Treatment and rehabilitation center, Ministry of health …congress-ph.ru/common/htdocs/upload/fm/travma14/17/17-15.pdfImplantCast ACCIS/polaric head Serf NOVAE Inclusion criteria:

Кавалерский ГМ Серебряков АБ Лычагин АВСметанин СМ

Середа АП (presenting author)

Treatment and rehabilitation center Ministry of health care Moscow Russia

РМ Тихилов ИИ Шубняков АН Коваленко ЗА Тотоев Лю Бо СС Билык СТРУКТУРА РАННИХ

РЕВИЗИЙ ЭНДОПРОТЕЗИРОВАНИЯ ТАЗОБЕДРЕННОГО СУСТАВА Травматология и ортопедия

России 2014 ndash 2 (72)

0

5

10

15

20

25

30

35

40

45

50

первый второй третий четвертый пятый

Год после операции

0

2

4

6

8

10

12

14

16

18



инфекции

переломы

нестабильность

вывихи

другое

Первичные операции

в РНИИТО вне РНИИТО

1 Soong M Rubash HE Macaulay W Dislocation after total hip arthroplasty J Am Acad Orthop Surg2004 12 314-321

2 Sanchez-Sotelo J Berry DJ Epidemiology of instability after total hip replacement Orthop Clin North Am2001 32543-552 vii

3 Woo RY Morrey BF Dislocations after total hip arthroplasty J Bone Joint Surg Am1982 64 1295-1306

4 Sikes CV Lai LP Schreiber M Mont MA Jinnah RH Seyler TM Instability after total hip arthroplasty treatment with large femoral heads vs constrained liners J Arthroplasty 2008 23 59-63

5 Ali Khan MA Brakenbury PH Reynolds IS Dislocation following total hip replacement J Bone Joint Surg Br1981 63-B214-218

6 Berry DJ von Knoch M Schleck CD Harmsen WS Effect of femoral head diameter and operative approach on risk of dislocation after primary total hip arthroplasty J Bone Joint Surg Am2005

87 2456-2463

7 Pulido L Restrepo C Parvizi J Late instability following total hip arthroplasty Clin Med Res2007 5 139-142

8 Bourne RB Mehin R The dislocating hip what to do what to do J Arthroplasty2004 19 111-114

9 Newington DP Bannister GC Fordyce M Primary total hip replacement in patients over 80 years of age J Bone Joint Surg Br1990 72 450-452

10 Woolson ST Rahimtoola ZO Risk factors for dislocation during the first 3 months after primary total hip replacement J Arthroplasty1999 14 662-668

Пациент-связанные

Рост-вес не связаны с риском вывиха [12]

У женщин риск вывиха ~ в 2 раза uarr чем у мужчин [3-7]

Изолированный возраст ndash не связан с риском вывиха [12]

связан с риском вывиха [8910]

Нейромышечные и когнитивные нарушения [много работhellip]

1 Phillips CB et al Incidence rates of dislocation pulmonary embolism and deep infection during the first six months after elective total hip replacement J Bone Joint Surg [Am]200385-A20ndash26

2 Springer BD et al Why revision total hip arthroplasty fails Clin Orthop2009467166ndash173

3 Carter AH et alRevision for recurrent instability what are the predictors of failure J Arthroplasty201126(Suppl)46ndash52


Частота вывихов после ревизионного THR -

74 - 25 [1-3]

До 35 при некоторых показаниях [2]

Риск вывиха после revTHR в 3 раза больше

чем после primTHR (144 versus 39) [1]

Хирург и имплант-связанные

Доступ

Наклон-антеверсия

Диаметр головки

Оффсет

Импинджемент

Козырек

Реконструкция laquoманжетыraquo

Хирург-связанные

Доступhellip

Задний доступ 41 (23 of 555) [1]

Omega доступ 0 (0 of 120) [1]

Доступ Hardinge 34 (30 of 892) [1]

Прямой передний доступ (MIS) 30 (6 of 200) [2]

Передний межмышечный (модифицированный

Smith-Petersen)

04 (4 of 986) [3]

Ashley W Blom Mark Rogers Adrian H Taylor Giles Pattison Sarah Whitehouse and Gordon C Bannister

Dislocation Following Total Hip Replacement The Avon Orthopaedic Centre Experience Ann R Coll Surg Engl 2008 November 90(8) 658ndash

662

Ola Hallert Yan Li Harald Brismar1 and Urban Lindgren The direct anterior approach initial experience of a minimally invasive technique for

total hip arthroplasty J Orthop Surg Res 2012 7 17

Berend KR Kavolus JJ Morris MJ Lombardi AV Jr Primary and revision anterior supine total hip arthroplasty an analysis of complications

and reoperations Instr Course Lect 201362251-63


Доступhellip

В Клинике травматологии ортопедии и

патологии суставов Первого МГМУ им ИМ

Сеченова с 2012 года по 10914 выполнено

1312 эндопротезирований тазобедренного

сустава

Год laquoПереднийraquo

доступ

laquoЗаднийraquo доступ Первичных Ревизионных Всего

2012 282 246 528 9 537

2013 247 243 490 19 509

2014 130 125 255 11 266

Сумма 659 614 1273 39 1312

53 вывиха у 38 пациентов

laquoПереднийraquo доступ ndash 88

(12)

