Jumbo cup in hip joint renovation may cause the center of rotation to increase

Ya-Wen Peng; Jun-Min Shen; Yan-Chao Zhang; Jing-Yang Sun; Yin-Qiao Du; Yong-Gang Zhou

doi:10.12998/wjcc.v9.i22.6300

Jumbo cup in hip joint renovation may cause the center of rotation to increase

World J Clin Cases. 2021 Aug 6;9(22):6300-6307. doi: 10.12998/wjcc.v9.i22.6300.

Authors

Ya-Wen Peng¹, Jun-Min Shen¹, Yan-Chao Zhang¹, Jing-Yang Sun¹, Yin-Qiao Du¹, Yong-Gang Zhou²

Affiliations

¹ Department of Orthopedics, The First Medical Centre, Chinese People's Liberation Army General Hospital, Beijing 100853, China.
² Department of Orthopedics, The First Medical Centre, Chinese People's Liberation Army General Hospital, Beijing 100853, China. ygzhou301@163.com.

Abstract

Background: Utilizing the large jumbo cup in revision total hip arthroplasty is an effective approach to cure many lacunar and segmental peripheral bone defects. However, with the use of the jumbo cup, the center of the hip joint may become elevated relative to the primary acetabulum, and the diameter of the large cup is greater.

Aim: To study the height and the significance of the elevation of the hip joint center.

Methods: Eighty-eight patients matched the criteria for this condition and were included in the study. The center height of the hip joint was measured relative to the opposite normal hip joint. The diameter of the jumbo cup was measured and checked according to operation notes, and the diameter of the jumbo cup was measured with a prosthesis label. Then, the horizontal and vertical centers of rotation were measured on the surgical side and opposite side. The average center height of the hip joint on the renovated side and the opposite side and the position of the hip cup relative to the teardrop were compared using a paired t-test.

Results: Radiometric analysis showed that the average hip joint center was elevated by 7.6 mm. The rotational center height delta of the renovated hip was 7.6 ± 5.6 mm, and there was an obvious difference between the two groups (P = 0.00). The difference in horizontal distance was 0.5 ± 5.1 mm (-11.5 -14.0 mm), and there was no obvious difference between the two groups (P = 0.38). According to the foreign standard, the rotational center height delta of the renovated hip was 7.5 ± 6.2 mm, and there was a significant difference between the two groups (P = 0.00). There was no obvious difference between the domestic and foreign standards (P > 0.05) between the two groups.

Conclusion: The application of the jumbo cup elevates the rotational center of the hip joint, but it is feasible and effective to use the jumbo cup.

Keywords: Center of rotation; Hip joint; Hip joint renovation; Hip revision surgery; Jumbo cup.