Abo Bibliothek: Guest
Digitales Portal Digitale Bibliothek eBooks Zeitschriften Referenzen und Berichte Forschungssammlungen
Journal of Long-Term Effects of Medical Implants
SJR: 0.133 SNIP: 0.491 CiteScore™: 0.89

ISSN Druckformat: 1050-6934
ISSN Online: 1940-4379

Journal of Long-Term Effects of Medical Implants

DOI: 10.1615/JLongTermEffMedImplants.2019030359
pages 19-27

A Histologic Analysis of a Retrieved Specimen 24 Years after Hemiresurfacing for Avascular Necrosis

Dipal Chatterjee
Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York (SUNY), Downstate Medical Center, Brooklyn, New York, USA
Matthew A. Harb
Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York (SUNY), Downstate Medical Center, Brooklyn, New York, USA
Christopher Yiachos
Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York (SUNY), Downstate Medical Center, Brooklyn, New York, USA
Stefan Tangl
Karl Donath Laboratory for Hard Tissue and Biomaterial Research, Department of Oral Surgery, Medical University of Vienna, Vienna, Austria; Austrian Cluster for Tissue Regeneration, Vienna, Austria; Bone and Biomaterials Research, Center of Anatomy and Cell Biology, Medical University of Vienna, Vienna, Austria
Vincent J. Vigorita
Department of Pathology, State University of New York (SUNY), Downstate Medical Center, Brooklyn, New York, USA
Henry M. Tischler
Department of Orthopaedic Surgery, New York-Presbyterian Brooklyn Methodist Hospital, Brooklyn, New York, USA
Aditya V. Maheshwari
Department of Pathology, SUNY Downstate Medical Center, Brooklyn, NY 11203, USA

ABSTRAKT

Reports of long-term evaluation of the viability of the femoral head after a hemiresurfacing arthroplasty (HRA) are scarce. We report the case of a 41-year-old female with lupus and right HRA (performed 24 years previously for avascular necrosis) that was revised to a total hip arthroplasty for worsening right groin pain due to chondrolysis. We present a histologic evaluation of the resurfaced femoral head retrieved 24 years after HRA. To the authors' knowledge, this is the longest reported histologic follow-up of such a case. There was no evidence of fracture or inflammation and the underlying bone was viable. At 5-year follow-up after the revision, the patient is pain-free, fully functional, and walks without any assistive device.

REFERENZEN

  1. Kim SJ, Kang DG, Park SB, Kim JH. , Is hemiresurfacing arthroplasty for osteonecrosis of the hip a viable solution? J Arthroplasty. 2015;30(6):987–92.

  2. Gabriel JL, Trousdale RT. , Stem fracture after hemiresurfacing for femoral head osteonecrosis. J Arthroplasty. 2003;18(1):96–99.

  3. Kerboul M, Thomine J, Postel M, d’Aubigne RM. , The conservative surgical treatment of idiopathic aseptic necrosis of the femoral head. J Bone Joint Surg Br. 1974;56(2):291–96.

  4. Watanabe Y, Shiba N, Matsuo S, Higuchi F, Tagawa Y, Inoue A. , Biomechanical study of the resurfacing hip arthroplasty: finite element analysis of the femoral component. J Arthroplasty. 2000;15(4):505–11.

  5. Gupta S, New AM, Taylor M. , Bone remodelling inside a cemented resurfaced femoral head. Clin Biomech (Bristol, Avon). 2006;21(6):594–602.

  6. Long JP, Santner TJ, Bartel DL. , Hip resurfacing increases bone strains associated with short-term femoral neck fracture. J Orthop Res. 2009;27(10):1319–25.

  7. Amstutz HC, Esposito C, Campbell P. , Long term preservation of femoral bone following hemiresurfacing. Hip Int. 2010;20(2):236–41.

  8. Bieschke KM, Hungerford MW, Jones LC. , Analysis of retrieved hemiresurfacing implant. Biomed Sci Instrum. 2008;44:100–4.

  9. Nelson CL, Walz BH, Gruenwald JM. , Resurfacing of only the femoral head for osteonecrosis. Long-term follow-up study. J Arthroplasty. 1997;12(7):736–40.

  10. Paprosky WG, Bradford MS, Younger TI. , Classification of bone defects in failed prostheses. Chir Organi Mov. 1994;79(4):285–91.

  11. Donath K. Die , Trenn-Duennschliff-technik zur Herstellung histologischer Praeparate von nicht schneidbaren Geweben und Materialien. Der Praeparator. 1988;34:197–206.

  12. Plenk H. , The microscopic Evaluation of hard tissue implants. In: Williams DF, editor. Techniques of biocompatibility testing. Vol. 1. Boca Raton, FL: CRC-Press Inc.; 1986. p. 35–81.

  13. Sandiford NA, Muirhead-Allwood SK, Skinner JA., Revision of failed hip resurfacing to total hip arthroplasty rapidly relieves pain and improves function in the early post-operative period. J Orthop Surg Res. 2010;5:88. DOI: 10.1186/1749-799X-5-88

  14. Krause M, Breer S, Hahn M, Rüther W, Morlock MM, Amling M, Zustin J. , Cementation and interface analysis of early failure cases after hip-resurfacing arthroplasty. Int Orthop. 2013;36(7):1333–40.

  15. Stogiannidis I, Puolakka T, Pajamaki J, Moilanen T, Konttinen YT. , Whole-mount specimens in the analysis of en bloc samples obtained from revisions of resurfacing hip implants. A report of 4 early failures. Acta Orthop. 2010;81(3):324–30.

  16. Bradley GW, Freeman MA, Revell PA. , Resurfacing arthroplasty. Femoral head viability. Clin Orthop Relat Res. 1987;220:137–41.

  17. Salamanna F, Fini M, Parrilli A, Cadossi M, Aldini NN, Giavaresi G, Luciani D, Giannini S., Histological, histomorphometric and microtomographic analyses of retrieval hip resurfacing arthroplasty failed at different times. BMC Musculoskelet Disord. 2013;14:47. DOI: 10.1186/1471-2474-14-47

  18. Krajbich J, Fornasier VL, Schatzker J. , Microscopic anatomy of a femoral head after resurfacing arthroplasty: a case report. Clin Orthop Relat Res. 1981;(155):30–36.

  19. Little CP, Ruiz AL, Harding IJ, McLardy-Smith P, Gundle R, Murray DW, Athanasou NA. , Osteonecrosis in retrieved femoral heads after failed resurfacing arthroplasty of the hip. J Bone Joint Surg Br. 2005;87(3):320–23.

  20. Steffen RT, Athanasou NA, Gill HS, Murray DW. , Avascular necrosis associated with fracture of the femoral neck after hip resurfacing: histological assessment of femoral bone from retrieval specimens. J Bone Joint Surg Br. 2012;92(6):787–93.

  21. Watters TS, Cardona DM, Menon KS, Vinson EN, Bolognesi MP, Dodd LG. , Aseptic lymphocyte-dominated vasculitis-associated lesion: a clinicopathologic review of an underrecognized cause of prosthetic failure. Am J Clin Pathol. 2010;134(6):886–93.