laquoЗаднийraquo доступ ndash 4530

(48) χ2=148 p=00001

В группе заднего доступа -

больше некомплайентных

пациентов больше

пациентов с нарушенной

функцией мышечной

laquoманжетыraquo

Закрытое вправление +

иммобилизация оказались

эффективными у 19

пациентов



НЕэффективными у 19 пациентов

ndash Открытое вправление Ревизия

Неправильная позиция

компонентов

Правильная

позиция компонентов

РЕВИЗИЯ

Импинджемент uarr диаметр головки

Козырек

Антеверсия

Латерализация

Дисфункция абдукторов

laquoСлабостьraquo uarr оффсет

laquoОтрывraquo Остеосинтез

миотенопластика

laquoОтсутствиеraquo Constrain

Robert B Bourne The Dislocating Hip What to Do What to Do The Journal

of Arthroplasty Vol 19 No 4 Suppl 1 June 2004

Esposito Christina I et al

Cup Position Alone Does Not Predict Risk of Dislocation after Hip Arthroplasty

Journal of Arthroplasty (2014) doi 101016jarth201407009

2007-2012 гг

19 449 пациентов

(22 097 операций)







LEAS ndash шкала

оценки физической

активности (до

операции)

527 THR

Задний доступ

Риск вывиха не связан с диаметромhellip





РЕВИЗИЯ


Козырек










НЕТ ВЕДУЩЕГО ФАКТОРА НЕЛЬЗЯ ДЕЙСТВОАТЬ НА

ОДНО ЗВЕНО

1970-1975 ndash разработка концепции

(Gilles Bousquet Andreacute Rambert Jean Rieu)

1975 ndash Первая имплантация

Синонимы dual-mobility double-mobility or unconstrained

tripolar acetabular component

Gilles Bousquet

(1936-1996)

38 reduction in wear rate between

Restoration ADM Duration and Trident

N2Vac


Restoration ADM X3 and Trident

N2Vac


Restoration ADM X3 and Restoration

ADM Duration

Stryker Test Report RD-09-068

ADM - anatomic dual mobility (Stryker)

94 reduction in wear

rate between ADM X3

compared to MOM

IM Sechenov First Moscow State Medical University


University clinic ndash teaching hospital

(studentsampresidents)

70 beds in orthopaedic department

Only elective surgery

3 operating rooms

1600 surgeries per year

1200 major joint replacements per

year

500 THR a year

Teaching hospital (only residents)



3 operating rooms



year

2000 THR a year

First THR with DMndash September of 2011

September 2014 ndash more than 1600 primary THR with DM

88 cases of revision THR with DM

39 revisions for recurrent dislocations with DM (follow-up 161 months

min 12 months)

ImplantCast

ACCISpolaric head Serf

NOVAE

Inclusion criteria pts with chronic dislocation of femoral

head after THR (ge2 episodes)

39 pts

19 female

bull 677plusmn81 yo

20 male

bull 556plusmn92 yo

2 patients lost

All 39 cups were removed for

new DM cups

34 stems were left (5

removed)

man 41 yo Left THR in 2005 Right THR in 2006 (chronic dislocations)

Just after revTHR 13 mnths postop

man 59 yo Right THR in 2011 (chronic dislocations) RevTHR jan 2012

female 67 yo primary THR in 2006 (Zimmer cemented CPTampZCA) multiple dislocations since 2009 RevTHR in july of 2012

man 62 yo Right THR in 2010 (chronic dislocations) RevTHR feb 2012

female 71 yo primary THR in 2010 multiple dislocations Bone defect of prox femur (unknown history) RevTHR in oct of 2012

Authors 1st revision with DM for dislocation Closed

reduction

wout further

surgery

Re-revision for dislocation

Mean follow-

up (mths)

n Dislocations

(n)

n Success (n)

Current study 16 37 (2 lost)

0 - - -

Leiber-Wackenheim et al 2011 96 59 1(17) 1 - -

Hamadouche et al 2010 51 51 2 (39) - 2 2

Massin and Besnier 2010 54 23 2 (87) 1 1 1

Guyen et al 2009 48 54 3 (56) 1 2 2

Philippot et al 2009 60 26 6 of 163 (only

26 revisions for

dislocations - 37)

6 - -

Langlais et al 2008 36 5 0 - - -

Leclercq et al 1995 40 13 1 (77) 1 - -

Levine et al 2008 24 20 1 (50) 0 1 1

Grigoris et al 1994 50 8 0 - - -

Vasukutty et al 2012 42 29 2 (69) 2 - -

Beaule et al 2003 65 21 1 (48) - 1 1

Total 346 13 of 320 41

12 of 19 7 7

What are these screws

Figure 1 Preoperative radiograph

showing loose acetabular

component with subluxed hip joint

and mature heterotopic

ossification

S Kamath and AC Campbell case

Спасибо

Thank you

РМ Тихилов ИИ Шубняков АН Коваленко ЗА Тотоев Лю Бо СС Билык СТРУКТУРА РАННИХ

РЕВИЗИЙ ЭНДОПРОТЕЗИРОВАНИЯ ТАЗОБЕДРЕННОГО СУСТАВА Травматология и ортопедия

России 2014 ndash 2 (72)

