Acetabular Component Migration Measured Using Radiostereometric Analysis Following Revision Total Hip Arthroplasty: A Scoping Review.

JBJS Rev · Apr 2020 · Review

Abrahams JM, Callary SA, Munn Z, Jang SW, Huang Q, Howie DW, et al.

Centre for Orthopaedic and Trauma Research (J.M.A, S.A.C, S.W.J, Australia

Adult Reconstruction

SUMMARY — THE REDUCTIONScoping review of RSA studies on acetabular migration after revision THA finds inconsistent methods, greater early migration in cemented cups and larger defects, and recommends standardized reporting with 1- and 2-year migration data.
Abstract, as published

* Radiostereometric analysis (RSA) studies of acetabular component migration following revision total hip arthroplasty (THA) have a large variation in their methodology and reporting of results, and, therefore, they may not be directly comparable. Standardization of RSA reporting is recommended. * In our review of RSA studies, there was a trend for cemented acetabular components to have larger amounts of early proximal migration than uncemented acetabular components. Results regarding cemented and uncemented components should be reported separately. * Cohorts that addressed larger acetabular defects were associated with a larger amount of early migration. * Reporting the migration result at 1 and 2 years postoperatively may enable earlier identification of poorly performing implants.

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