R3 Cup Does Not Have a High Failure Rate in Conventional Bearings: A Minimum of 5-Year Follow-Up

• Published in: The Journal of arthroplasty 2018-02, Vol.33 (2), p.460-463
• Main Authors: Teoh, Kar H., Whitham, Robert D.J., Golding, David M., Wong, Jenny F., Lee, Paul Y.F., Evans, Aled R.
• Format: Article
• Language: English
• Subjects: Acetabulum - surgery; Adult; Aged; Aged, 80 and over; Arthroplasty, Replacement, Hip - adverse effects; Arthroplasty, Replacement, Hip - instrumentation; conventional bearing; Female; Follow-Up Studies; Hip Prosthesis - adverse effects; Humans; Male; Metals; Middle Aged; modular cup; Osteoarthritis, Hip - surgery; Osteolysis - etiology; Prosthesis Design; Prosthesis Failure; Radiography; revision; Risk; total hip arthroplasty; Treatment Outcome; Young Adult
• ISSN: 0883-5403; 1532-8406
• DOI: 10.1016/j.arth.2017.09.059

The R3 cementless acetabular system was first marketed in Australia and Europe in 2007. Previous papers have shown high failure rates of the R3 cup with up to 24% with metal-on-metal bearing. There are currently no medium term clinical results on this cup. The aim of the study is to review our results of the R3 acetabular cup with conventional bearings with a minimum of 5-year follow-up. Patients who were implanted with the R3 acetabular cup were identified from our center's arthroplasty database. A total of 293 consecutive total hip arthroplasties were performed in 286 patients. The primary outcome was revision. The secondary outcomes were the Oxford Hip Scores (OHS) and radiographic evaluation. The mean age of the patients was 69.4 years. The mean preoperative OHS was 23 (range 10-34) and the mean OHS was 40 (range 33-48) at the final follow-up. Radiological evaluation showed an excellent ARA score in all patients at 5 years. None of the R3 cups showed osteolysis at the final follow-up. There were 3 revisions in our series, of which 2 R3 cups were revised. The risk of revision was 1.11% at 5 years. Our experience of using the R3 acetabular system with conventional bearings showed high survivorship and is consistent with the allocated Orthopaedic Data Evaluation Panel rating of 5A* as rated in 2015 in the United Kingdom.