0

5

10

15

20

25

30

35

40

45

50



0

2

4

6

8

10

12

14

16

18



инфекции

переломы

нестабильность

вывихи

другое

Первичные операции

в РНИИТО вне РНИИТО







87 2456-2463
















74 - 25 [1-3]





Доступ



Оффсет


Козырек



Доступhellip






Smith-Petersen)

04 (4 of 986) [3]



662






Доступhellip





сустава


доступ


2012 282 246 528 9 537

2013 247 243 490 19 509

2014 130 125 255 11 266

Сумма 659 614 1273 39 1312



(12)


(48) χ2=148 p=00001










пациентов









РЕВИЗИЯ


Козырек













2007-2012 гг












операции)

527 THR







РЕВИЗИЯ


Козырек











ОДНО ЗВЕНО






Gilles Bousquet

(1936-1996)



N2Vac



N2Vac



ADM Duration




rate between ADM X3

compared to MOM







3 operating rooms



year

500 THR a year




3 operating rooms



year

2000 THR a year





min 12 months)

ImplantCast


NOVAE



39 pts

19 female

bull 677plusmn81 yo

20 male

bull 556plusmn92 yo

2 patients lost


new DM cups


removed)








reduction

wout further

surgery


Mean follow-

up (mths)

n Dislocations

(n)

n Success (n)


0 - - -


Hamadouche et al 2010 51 51 2 (39) - 2 2


Guyen et al 2009 48 54 3 (56) 1 2 2


26 revisions for

dislocations - 37)

6 - -

Langlais et al 2008 36 5 0 - - -

Leclercq et al 1995 40 13 1 (77) 1 - -

Levine et al 2008 24 20 1 (50) 0 1 1

Grigoris et al 1994 50 8 0 - - -

Vasukutty et al 2012 42 29 2 (69) 2 - -

Beaule et al 2003 65 21 1 (48) - 1 1

Total 346 13 of 320 41

12 of 19 7 7






ossification


Спасибо

Thank you







87 2456-2463
















74 - 25 [1-3]





Доступ



Оффсет


Козырек



Доступhellip






Smith-Petersen)

04 (4 of 986) [3]



662






Доступhellip





сустава


доступ


2012 282 246 528 9 537

2013 247 243 490 19 509

2014 130 125 255 11 266

Сумма 659 614 1273 39 1312



(12)


(48) χ2=148 p=00001










пациентов









РЕВИЗИЯ


Козырек













2007-2012 гг












операции)

527 THR







РЕВИЗИЯ


Козырек











ОДНО ЗВЕНО






Gilles Bousquet

(1936-1996)



N2Vac



N2Vac



ADM Duration




rate between ADM X3

compared to MOM







3 operating rooms



year

500 THR a year




3 operating rooms



year

2000 THR a year





min 12 months)

ImplantCast


NOVAE



39 pts

19 female

bull 677plusmn81 yo

20 male

bull 556plusmn92 yo

2 patients lost


new DM cups


removed)








reduction

wout further

surgery


Mean follow-

up (mths)

n Dislocations

(n)

n Success (n)


0 - - -


Hamadouche et al 2010 51 51 2 (39) - 2 2


Guyen et al 2009 48 54 3 (56) 1 2 2


26 revisions for

dislocations - 37)

6 - -

Langlais et al 2008 36 5 0 - - -

Leclercq et al 1995 40 13 1 (77) 1 - -

Levine et al 2008 24 20 1 (50) 0 1 1

Grigoris et al 1994 50 8 0 - - -

Vasukutty et al 2012 42 29 2 (69) 2 - -

Beaule et al 2003 65 21 1 (48) - 1 1

Total 346 13 of 320 41

12 of 19 7 7






ossification


Спасибо

Thank you






74 - 25 [1-3]





Доступ



Оффсет


Козырек



Доступhellip






Smith-Petersen)

04 (4 of 986) [3]



662






Доступhellip





сустава


доступ


2012 282 246 528 9 537

2013 247 243 490 19 509

2014 130 125 255 11 266

Сумма 659 614 1273 39 1312



(12)


(48) χ2=148 p=00001










пациентов









РЕВИЗИЯ


Козырек













2007-2012 гг












операции)

527 THR







РЕВИЗИЯ


Козырек











ОДНО ЗВЕНО






Gilles Bousquet

(1936-1996)



N2Vac



N2Vac



ADM Duration




rate between ADM X3

compared to MOM







3 operating rooms



year

500 THR a year




3 operating rooms



year

2000 THR a year





min 12 months)

ImplantCast


NOVAE



39 pts

19 female

bull 677plusmn81 yo

20 male

bull 556plusmn92 yo

2 patients lost


new DM cups


removed)








reduction

wout further

surgery


Mean follow-

up (mths)

n Dislocations

(n)

n Success (n)


0 - - -


Hamadouche et al 2010 51 51 2 (39) - 2 2


Guyen et al 2009 48 54 3 (56) 1 2 2


26 revisions for

dislocations - 37)

6 - -

Langlais et al 2008 36 5 0 - - -

Leclercq et al 1995 40 13 1 (77) 1 - -

Levine et al 2008 24 20 1 (50) 0 1 1

Grigoris et al 1994 50 8 0 - - -

Vasukutty et al 2012 42 29 2 (69) 2 - -

Beaule et al 2003 65 21 1 (48) - 1 1

Total 346 13 of 320 41

12 of 19 7 7






ossification


Спасибо

Thank you


Доступ



Оффсет


Козырек



Доступhellip






Smith-Petersen)

