Table 3.
Variable | Primary bearing | ||
---|---|---|---|
MoM | CoC | Others | |
n | 38 | 32 | 9* |
Primary surgery | |||
Mean age at primary surgery in years | 56.2 ± 14.9 | 50.5 ± 13.1 | 54.4 ± 19.9 |
Indications for primary surgery (%) | |||
Primary osteoarthritis | 16 (42.1%) | 11 (34.4%) | 3 (33.3%) |
Avascular necrosis | 2 (5.3%) | 4 (12.5%) | 1 (11.1%) |
Fracture | 3 (7.9%) | 1 (3.1%) | 0 (0%) |
Dysplasia | 2 (5.3%) | 0 (0%) | 0 (0%) |
Hip pain | 0 (0%) | 1 (3.1%) | 0 (0%) |
Unknown | 15 (39%.5) | 15 (46.9%) | 5 (55.6%) |
Male/female (%) | 20/13 (52.6%/34.2%) | 20/12 (62.5%/37.5%) | 6/2 (66.7%/22.2%) |
Primary PHACT complaints (%) | 34 (89.5%) | 1 (3.1%) | 3 (33.3%) |
Revision PHACT complaints (%) | 4 (10.5%) | 31 (96.9%) | 6 (66.7%) |
Cobalt toxicity level in ppb | 123.7 ± 96.8 | 1.078.2 ± 1.267.5 | 379.4 ± 369.3 |
Mean age at onset of symptoms in years | 58.3 ± 12.9 | 59.3 ± 10.9 | 58.5 ± 11.5 |
Mean time in years at onset of symptoms after primary surgery (range) | 2.1 (0–13) | 8.8 (4–15) | 4.1 (2–12) |
Revision surgery | |||
Mean age at revision surgery in years | 60.7 ± 11.2 | 56.9 ± 11.4 | 58.5 ± 8.8 |
Indication for revision surgery (%) | |||
Systemic symptoms | 29 (76.3%) | 1 (3.1%) | 2 (22.2%) |
Fracture CoC | 0 (0%) | 29(90.6%) | 2 (22.2%) |
(Chronic) pain | 3 (7.9%) | 1 (3.1%) | 0 (0%) |
Recurrent dislocations | 2 (5.3%) | 0 (0%) | 0 (0%) |
Protrusion acetabulum | 1 (2.6%) | 0 (0%) | 0 (0%) |
Fracture | 1 (2.6%) | 0 (0%) | 0 (0%) |
Osteolysis | 1 (2.6%) | 0 (0%) | 0 (0%) |
Unknown | 1 (2.6%) | 1 (3.1%) | 5 (55.6%) |
Bearing after revision (%) | |||
MoM | 0 (0%) | 6 (18.8%) | 0 (0%) |
CoC | 0 (0%) | 0 (0%) | 0 (0%) |
MoP | 5 (13.2%) | 21 (65.6%) | 2 (22.2%) |
CoP | 12 (31.6%) | 0 (0%) | 0 (0%) |
ToP | 1 (2.6%) | 0 (0%) | 0 (0%) |
CoM/MoC | 1 (2.6%) | 3 (9.4%) | 0 (0%) |
Girdlestone | 2 (5.3%) | 0 (0%) | 0 (0%) |
Not suitable | 16 (42.1%) | 0 (0%) | 0 (0%) |
Unknown | 1 (2.6) | 2 (6.25) | 6 (66.7%) |
Mean follow-up time in months | 13 ± 12.2 | 11 ± 13.5 | 15 ± 25.3 |
*MoP: 2; CoP: 2; unknown: 7.
CoC, ceramic-on-ceramic; CoM, ceramic-on-metal; CoP, ceramic-on-polyethylene; MoC, metal-on-ceramic; MoM, metal-on-metal; MoP, metal-on-polyethylene; PHACT, prosthetic hip-associated cobalt toxicity; ppb, parts per billion; ToP, titanium-on-polyethylene.