citations:
Maslov A.P., Korolko A.S., Solovei A.N. ANALYSIS OF REVISION OPERATIONS AFTER HIP JOINT REPLACEMENT. Proceedings of the National Academy of Sciences of Belarus, Medical series. 2017;(4):24-30. (In Russ.)