04 (4 of 986) [3]



662






Доступhellip





сустава


доступ


2012 282 246 528 9 537

2013 247 243 490 19 509

2014 130 125 255 11 266

Сумма 659 614 1273 39 1312



(12)


(48) χ2=148 p=00001










пациентов









РЕВИЗИЯ


Козырек













2007-2012 гг












операции)

527 THR







РЕВИЗИЯ


Козырек











ОДНО ЗВЕНО






Gilles Bousquet

(1936-1996)



N2Vac



N2Vac



ADM Duration




rate between ADM X3

compared to MOM







3 operating rooms



year

500 THR a year




3 operating rooms



year

2000 THR a year





min 12 months)

ImplantCast


NOVAE



39 pts

19 female

bull 677plusmn81 yo

20 male

bull 556plusmn92 yo

2 patients lost


new DM cups


removed)








reduction

wout further

surgery


Mean follow-

up (mths)

n Dislocations

(n)

n Success (n)


0 - - -


Hamadouche et al 2010 51 51 2 (39) - 2 2


Guyen et al 2009 48 54 3 (56) 1 2 2


26 revisions for

dislocations - 37)

6 - -

Langlais et al 2008 36 5 0 - - -

Leclercq et al 1995 40 13 1 (77) 1 - -

Levine et al 2008 24 20 1 (50) 0 1 1

Grigoris et al 1994 50 8 0 - - -

Vasukutty et al 2012 42 29 2 (69) 2 - -

Beaule et al 2003 65 21 1 (48) - 1 1

Total 346 13 of 320 41

12 of 19 7 7






ossification


Спасибо

Thank you


Доступhellip






Smith-Petersen)

04 (4 of 986) [3]



662






Доступhellip





сустава


доступ


2012 282 246 528 9 537

2013 247 243 490 19 509

2014 130 125 255 11 266

Сумма 659 614 1273 39 1312



(12)


(48) χ2=148 p=00001










пациентов









РЕВИЗИЯ


Козырек













2007-2012 гг












операции)

527 THR







РЕВИЗИЯ


Козырек











ОДНО ЗВЕНО






Gilles Bousquet

(1936-1996)



N2Vac



N2Vac



ADM Duration




rate between ADM X3

compared to MOM







3 operating rooms



year

500 THR a year




3 operating rooms



year

2000 THR a year





min 12 months)

ImplantCast


NOVAE



39 pts

19 female

bull 677plusmn81 yo

20 male

bull 556plusmn92 yo

2 patients lost


new DM cups


removed)








reduction

wout further

surgery


Mean follow-

up (mths)

n Dislocations

(n)

n Success (n)


0 - - -


Hamadouche et al 2010 51 51 2 (39) - 2 2


Guyen et al 2009 48 54 3 (56) 1 2 2


26 revisions for

dislocations - 37)

6 - -

Langlais et al 2008 36 5 0 - - -

Leclercq et al 1995 40 13 1 (77) 1 - -

Levine et al 2008 24 20 1 (50) 0 1 1

Grigoris et al 1994 50 8 0 - - -

Vasukutty et al 2012 42 29 2 (69) 2 - -

Beaule et al 2003 65 21 1 (48) - 1 1

Total 346 13 of 320 41

12 of 19 7 7






ossification


Спасибо

Thank you


Доступhellip





сустава


доступ


2012 282 246 528 9 537

2013 247 243 490 19 509

2014 130 125 255 11 266

Сумма 659 614 1273 39 1312



(12)


(48) χ2=148 p=00001










пациентов









РЕВИЗИЯ


Козырек













2007-2012 гг












операции)

527 THR







РЕВИЗИЯ


Козырек











ОДНО ЗВЕНО






Gilles Bousquet

(1936-1996)



N2Vac



N2Vac



ADM Duration




rate between ADM X3

compared to MOM







3 operating rooms



year

500 THR a year




3 operating rooms



year

2000 THR a year





min 12 months)

ImplantCast


NOVAE



39 pts

19 female

bull 677plusmn81 yo

20 male

bull 556plusmn92 yo

2 patients lost


new DM cups


removed)








reduction

wout further

surgery


Mean follow-

up (mths)

n Dislocations

(n)

n Success (n)


0 - - -


Hamadouche et al 2010 51 51 2 (39) - 2 2


Guyen et al 2009 48 54 3 (56) 1 2 2


26 revisions for

dislocations - 37)

6 - -

Langlais et al 2008 36 5 0 - - -

Leclercq et al 1995 40 13 1 (77) 1 - -

Levine et al 2008 24 20 1 (50) 0 1 1

Grigoris et al 1994 50 8 0 - - -

Vasukutty et al 2012 42 29 2 (69) 2 - -

Beaule et al 2003 65 21 1 (48) - 1 1

Total 346 13 of 320 41

12 of 19 7 7






ossification


Спасибо

Thank you





сустава


доступ


2012 282 246 528 9 537

2013 247 243 490 19 509

2014 130 125 255 11 266

Сумма 659 614 1273 39 1312



(12)


(48) χ2=148 p=00001










пациентов









РЕВИЗИЯ


Козырек













2007-2012 гг












операции)

