William J Long1, Nicolas O Noiseux2, Tad M Mabry3, Arlen D Hanssen3, David G Lewallen3. 1. Insall Scott Kelly Institute for Orthopaedics and Sports Medicine St. Francis Hospital , NY. 2. Department of Orthopaedics and Rehabilitation University of Iowa Hospitals and Clinics. 3. Department of Orthopaedic Surgery, Mayo Clinic.
Abstract
BACKGROUND: The purpose of this study was to determine the early outcomes of 599 cases of revision THA performed using a porous tantalum cup. METHODS: Clinical and radiographic data was sought in all patients at a minimum two years follow-up, after acetabular revision performed with a porous tantalum cup. RESULTS: Of the 599 cases identified, there were 51 re-operations in 47 patients (7.8 percent). Cup removal was required in 14 of these cases (2.3 percent). The most common cause for cup removal was a septic joint (12). No cups were revised for aseptic loosening during the study period. There was one case of early cup migration. There were 17 incomplete lucencies not initially seen on post-operative films, but identified later, all were non-progressive on subsequent x-rays. CONCLUSIONS: Early results of porous tantalum acetabular components in the revision setting demonstrate good initial stability and low re-operation rates at two years follow-up. LEVEL OF EVIDENCE: Level 4: Case series.
BACKGROUND: The purpose of this study was to determine the early outcomes of 599 cases of revision THA performed using a porous tantalum cup. METHODS: Clinical and radiographic data was sought in all patients at a minimum two years follow-up, after acetabular revision performed with a porous tantalum cup. RESULTS: Of the 599 cases identified, there were 51 re-operations in 47 patients (7.8 percent). Cup removal was required in 14 of these cases (2.3 percent). The most common cause for cup removal was a septic joint (12). No cups were revised for aseptic loosening during the study period. There was one case of early cup migration. There were 17 incomplete lucencies not initially seen on post-operative films, but identified later, all were non-progressive on subsequent x-rays. CONCLUSIONS: Early results of porous tantalum acetabular components in the revision setting demonstrate good initial stability and low re-operation rates at two years follow-up. LEVEL OF EVIDENCE: Level 4: Case series.
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