The Use of Calcium Sulfate/Hydroxyapatite Bone Graft Substitute to Restore Acetabular Bone Loss in Revision Total Hip Arthroplasty

Acetabular bone loss is not uncommon when performing revision total hip arthroplasty. This can create a challenge, especially on the acetabular side. In the present report, our patient presented with aseptic loosening of the acetabular component. The patient had a Paprosky IIIA acetabular defect tha...

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Main Authors: Stephen T. Duncan, MD, Franco Sabatini, MD
Format: Article
Language:English
Published: Elsevier 2023-10-01
Series:Arthroplasty Today
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S235234412300122X
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author Stephen T. Duncan, MD
Franco Sabatini, MD
author_facet Stephen T. Duncan, MD
Franco Sabatini, MD
author_sort Stephen T. Duncan, MD
collection DOAJ
description Acetabular bone loss is not uncommon when performing revision total hip arthroplasty. This can create a challenge, especially on the acetabular side. In the present report, our patient presented with aseptic loosening of the acetabular component. The patient had a Paprosky IIIA acetabular defect that was reconstructed with stacked acetabular augments in addition to a highly porous acetabular cup. The remaining bone defects were addressed through the use of a calcium sulfate/hydroxyapatite bone graft substitute. We set out to describe how to reconstruct severe acetabular bone loss with a combination of acetabular augments in addition to an injectable bone graft substitute as a novel method to address a complex clinical scenario.
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spelling doaj.art-b5329d8070894001b1d8a46cfed9bc632023-10-21T04:22:51ZengElsevierArthroplasty Today2352-34412023-10-0123101217The Use of Calcium Sulfate/Hydroxyapatite Bone Graft Substitute to Restore Acetabular Bone Loss in Revision Total Hip ArthroplastyStephen T. Duncan, MD0Franco Sabatini, MD1Corresponding author. Department of Orthopaedic Surgery, 125 E. Maxwell Street, Suite 201, Lexington, KY 40508, USA. Tel.: +1 859 323 5533.; Department of Orthopaedic Surgery, University of Kentucky, Lexington, KY, USADepartment of Orthopaedic Surgery, University of Kentucky, Lexington, KY, USAAcetabular bone loss is not uncommon when performing revision total hip arthroplasty. This can create a challenge, especially on the acetabular side. In the present report, our patient presented with aseptic loosening of the acetabular component. The patient had a Paprosky IIIA acetabular defect that was reconstructed with stacked acetabular augments in addition to a highly porous acetabular cup. The remaining bone defects were addressed through the use of a calcium sulfate/hydroxyapatite bone graft substitute. We set out to describe how to reconstruct severe acetabular bone loss with a combination of acetabular augments in addition to an injectable bone graft substitute as a novel method to address a complex clinical scenario.http://www.sciencedirect.com/science/article/pii/S235234412300122XRevision total hip arthroplastyBone graft substituteAcetabular bone lossCalcium sulfateHydroxyapatite
spellingShingle Stephen T. Duncan, MD
Franco Sabatini, MD
The Use of Calcium Sulfate/Hydroxyapatite Bone Graft Substitute to Restore Acetabular Bone Loss in Revision Total Hip Arthroplasty
Arthroplasty Today
Revision total hip arthroplasty
Bone graft substitute
Acetabular bone loss
Calcium sulfate
Hydroxyapatite
title The Use of Calcium Sulfate/Hydroxyapatite Bone Graft Substitute to Restore Acetabular Bone Loss in Revision Total Hip Arthroplasty
title_full The Use of Calcium Sulfate/Hydroxyapatite Bone Graft Substitute to Restore Acetabular Bone Loss in Revision Total Hip Arthroplasty
title_fullStr The Use of Calcium Sulfate/Hydroxyapatite Bone Graft Substitute to Restore Acetabular Bone Loss in Revision Total Hip Arthroplasty
title_full_unstemmed The Use of Calcium Sulfate/Hydroxyapatite Bone Graft Substitute to Restore Acetabular Bone Loss in Revision Total Hip Arthroplasty
title_short The Use of Calcium Sulfate/Hydroxyapatite Bone Graft Substitute to Restore Acetabular Bone Loss in Revision Total Hip Arthroplasty
title_sort use of calcium sulfate hydroxyapatite bone graft substitute to restore acetabular bone loss in revision total hip arthroplasty
topic Revision total hip arthroplasty
Bone graft substitute
Acetabular bone loss
Calcium sulfate
Hydroxyapatite
url http://www.sciencedirect.com/science/article/pii/S235234412300122X
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