527 THR







РЕВИЗИЯ


Козырек











ОДНО ЗВЕНО






Gilles Bousquet

(1936-1996)



N2Vac



N2Vac



ADM Duration




rate between ADM X3

compared to MOM







3 operating rooms



year

500 THR a year




3 operating rooms



year

2000 THR a year





min 12 months)

ImplantCast


NOVAE



39 pts

19 female

bull 677plusmn81 yo

20 male

bull 556plusmn92 yo

2 patients lost


new DM cups


removed)








reduction

wout further

surgery


Mean follow-

up (mths)

n Dislocations

(n)

n Success (n)


0 - - -


Hamadouche et al 2010 51 51 2 (39) - 2 2


Guyen et al 2009 48 54 3 (56) 1 2 2


26 revisions for

dislocations - 37)

6 - -

Langlais et al 2008 36 5 0 - - -

Leclercq et al 1995 40 13 1 (77) 1 - -

Levine et al 2008 24 20 1 (50) 0 1 1

Grigoris et al 1994 50 8 0 - - -

Vasukutty et al 2012 42 29 2 (69) 2 - -

Beaule et al 2003 65 21 1 (48) - 1 1

Total 346 13 of 320 41

12 of 19 7 7






ossification


Спасибо

Thank you



(12)


(48) χ2=148 p=00001










пациентов









РЕВИЗИЯ


Козырек













2007-2012 гг












операции)

527 THR







РЕВИЗИЯ


Козырек











ОДНО ЗВЕНО






Gilles Bousquet

(1936-1996)



N2Vac



N2Vac



ADM Duration




rate between ADM X3

compared to MOM







3 operating rooms



year

500 THR a year




3 operating rooms



year

2000 THR a year





min 12 months)

ImplantCast


NOVAE



39 pts

19 female

bull 677plusmn81 yo

20 male

bull 556plusmn92 yo

2 patients lost


new DM cups


removed)








reduction

wout further

surgery


Mean follow-

up (mths)

n Dislocations

(n)

n Success (n)


0 - - -


Hamadouche et al 2010 51 51 2 (39) - 2 2


Guyen et al 2009 48 54 3 (56) 1 2 2


26 revisions for

dislocations - 37)

6 - -

Langlais et al 2008 36 5 0 - - -

Leclercq et al 1995 40 13 1 (77) 1 - -

Levine et al 2008 24 20 1 (50) 0 1 1

Grigoris et al 1994 50 8 0 - - -

Vasukutty et al 2012 42 29 2 (69) 2 - -

Beaule et al 2003 65 21 1 (48) - 1 1

Total 346 13 of 320 41

12 of 19 7 7






ossification


Спасибо

Thank you





РЕВИЗИЯ


Козырек













2007-2012 гг












операции)

527 THR







РЕВИЗИЯ


Козырек











ОДНО ЗВЕНО






Gilles Bousquet

(1936-1996)



N2Vac



N2Vac



ADM Duration




rate between ADM X3

compared to MOM







3 operating rooms



year

500 THR a year




3 operating rooms



year

2000 THR a year





min 12 months)

ImplantCast


NOVAE



39 pts

19 female

bull 677plusmn81 yo

20 male

bull 556plusmn92 yo

2 patients lost


new DM cups


removed)








reduction

wout further

surgery


Mean follow-

up (mths)

n Dislocations

(n)

n Success (n)


0 - - -


Hamadouche et al 2010 51 51 2 (39) - 2 2


Guyen et al 2009 48 54 3 (56) 1 2 2


26 revisions for

dislocations - 37)

6 - -

Langlais et al 2008 36 5 0 - - -

Leclercq et al 1995 40 13 1 (77) 1 - -

Levine et al 2008 24 20 1 (50) 0 1 1

Grigoris et al 1994 50 8 0 - - -

Vasukutty et al 2012 42 29 2 (69) 2 - -

Beaule et al 2003 65 21 1 (48) - 1 1

Total 346 13 of 320 41

12 of 19 7 7






ossification


Спасибо

Thank you




2007-2012 гг












операции)

527 THR







РЕВИЗИЯ


Козырек











ОДНО ЗВЕНО






Gilles Bousquet

(1936-1996)



N2Vac



N2Vac



ADM Duration




rate between ADM X3

compared to MOM







3 operating rooms



year

500 THR a year




3 operating rooms



year

2000 THR a year





min 12 months)

ImplantCast


NOVAE



39 pts

19 female

bull 677plusmn81 yo

20 male

bull 556plusmn92 yo

2 patients lost


new DM cups


removed)








reduction

wout further

surgery


Mean follow-

up (mths)

n Dislocations

(n)

n Success (n)


0 - - -


Hamadouche et al 2010 51 51 2 (39) - 2 2


Guyen et al 2009 48 54 3 (56) 1 2 2


26 revisions for

dislocations - 37)

6 - -

Langlais et al 2008 36 5 0 - - -

Leclercq et al 1995 40 13 1 (77) 1 - -

Levine et al 2008 24 20 1 (50) 0 1 1

Grigoris et al 1994 50 8 0 - - -

Vasukutty et al 2012 42 29 2 (69) 2 - -

Beaule et al 2003 65 21 1 (48) - 1 1

Total 346 13 of 320 41

12 of 19 7 7






ossification


Спасибо

Thank you










операции)

