Biological Fixation of a Porous-Coated, Metal-Backed Acetabular Component in Canine Total Hip Arthroplasty

J. R. Cockshutt; J. Schatzker; G. Sumner-Smith; V. L. Fornasier

doi:10.1055/s-0038-1633277

Veterinary and Comparative Orthopaedics and Traumatology, Table of Contents

Vet Comp Orthop Traumatol 1988; 01(03/04): 141-145
DOI: 10.1055/s-0038-1633277

Short Communication

Schattauer GmbH

Biological Fixation of a Porous-Coated, Metal-Backed Acetabular Component in Canine Total Hip Arthroplasty

Authors

J. R. Cockshutt

^*From the Clinical Studies Department, Ontario Veterinary College, Guelph, Ontario
J. Schatzker

^**From the Department of Orthopaedic Surgery, Sunnybrook Medical Centre, Toronto, Ontario
G. Sumner-Smith

^*From the Clinical Studies Department, Ontario Veterinary College, Guelph, Ontario
V. L. Fornasier

^***From the Department of Pathology, Princess Margaret Hospital, Toronto, Ontario

Abstract

A total hip surface replacement was successfully performed on eight adult dogs, using a porous-coated, cobalt-chromium- molybdenum alloy acetabular resurfacing component fixed to the acetabulum with 3.5 mm cortical screws. Functional, radiological, histological and fluorochrome labelling studies were used to assess tissue response to the implant. At four months after implantation, seven of the acetabular components were anchored with well organized fibrous tissue. Bone ingrowth had occurred in three components. Failures appeared to be due to technical difficulties encountered during the surgical procedure.

