Clinical and radiological outcomes of jumbo cup in revision total hip arthroplasty: A systematic review

作者：Qiuyuan Wang, Qi Wang, Pei Liu, Juncheng Ge, Qidong Zhang, Wanshou Guo, Weiguo Wang · 发表于：Frontiers in Surgery · 年份：2022 · DOI：10.3389/fsurg.2022.929103 · 被引用次数：10 · 研究领域：Orthopaedic implants and arthroplasty、Hip disorders and treatments、Hip and Femur Fractures

Introduction: Many studies have reported the clinical outcomes of a jumbo cup in revision total hip arthroplasty (rTHA) with acetabular bone defect. We conducted a systematic review to access the survivorship and clinical and radiological outcomes of a jumbo cup in rTHA. Methods: A systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A comprehensive literature search from PubMed, MEDLINE, EMBASE, and the Cochrane Database of Systematic Reviews was performed with the keywords ("revision" OR "revision surgery" OR "revision arthroplasty") AND ("total hip arthroplasty" OR "total hip replacement" OR "THA" OR "THR") AND ("jumbo cup" OR "jumbo component" OR "extra-large cup" OR "extra-large component"). Studies reporting the clinical or radiological outcomes were included. The basic information and radiological and clinical results of these studies were extracted and summarized for analysis. Results: A total of 19 articles were included in the systematic review. The analysis of clinical results included 953 hips in 14 studies. The re-revision-free survivorship of the jumbo cup was 95.0% at a mean follow-up of 9.3 years. Dislocation, aseptic loosening, and periprosthetic joint infection were the top three complications with an incidence of 5.9%, 3.0%, and 2.1%, respectively. The postrevision hip center was relatively elevated 10.3 mm on average; the mean postoperative leg-length discrepancy was 5.4 mm. Conclus...