527 THR







РЕВИЗИЯ


Козырек











ОДНО ЗВЕНО






Gilles Bousquet

(1936-1996)



N2Vac



N2Vac



ADM Duration




rate between ADM X3

compared to MOM







3 operating rooms



year

500 THR a year




3 operating rooms



year

2000 THR a year





min 12 months)

ImplantCast


NOVAE



39 pts

19 female

bull 677plusmn81 yo

20 male

bull 556plusmn92 yo

2 patients lost


new DM cups


removed)








reduction

wout further

surgery


Mean follow-

up (mths)

n Dislocations

(n)

n Success (n)


0 - - -


Hamadouche et al 2010 51 51 2 (39) - 2 2


Guyen et al 2009 48 54 3 (56) 1 2 2


26 revisions for

dislocations - 37)

6 - -

Langlais et al 2008 36 5 0 - - -

Leclercq et al 1995 40 13 1 (77) 1 - -

Levine et al 2008 24 20 1 (50) 0 1 1

Grigoris et al 1994 50 8 0 - - -

Vasukutty et al 2012 42 29 2 (69) 2 - -

Beaule et al 2003 65 21 1 (48) - 1 1

Total 346 13 of 320 41

12 of 19 7 7






ossification


Спасибо

Thank you







операции)

527 THR







РЕВИЗИЯ


Козырек











ОДНО ЗВЕНО






Gilles Bousquet

(1936-1996)



N2Vac



N2Vac



ADM Duration




rate between ADM X3

compared to MOM







3 operating rooms



year

500 THR a year




3 operating rooms



year

2000 THR a year





min 12 months)

ImplantCast


NOVAE



39 pts

19 female

bull 677plusmn81 yo

20 male

bull 556plusmn92 yo

2 patients lost


new DM cups


removed)








reduction

wout further

surgery


Mean follow-

up (mths)

n Dislocations

(n)

n Success (n)


0 - - -


Hamadouche et al 2010 51 51 2 (39) - 2 2


Guyen et al 2009 48 54 3 (56) 1 2 2


26 revisions for

dislocations - 37)

6 - -

Langlais et al 2008 36 5 0 - - -

Leclercq et al 1995 40 13 1 (77) 1 - -

Levine et al 2008 24 20 1 (50) 0 1 1

Grigoris et al 1994 50 8 0 - - -

Vasukutty et al 2012 42 29 2 (69) 2 - -

Beaule et al 2003 65 21 1 (48) - 1 1

Total 346 13 of 320 41

12 of 19 7 7






ossification


Спасибо

Thank you

527 THR







РЕВИЗИЯ


Козырек











ОДНО ЗВЕНО






Gilles Bousquet

(1936-1996)



N2Vac



N2Vac



ADM Duration




rate between ADM X3

compared to MOM







3 operating rooms



year

500 THR a year




3 operating rooms



year

2000 THR a year





min 12 months)

ImplantCast


NOVAE



39 pts

19 female

bull 677plusmn81 yo

20 male

bull 556plusmn92 yo

2 patients lost


new DM cups


removed)








reduction

wout further

surgery


Mean follow-

up (mths)

n Dislocations

(n)

n Success (n)


0 - - -


Hamadouche et al 2010 51 51 2 (39) - 2 2


Guyen et al 2009 48 54 3 (56) 1 2 2


26 revisions for

dislocations - 37)

6 - -

Langlais et al 2008 36 5 0 - - -

Leclercq et al 1995 40 13 1 (77) 1 - -

Levine et al 2008 24 20 1 (50) 0 1 1

Grigoris et al 1994 50 8 0 - - -

Vasukutty et al 2012 42 29 2 (69) 2 - -

Beaule et al 2003 65 21 1 (48) - 1 1

Total 346 13 of 320 41

12 of 19 7 7






ossification


Спасибо

Thank you





РЕВИЗИЯ


Козырек











ОДНО ЗВЕНО






Gilles Bousquet

(1936-1996)



N2Vac



N2Vac



ADM Duration




rate between ADM X3

compared to MOM







3 operating rooms



year

500 THR a year




3 operating rooms



year

2000 THR a year





min 12 months)

ImplantCast


NOVAE



39 pts

19 female

bull 677plusmn81 yo

20 male

bull 556plusmn92 yo

2 patients lost


new DM cups


removed)








reduction

wout further

surgery


Mean follow-

up (mths)

n Dislocations

(n)

n Success (n)


0 - - -


Hamadouche et al 2010 51 51 2 (39) - 2 2


Guyen et al 2009 48 54 3 (56) 1 2 2


26 revisions for

dislocations - 37)

6 - -

Langlais et al 2008 36 5 0 - - -

Leclercq et al 1995 40 13 1 (77) 1 - -

Levine et al 2008 24 20 1 (50) 0 1 1

Grigoris et al 1994 50 8 0 - - -

Vasukutty et al 2012 42 29 2 (69) 2 - -

Beaule et al 2003 65 21 1 (48) - 1 1

Total 346 13 of 320 41

12 of 19 7 7






ossification


Спасибо

Thank you






Gilles Bousquet

(1936-1996)



N2Vac



N2Vac



ADM Duration




rate between ADM X3

compared to MOM







3 operating rooms



year

500 THR a year




3 operating rooms



year

2000 THR a year





min 12 months)

