Acetabular Revision Arthroplasty Based on 3-Dimensional Reconstruction Technology Using Jumbo Cups
Background: This study was aimed at evaluating the changes in cup coverage (CC) and hip center of rotation (HCOR) in acetabular defects of various severities treated with acetabular revision using jumbo cups.Methods: A total of 86 hips were included. The American Academy of Orthopedic Surgeons (AAOS...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-04-01
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| Series: | Frontiers in Bioengineering and Biotechnology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fbioe.2022.799443/full |
| _version_ | 1818755541230419968 |
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| author | Xianyue Shen Hao Tian Yang Li Jianlin Zuo Zhongli Gao Jianlin Xiao |
| author_facet | Xianyue Shen Hao Tian Yang Li Jianlin Zuo Zhongli Gao Jianlin Xiao |
| author_sort | Xianyue Shen |
| collection | DOAJ |
| description | Background: This study was aimed at evaluating the changes in cup coverage (CC) and hip center of rotation (HCOR) in acetabular defects of various severities treated with acetabular revision using jumbo cups.Methods: A total of 86 hips were included. The American Academy of Orthopedic Surgeons (AAOS) classification of these patients was as follows: 16 patients, AAOS I; 16 patients, AAOS II; and 16 patients, AAOS III. A three-dimensional (3D) implant simulation technique was used to visualize the placement of jumbo cups during revision arthroplasty. The acetabular anteversion, inclination, CC, and the HCOR were measured.Results: The inclination and anteversion of simulated acetabular cups in AAOS I–III groups were consistent with the normal acetabular anatomy. Compared with the controls, in AAOS I–III groups, the HCOR was significantly increased and CC was significantly decreased. The HCOR elevation was significantly higher in AAOS III patients than in AAOS I (p = 0.001) and AAOS II patients (p < 0.001). The use of the jumbo cup technology for acetabular revision would decrease the CC in AAOS I–III patients to 86.47, 84.78, and 74.51%, respectively.Conclusion: Our study demonstrated that in patients with acetabular defects, acetabular revision arthroplasty using jumbo cups will lead to decreased CC and HCOR upshift. Upon classifying these patients according to the AAOS classification, CC decreased with the severity of acetabular defects, and the elevation of the HCOR in AAOS III patients exceeded 10 mm and was significantly higher than in other patients. |
| first_indexed | 2024-12-18T05:40:47Z |
| format | Article |
| id | doaj.art-1c90cf7076024f1ca9fe62dfc5ec7852 |
| institution | Directory Open Access Journal |
| issn | 2296-4185 |
| language | English |
| last_indexed | 2024-12-18T05:40:47Z |
| publishDate | 2022-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Bioengineering and Biotechnology |
| spelling | doaj.art-1c90cf7076024f1ca9fe62dfc5ec78522022-12-21T21:19:10ZengFrontiers Media S.A.Frontiers in Bioengineering and Biotechnology2296-41852022-04-011010.3389/fbioe.2022.799443799443Acetabular Revision Arthroplasty Based on 3-Dimensional Reconstruction Technology Using Jumbo CupsXianyue ShenHao TianYang LiJianlin ZuoZhongli GaoJianlin XiaoBackground: This study was aimed at evaluating the changes in cup coverage (CC) and hip center of rotation (HCOR) in acetabular defects of various severities treated with acetabular revision using jumbo cups.Methods: A total of 86 hips were included. The American Academy of Orthopedic Surgeons (AAOS) classification of these patients was as follows: 16 patients, AAOS I; 16 patients, AAOS II; and 16 patients, AAOS III. A three-dimensional (3D) implant simulation technique was used to visualize the placement of jumbo cups during revision arthroplasty. The acetabular anteversion, inclination, CC, and the HCOR were measured.Results: The inclination and anteversion of simulated acetabular cups in AAOS I–III groups were consistent with the normal acetabular anatomy. Compared with the controls, in AAOS I–III groups, the HCOR was significantly increased and CC was significantly decreased. The HCOR elevation was significantly higher in AAOS III patients than in AAOS I (p = 0.001) and AAOS II patients (p < 0.001). The use of the jumbo cup technology for acetabular revision would decrease the CC in AAOS I–III patients to 86.47, 84.78, and 74.51%, respectively.Conclusion: Our study demonstrated that in patients with acetabular defects, acetabular revision arthroplasty using jumbo cups will lead to decreased CC and HCOR upshift. Upon classifying these patients according to the AAOS classification, CC decreased with the severity of acetabular defects, and the elevation of the HCOR in AAOS III patients exceeded 10 mm and was significantly higher than in other patients.https://www.frontiersin.org/articles/10.3389/fbioe.2022.799443/fullthree-dimensionalacetabular revisionbone defectjumbo cupcup coverage |
| spellingShingle | Xianyue Shen Hao Tian Yang Li Jianlin Zuo Zhongli Gao Jianlin Xiao Acetabular Revision Arthroplasty Based on 3-Dimensional Reconstruction Technology Using Jumbo Cups Frontiers in Bioengineering and Biotechnology three-dimensional acetabular revision bone defect jumbo cup cup coverage |
| title | Acetabular Revision Arthroplasty Based on 3-Dimensional Reconstruction Technology Using Jumbo Cups |
| title_full | Acetabular Revision Arthroplasty Based on 3-Dimensional Reconstruction Technology Using Jumbo Cups |
| title_fullStr | Acetabular Revision Arthroplasty Based on 3-Dimensional Reconstruction Technology Using Jumbo Cups |
| title_full_unstemmed | Acetabular Revision Arthroplasty Based on 3-Dimensional Reconstruction Technology Using Jumbo Cups |
| title_short | Acetabular Revision Arthroplasty Based on 3-Dimensional Reconstruction Technology Using Jumbo Cups |
| title_sort | acetabular revision arthroplasty based on 3 dimensional reconstruction technology using jumbo cups |
| topic | three-dimensional acetabular revision bone defect jumbo cup cup coverage |
| url | https://www.frontiersin.org/articles/10.3389/fbioe.2022.799443/full |
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