Early migration predicts late aseptic failure of hip sockets

J Bone Joint Surg Br. 1996 May;78(3):422-6.

Abstract

We report a prospective, stratified study of 60 PCA-cups and 60 RM-polyethylene cups which have been followed for a median time of 90 months, with annual radiography. The radiological migration of cups was measured by the computer-assisted EBRA method. A number of threshold migration rates from 1 mm in the first year to 1 mm in five years have been assessed and related to clinically determined revision rates. A total of 28 cups showed a total migration of 1 mm or more within the first two years; 13 of these cups have required revision and been exchanged. The survival curves of cups which had previously shown early migration were considerably different from those without early migration. For cups with a migration of less than 1 mm within the first two years the mean survival at 96 months was 0.96 +/- 0.02; for migrating cups, it was 0.63 +/- 0.11 (log-rank test, p=0.0001; chi-square value=39.4). Early migration is a good predictor for late loosening of hip sockets.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Chi-Square Distribution
  • Follow-Up Studies
  • Hip Prosthesis / adverse effects*
  • Hip Prosthesis / classification
  • Humans
  • Middle Aged
  • Osteoarthritis, Hip / diagnostic imaging
  • Osteoarthritis, Hip / etiology
  • Osteoarthritis, Hip / surgery*
  • Predictive Value of Tests
  • Prosthesis Design
  • Prosthesis Failure
  • Radiographic Image Interpretation, Computer-Assisted
  • Reoperation
  • Sensitivity and Specificity
  • Survival Analysis
  • Time Factors