ImplantCast


NOVAE



39 pts

19 female

bull 677plusmn81 yo

20 male

bull 556plusmn92 yo

2 patients lost


new DM cups


removed)








reduction

wout further

surgery


Mean follow-

up (mths)

n Dislocations

(n)

n Success (n)


0 - - -


Hamadouche et al 2010 51 51 2 (39) - 2 2


Guyen et al 2009 48 54 3 (56) 1 2 2


26 revisions for

dislocations - 37)

6 - -

Langlais et al 2008 36 5 0 - - -

Leclercq et al 1995 40 13 1 (77) 1 - -

Levine et al 2008 24 20 1 (50) 0 1 1

Grigoris et al 1994 50 8 0 - - -

Vasukutty et al 2012 42 29 2 (69) 2 - -

Beaule et al 2003 65 21 1 (48) - 1 1

Total 346 13 of 320 41

12 of 19 7 7






ossification


Спасибо

Thank you



N2Vac



N2Vac



ADM Duration




rate between ADM X3

compared to MOM







3 operating rooms



year

500 THR a year




3 operating rooms



year

2000 THR a year





min 12 months)

ImplantCast


NOVAE



39 pts

19 female

bull 677plusmn81 yo

20 male

bull 556plusmn92 yo

2 patients lost


new DM cups


removed)








reduction

wout further

surgery


Mean follow-

up (mths)

n Dislocations

(n)

n Success (n)


0 - - -


Hamadouche et al 2010 51 51 2 (39) - 2 2


Guyen et al 2009 48 54 3 (56) 1 2 2


26 revisions for

dislocations - 37)

6 - -

Langlais et al 2008 36 5 0 - - -

Leclercq et al 1995 40 13 1 (77) 1 - -

Levine et al 2008 24 20 1 (50) 0 1 1

Grigoris et al 1994 50 8 0 - - -

Vasukutty et al 2012 42 29 2 (69) 2 - -

Beaule et al 2003 65 21 1 (48) - 1 1

Total 346 13 of 320 41

12 of 19 7 7






ossification


Спасибо

Thank you







3 operating rooms



year

500 THR a year




3 operating rooms



year

2000 THR a year





min 12 months)

ImplantCast


NOVAE



39 pts

19 female

bull 677plusmn81 yo

20 male

bull 556plusmn92 yo

2 patients lost


new DM cups


removed)








reduction

wout further

surgery


Mean follow-

up (mths)

n Dislocations

(n)

n Success (n)


0 - - -


Hamadouche et al 2010 51 51 2 (39) - 2 2


Guyen et al 2009 48 54 3 (56) 1 2 2


26 revisions for

dislocations - 37)

6 - -

Langlais et al 2008 36 5 0 - - -

Leclercq et al 1995 40 13 1 (77) 1 - -

Levine et al 2008 24 20 1 (50) 0 1 1

Grigoris et al 1994 50 8 0 - - -

Vasukutty et al 2012 42 29 2 (69) 2 - -

Beaule et al 2003 65 21 1 (48) - 1 1

Total 346 13 of 320 41

12 of 19 7 7






ossification


Спасибо

Thank you





min 12 months)

ImplantCast


NOVAE



39 pts

19 female

bull 677plusmn81 yo

20 male

bull 556plusmn92 yo

2 patients lost


new DM cups


removed)








reduction

wout further

surgery


Mean follow-

up (mths)

n Dislocations

(n)

n Success (n)


0 - - -


Hamadouche et al 2010 51 51 2 (39) - 2 2


Guyen et al 2009 48 54 3 (56) 1 2 2


26 revisions for

dislocations - 37)

6 - -

Langlais et al 2008 36 5 0 - - -

Leclercq et al 1995 40 13 1 (77) 1 - -

Levine et al 2008 24 20 1 (50) 0 1 1

Grigoris et al 1994 50 8 0 - - -

Vasukutty et al 2012 42 29 2 (69) 2 - -

Beaule et al 2003 65 21 1 (48) - 1 1

Total 346 13 of 320 41

12 of 19 7 7






ossification


Спасибо

Thank you



39 pts

19 female

bull 677plusmn81 yo

20 male

bull 556plusmn92 yo

2 patients lost


new DM cups


removed)








reduction

wout further

surgery


Mean follow-

up (mths)

n Dislocations

(n)

n Success (n)


0 - - -


Hamadouche et al 2010 51 51 2 (39) - 2 2


Guyen et al 2009 48 54 3 (56) 1 2 2


26 revisions for

dislocations - 37)

6 - -

Langlais et al 2008 36 5 0 - - -

Leclercq et al 1995 40 13 1 (77) 1 - -

Levine et al 2008 24 20 1 (50) 0 1 1

Grigoris et al 1994 50 8 0 - - -

Vasukutty et al 2012 42 29 2 (69) 2 - -

Beaule et al 2003 65 21 1 (48) - 1 1

Total 346 13 of 320 41

12 of 19 7 7






ossification


Спасибо

Thank you








reduction

wout further

surgery


Mean follow-

up (mths)

n Dislocations

(n)

n Success (n)


0 - - -


Hamadouche et al 2010 51 51 2 (39) - 2 2


Guyen et al 2009 48 54 3 (56) 1 2 2


26 revisions for

dislocations - 37)

