Reconstruction options and outcomes for acetabular bone loss in revision hip arthroplasty
Revision total hip arthroplasty in the setting of acetabular bone loss is a challenging procedure and requires a solid understanding of current acetabular reconstruction options. Despite major developments in the field of revision hip surgery in recent decades, reconstruction of acetabular defects r...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Open Medical Publishing
2020-06-01
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| Series: | Orthopedic Reviews |
| Subjects: | |
| Online Access: | https://www.pagepress.org/journals/index.php/or/article/view/8655 |
| _version_ | 1818559559833223168 |
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| author | Fabio Mancino Giorgio Cacciola Davide De Marco Alexander Greenberg Carlo Perisano MA Malahias Peter K. Sculco Giulio Maccauro Ivan De Martino |
| author_facet | Fabio Mancino Giorgio Cacciola Davide De Marco Alexander Greenberg Carlo Perisano MA Malahias Peter K. Sculco Giulio Maccauro Ivan De Martino |
| author_sort | Fabio Mancino |
| collection | DOAJ |
| description | Revision total hip arthroplasty in the setting of acetabular bone loss is a challenging procedure and requires a solid understanding of current acetabular reconstruction options. Despite major developments in the field of revision hip surgery in recent decades, reconstruction of acetabular defects remains a major problem in order to achieve primary stability and durable fixation without sacrificing additional bone stock. Although there are several ways to classify acetabular bone defects, the Paprosky classification system is the most commonly used to describe the defects and guide treatment strategy. An understanding of the bone defects associated with detailed pre-operative assessment and planning are essential elements in order to achieve satisfactory outcomes. Multiple acetabular reconstructive options are currently available including impaction bone grafting with metal mesh, reinforcement rings and antiprotrusio cage, structural allografts, cementless hemispherical cups, extra-large “jumbo cups”, oblong cups, modular porous metal augments, cup-cage constructs, custom- made triflange cups, and acetabular distraction. To date, debate continues as to which technique is most effective due to the lack of long-term studies of modern reconstruction systems. Further long-term studies are necessary to assess the longevity of the different implants. The purpose of this study was to review the current literature and provide a comprehensive understanding of the available reconstruction options with their clinical outcomes. |
| first_indexed | 2024-12-14T00:27:08Z |
| format | Article |
| id | doaj.art-9bad6d3539a040ad81682389b9d3b463 |
| institution | Directory Open Access Journal |
| issn | 2035-8237 2035-8164 |
| language | English |
| last_indexed | 2024-12-14T00:27:08Z |
| publishDate | 2020-06-01 |
| publisher | Open Medical Publishing |
| record_format | Article |
| series | Orthopedic Reviews |
| spelling | doaj.art-9bad6d3539a040ad81682389b9d3b4632022-12-21T23:25:00ZengOpen Medical PublishingOrthopedic Reviews2035-82372035-81642020-06-01121s10.4081/or.2020.8655Reconstruction options and outcomes for acetabular bone loss in revision hip arthroplastyFabio Mancino0Giorgio Cacciola1Davide De Marco2Alexander Greenberg3Carlo Perisano4MA Malahias5Peter K. Sculco6Giulio Maccauro7Ivan De Martino8Division of Orthopaedics and Traumatology, Department of Aging, Neurological, Orthopaedic and Head- Neck Studies, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy; Università Cattolica del Sacro Cuore, RomeGIOMI Istituto Ortopedico del Mezzogiorno d’Italia Franco Scalabrino, Ganzirri, MessinaDivision of Orthopaedics and Traumatology, Department of Aging, Neurological, Orthopaedic and Head- Neck Studies, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy; Università Cattolica del Sacro Cuore, RomeStavros Niarchos Foundation Complex Joint Reconstruction Center, Hospital for Special Surgery, New York NYDivision of Orthopaedics and Traumatology, Department of Aging, Neurological, Orthopaedic and Head- Neck Studies, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy; Università Cattolica del Sacro Cuore, RomeStavros Niarchos Foundation Complex Joint Reconstruction Center, Hospital for Special Surgery, New York NYStavros Niarchos Foundation Complex Joint Reconstruction Center, Hospital for Special Surgery, New York NYDivision of Orthopaedics and Traumatology, Department of Aging, Neurological, Orthopaedic and Head- Neck Studies, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy; Università Cattolica del Sacro Cuore, RomeDivision of Orthopaedics and Traumatology, Department of Aging, Neurological, Orthopaedic and Head- Neck Studies, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, RomeRevision total hip arthroplasty in the setting of acetabular bone loss is a challenging procedure and requires a solid understanding of current acetabular reconstruction options. Despite major developments in the field of revision hip surgery in recent decades, reconstruction of acetabular defects remains a major problem in order to achieve primary stability and durable fixation without sacrificing additional bone stock. Although there are several ways to classify acetabular bone defects, the Paprosky classification system is the most commonly used to describe the defects and guide treatment strategy. An understanding of the bone defects associated with detailed pre-operative assessment and planning are essential elements in order to achieve satisfactory outcomes. Multiple acetabular reconstructive options are currently available including impaction bone grafting with metal mesh, reinforcement rings and antiprotrusio cage, structural allografts, cementless hemispherical cups, extra-large “jumbo cups”, oblong cups, modular porous metal augments, cup-cage constructs, custom- made triflange cups, and acetabular distraction. To date, debate continues as to which technique is most effective due to the lack of long-term studies of modern reconstruction systems. Further long-term studies are necessary to assess the longevity of the different implants. The purpose of this study was to review the current literature and provide a comprehensive understanding of the available reconstruction options with their clinical outcomes.https://www.pagepress.org/journals/index.php/or/article/view/8655Spinopelvic alignmenttotal hip arthroplastyhip-spinepelvic tiltdislocation. |
| spellingShingle | Fabio Mancino Giorgio Cacciola Davide De Marco Alexander Greenberg Carlo Perisano MA Malahias Peter K. Sculco Giulio Maccauro Ivan De Martino Reconstruction options and outcomes for acetabular bone loss in revision hip arthroplasty Orthopedic Reviews Spinopelvic alignment total hip arthroplasty hip-spine pelvic tilt dislocation. |
| title | Reconstruction options and outcomes for acetabular bone loss in revision hip arthroplasty |
| title_full | Reconstruction options and outcomes for acetabular bone loss in revision hip arthroplasty |
| title_fullStr | Reconstruction options and outcomes for acetabular bone loss in revision hip arthroplasty |
| title_full_unstemmed | Reconstruction options and outcomes for acetabular bone loss in revision hip arthroplasty |
| title_short | Reconstruction options and outcomes for acetabular bone loss in revision hip arthroplasty |
| title_sort | reconstruction options and outcomes for acetabular bone loss in revision hip arthroplasty |
| topic | Spinopelvic alignment total hip arthroplasty hip-spine pelvic tilt dislocation. |
| url | https://www.pagepress.org/journals/index.php/or/article/view/8655 |
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