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Descriptive histomorphometric ingrowth analysis of the Zurich cementless canine total hip acetabular component
Susanne K Lauer1, Mary Ann Nieves, Jeffrey Peck
1Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA, USA.
Objectives:
To (1) determine bone contact with the outer surface and ingrowth into the perforated outer shell of the Kyon acetabular component at 2, 6, and 12 months after total hip replacement (THR) and (2) determine correlation between radiographic lucency surrounding the cup-bone interface and bone contact and ingrowth.
Study Design:
Experimental study.
Animals:
Large breed dogs (n=11) with and without hip dysplasia.
Methods:
Force platform gait analysis was performed preoperatively and 2, 6, and 12 months after THR. Curvilinear length of lucency (CLL) was measured on pelvic radiographs. Tissue contact with the outer cup and ingrowth into the cup were determined histomorphometrically at 2, 6, and 12 months.
Results:
Peak vertical force and vertical impulse of the treated and control hind limb were not significantly different at any time. Median bone contact with the outer cup surface was 77%, 48%, and 76% at 2, 6, and 12 months, respectively. Median bone ingrowth into the cup perforations was 50%, 20%, and 44% at 2, 6, and 12 months, respectively. Median bone ingrowth to the inner cup surface was minimal at any time. CLL did not correlate with bone ingrowth.
Conclusions:
Bone ingrowth into cup perforations occurred in each dog and was already present 2 months after THR, but most of the inner cup space remained vacant.
Clinical Relevance:
Radiographic lucency surrounding the cup-bone interface does not allow assessment of bone contact with the outer surface or bone ingrowth into the Kyon cup in dogs without clinical problems.