6 - -

Langlais et al 2008 36 5 0 - - -

Leclercq et al 1995 40 13 1 (77) 1 - -

Levine et al 2008 24 20 1 (50) 0 1 1

Grigoris et al 1994 50 8 0 - - -

Vasukutty et al 2012 42 29 2 (69) 2 - -

Beaule et al 2003 65 21 1 (48) - 1 1

Total 346 13 of 320 41

12 of 19 7 7






ossification


Спасибо

Thank you







reduction

wout further

surgery


Mean follow-

up (mths)

n Dislocations

(n)

n Success (n)


0 - - -


Hamadouche et al 2010 51 51 2 (39) - 2 2


Guyen et al 2009 48 54 3 (56) 1 2 2


26 revisions for

dislocations - 37)

6 - -

Langlais et al 2008 36 5 0 - - -

Leclercq et al 1995 40 13 1 (77) 1 - -

Levine et al 2008 24 20 1 (50) 0 1 1

Grigoris et al 1994 50 8 0 - - -

Vasukutty et al 2012 42 29 2 (69) 2 - -

Beaule et al 2003 65 21 1 (48) - 1 1

Total 346 13 of 320 41

12 of 19 7 7






ossification


Спасибо

Thank you






reduction

wout further

surgery


Mean follow-

up (mths)

n Dislocations

(n)

n Success (n)


0 - - -


Hamadouche et al 2010 51 51 2 (39) - 2 2


Guyen et al 2009 48 54 3 (56) 1 2 2


26 revisions for

dislocations - 37)

6 - -

Langlais et al 2008 36 5 0 - - -

Leclercq et al 1995 40 13 1 (77) 1 - -

Levine et al 2008 24 20 1 (50) 0 1 1

Grigoris et al 1994 50 8 0 - - -

Vasukutty et al 2012 42 29 2 (69) 2 - -

Beaule et al 2003 65 21 1 (48) - 1 1

Total 346 13 of 320 41

12 of 19 7 7






ossification


Спасибо

Thank you





reduction

wout further

surgery


Mean follow-

up (mths)

n Dislocations

(n)

n Success (n)


0 - - -


Hamadouche et al 2010 51 51 2 (39) - 2 2


Guyen et al 2009 48 54 3 (56) 1 2 2


26 revisions for

dislocations - 37)

6 - -

Langlais et al 2008 36 5 0 - - -

Leclercq et al 1995 40 13 1 (77) 1 - -

Levine et al 2008 24 20 1 (50) 0 1 1

Grigoris et al 1994 50 8 0 - - -

Vasukutty et al 2012 42 29 2 (69) 2 - -

Beaule et al 2003 65 21 1 (48) - 1 1

Total 346 13 of 320 41

12 of 19 7 7






ossification


Спасибо

Thank you




reduction

wout further

surgery


Mean follow-

up (mths)

n Dislocations

(n)

n Success (n)


0 - - -


Hamadouche et al 2010 51 51 2 (39) - 2 2


Guyen et al 2009 48 54 3 (56) 1 2 2


26 revisions for

dislocations - 37)

6 - -

Langlais et al 2008 36 5 0 - - -

Leclercq et al 1995 40 13 1 (77) 1 - -

Levine et al 2008 24 20 1 (50) 0 1 1

Grigoris et al 1994 50 8 0 - - -

Vasukutty et al 2012 42 29 2 (69) 2 - -

Beaule et al 2003 65 21 1 (48) - 1 1

Total 346 13 of 320 41

12 of 19 7 7






ossification


Спасибо

Thank you



reduction

wout further

surgery


Mean follow-

up (mths)

n Dislocations

(n)

n Success (n)


0 - - -


Hamadouche et al 2010 51 51 2 (39) - 2 2


Guyen et al 2009 48 54 3 (56) 1 2 2


26 revisions for

dislocations - 37)

6 - -

Langlais et al 2008 36 5 0 - - -

Leclercq et al 1995 40 13 1 (77) 1 - -

Levine et al 2008 24 20 1 (50) 0 1 1

Grigoris et al 1994 50 8 0 - - -

Vasukutty et al 2012 42 29 2 (69) 2 - -

Beaule et al 2003 65 21 1 (48) - 1 1

Total 346 13 of 320 41

12 of 19 7 7






ossification


Спасибо

Thank you


reduction

wout further

surgery


Mean follow-

up (mths)

n Dislocations

(n)

n Success (n)


0 - - -


Hamadouche et al 2010 51 51 2 (39) - 2 2


Guyen et al 2009 48 54 3 (56) 1 2 2


26 revisions for

dislocations - 37)

6 - -

Langlais et al 2008 36 5 0 - - -

Leclercq et al 1995 40 13 1 (77) 1 - -

Levine et al 2008 24 20 1 (50) 0 1 1

Grigoris et al 1994 50 8 0 - - -

Vasukutty et al 2012 42 29 2 (69) 2 - -

Beaule et al 2003 65 21 1 (48) - 1 1

Total 346 13 of 320 41

12 of 19 7 7






ossification


Спасибо

Thank you






ossification


Спасибо

Thank you





ossification


Спасибо

Thank you


Спасибо

Thank you

Спасибо

Thank you

Documents

Treatment and rehabilitation center, Ministry of health …congress-ph.ru/common/htdocs/upload/fm/travma14/17/17-15.pdfImplantCast ACCIS/polaric head Serf NOVAE Inclusion criteria: