Acetabular cup migration after primary cementless total hip arthroplasty in rheumatoid arthritis and its influencing factors: a comparative study with osteoarthritic hip
- Authors
- Moon, Jun-Ki; Jung, Ji-Won; Kim, Yeesuk; Yang, Jae-Hyuk; Park, Ye-Soo; Kim, Young-Ho
- Issue Date
- Feb-2020
- Publisher
- SPRINGER
- Keywords
- Acetabular cup; Migration; Cementless; Total hip arthroplasty; Rheumatoid arthritis
- Citation
- INTERNATIONAL ORTHOPAEDICS, v.44, pp.1047 - 1053
- Indexed
- SCIE
SCOPUS
- Journal Title
- INTERNATIONAL ORTHOPAEDICS
- Volume
- 44
- Start Page
- 1047
- End Page
- 1053
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/146252
- DOI
- 10.1007/s00264-020-04502-3
- ISSN
- 0341-2695
- Abstract
- Purpose
To compare the radiographic migration profiles of primary cementless total hip arthroplasty (THA) between patients with rheumatoid arthritis (RA) and those with osteoarthritis (OA).
Methods
A total of 197 patients (215 hips) who underwent cementless THA for RA or OA between January 2001 and January 2013 and followed up for a minimum of 5.5 years were included. Ninety-four RA patients (109 hips) were compared with 103 OA patients (106 hips). Radiological evaluation was performed for acetabular cup loosening, and cup migration was measured using Einzel-Bild-Röntgen-Analyse (EBRA) software. Multiple variables were assessed to identify influencing factors for cup migration.
Results
Early cup migration was observed in 13 hips (11.9%) in the RA group and four hips (3.8%) in the OA group, showing a significant difference (p = 0.041). Acetabular cup loosening occurred in three cups (2.8%) in the RA group and in one cup (0.9%) in the OA group, showing no significant difference (p = 0.321). Total cup migration was higher in the RA group (2.62 mm) than in the OA group (1.44 mm, p = 0.005). Total cup migration was significantly higher in patients aged < 50 years than in those aged > 50 years (p = 0.005). Rheumatoid factor (RF) and anti-cyclic citrullinated peptide (anti-CCP) antibody influenced total cup migration. Patients with seropositive RA showed significantly higher total cup migration and early cup migration incidence than those with seronegative RA (p = 0.005, p = 0.038, respectively).
Conclusions
Acetabular cups in primary cementless THAs of RA patients were less stable in terms of cup migration compared with that of OA patients.
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