Key words

Total hip replacement - Biological fixation - Porous-coated acetabular implant

Full Text

References

References
1 Sutherland C J, Wilde A H, Borden L S, Marks K E. A ten-year follow-up of one hundred consecutive Muller curved-stem total hip-replacement arthroplasties. J Bone Jt Surg 1982; 64-A: 970-82.
2 Stauffer R N. Ten-year follow-up study of total hip replacement. J Bone Jt Surg 1982; 64-A: 983-90.
3 Oh I, Merckx D B, Harris W H. Acetabular cement compactor an experimental study of pressurization of cement in the acetabulum in total hip arthroplasty. Clin Orthop 1983; 177: 289-93.
4 Paul H A, Bargar W L. Histologic changes in the dog femur following total hip replacement with current cementing techniques. J Arthroplasty 1986; 1: 5-9.
5 Willert H G, Semlitsch M. Reactions of the articular capsule to wear products of artifical joint prostheses. J Biomed Mater Res 1977; 11: 157-64.
6 Goldring S R, Schiller A L, Roelke M, Rourke C M, O’Neill D A, Harris W H. The synovial-like membrane at the bone-cement interface in loose total hip replacements and its proposed role in bone lysis. J Bone Jt Surg 1983; 65-A: 575-84.
7 Linder L, Lindberg L, Carlsson A. Aseptic loosening of hip prosthesis. A histologic and enzyme histochemical study. Clin Orthop 1983; 175: 93-104.
8 Amstutz H C, Kim W C, O’Carroll P F, Kabo J M. Canine porous resurfacing hip arthroplasty. Clin Orthop 1986; 207: 270-89.
9 Chen P, Turner T M, Ronnigen H, Galante J, Urban R, Rostoker W. A canine cementless total hip prothesis model. Clin Orthop 1983; 176: 24-33.
10 Hedley A K, Kabo M, Kim W, Coster I, Amstutz H C. Bony ingrowth fixation of newly designed acetabular components in a canine model. Clin Orthop 1983; 176: 12-23.
11 Harris W H, White R E, McCarthy J C, Walker P S, Weinberg E H. Bony ingrowth fixation of the acetabular component in canine hip joint arthroplasty. Clin Orthop 1983; 176: 7-11.
12 Ronningen H, Lereim P, Galante J, Rostoker W, Turner T, Urban R. Total surface hip arthroplasty in dogs using a fiber metal composite as a fixation method. J Biomed Mat Res 1983; 17: 643-53.
13 Schatzker J, Goodman S B, Sumner-Smith G, Fornasier V L, Gofton N, Bell R S. Wagner resurfacing arthroplasty of the canine hip. Arch Orthop Trauma Surg 1987; 106: 94-101.
14 Carter D R, Vasu R, Harris W H. Stress distributions in the acetabular region-II. Effects of cement thickness and metal backing of the total hip acetabular component. J Biomechanics 1982; 15: 165-70.
15 Vasu R, Carter D R, Harris W H. Stress distributions in the acetabular region-I. Before and after total joint replacement. J Biomechanics 1982; 15: 155-64.
16 Harris W H, White R E. Socket fixation using a metal-backed acetabular component for total hip replacement. A minimum fiveyear follow-up. J Bone Jt Surg 1982; 64-A: 745-8.
17 Mattingly D A, Hopson C N, Cahn A, Giannestras N J. Aseptic loosening in metal-backed acetabular components for total hip replacement. J Bone Jt Surg 1985; 67-A: 387-91.
18 Pilliar R M, Cameron H V, Welsh R P, Binnington A G. Radiographic and morphologic studies of load bearing poroussurfaced structured implants. Clin Orthop 1981; 156: 249-57.
19 Pilliar R M, Lee J M, Maniatopoulos C. Observations on the effect of movement on bone ingrowth into porous-surfaced implants. Clin Orthop 1986; 208: 108-13.
20 Cameron H V. The results of early clinical trials with a microporous coated metal hip prosthesis. Clin Orthop 1982; 165: 188-90.
21 Engh C A. Hip arthroplasty with a Moore prosthesis with porous coating – a five year study. Clin Orthop 1983; 176: 52-66.
22 Engh C A, Bobyn J D, Glassman A H. Porous-coated hip relacement. J Bone Jt Surg 1987; 69-B: 45-55.
23 Bobyn J D, Engh C A. Human histology of the bone-porous metal implant interface. Orthopedics 1984; 7: 1410-21.
24 Hedley A K, Clarke I C, Kozinn S C, Coster I, Gruen T, Amstutz H C. Porous ingrowth fixation of the femoral component in a canine surface replacement of the hip. Clin Orthop 1982; 163: 300-11.
25 Bobyn J D, Pilliar R M, Cameron H V, Weatherly G C. Osteogenic phenomena across endosteal bone-implant spaces with porous-surfaced intramedually implants. Acta Orthop Scand 1981; 52: 145-53.
26 Gitelis S, Chen P, Andersson G B J, Galante J O, Rostoker W, Andriacchi T P. The influence of early weight bearing on experimental total hip arthroplasties in dogs. Clin Orthop 1982; 169: 291-302.
27 Barth E, Ronningen H, Solheim L F, Saethren B. Bone ingrowth into weight-bearing porous fiber titanium implants. Mechanical and biochemical correlations. J Orthop Res 1986; 4: 356-61.
28 Maguire J K, Coscia M F, Lynch M H. Foreign body reaction to polymeric debris following total hip arthroplasty. Clin Orthop 1987; 216: 213-23.
29 Johanson N A, Bullough P G, Wilson P D, Salvati E A, Ranawat C. The microscopic anatomy of the bone-cement interface in failed total hip arthroplasties. Clin Orthop 1987; 218: 123-35.
30 Linder L, Carlsson A S. The bone-cement interface in hip arthroplasty – a histologic and enzyme study of stable components. Acta Orthop Scand 1986; 57: 495-500.
31 Buchert P K, Vaughn B K, Mallory T H, Engh C A, Bobyn J D. Excessive metal release due to loosening and fretting of sintered particles on porous-coated hip prostheses. J Bone Jt Surg 1986; 68-A: 606-9.
32 Kumar P, Bryan C E, Leech S H, Matthews R, Bowler J, D’Ambrosia R D. Metal hypersensitivity in total joint replacement. Orthopedics 1983; 6: 1455-8.