Acetabular revision using trabecular titanium (Delta TT) revision cups: A retrospective case series

Background: The annual rate of primary THA has been increasing with new designs promoting THA in the younger population, therefore increasing rates and complexity of hip revision surgeries. Different types of acetabular defects in hip revisions, usually make the use of primary cementless cups quite...

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Main Authors: El Ghazawy Ahmed K., Bassiony Ayman Abdelaziz, Abdelazim Haytham, Gameel Saleh
Format: Article
Language:English
Published: EDP Sciences 2022-01-01
Series:SICOT-J
Subjects:
Online Access:https://www.sicot-j.org/articles/sicotj/full_html/2022/01/sicotj220046/sicotj220046.html
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author El Ghazawy Ahmed K.
Bassiony Ayman Abdelaziz
Abdelazim Haytham
Gameel Saleh
author_facet El Ghazawy Ahmed K.
Bassiony Ayman Abdelaziz
Abdelazim Haytham
Gameel Saleh
author_sort El Ghazawy Ahmed K.
collection DOAJ
description Background: The annual rate of primary THA has been increasing with new designs promoting THA in the younger population, therefore increasing rates and complexity of hip revision surgeries. Different types of acetabular defects in hip revisions, usually make the use of primary cementless cups quite difficult. In complex defects, using cages with cemented cups or combining cementless cups with metal augments, are possible reconstruction solutions. The Delta TT acetabular revision system provides a solution to complex defects combining the advantages of both cage construct and primary implants, with modularity that helps restore anatomical hip centre and biomechanics. The aim of this study is to evaluate the short-term results of the use of the Delta TT revision system in acetabular revision surgeries. Type of the study: A retrospective case series. Methods: 24 patients underwent acetabular revision using (Delta TT) revision system, from 2018 to 2021. The mean follow-up was 20.75 months. Clinical and functional outcomes were assessed using Harris Hip Score. Results: The use of the Delta TT revision system in acetabular revision surgery provided adequate pain relief, and early patient mobilization. The preoperative HHS mean of 29.88 improved to a mean of 85.21, at the last, follow-up. None of the patients developed periprosthetic infection or loosening or nerve palsy during the follow-up period. Conclusion: Short-term clinical outcomes for the use of the Delta TT revision cup system in acetabular revision are encouraging with good functional outcomes and patient satisfaction.
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spelling doaj.art-ed6c9dcf1d894e0b931e3d58f117fc3c2023-01-17T09:02:41ZengEDP SciencesSICOT-J2426-88872022-01-0184910.1051/sicotj/2022049sicotj220046Acetabular revision using trabecular titanium (Delta TT) revision cups: A retrospective case seriesEl Ghazawy Ahmed K.0https://orcid.org/0000-0002-6717-7615Bassiony Ayman Abdelaziz1Abdelazim Haytham2Gameel Saleh3Department of Orthopedics surgery, Faculty of Medicine Ain Shams UniversityDepartment of Orthopedics surgery, Faculty of Medicine Ain Shams UniversityDepartment of Orthopedics surgery, Faculty of Medicine Ain Shams UniversityDepartment of Orthopedics surgery, Faculty of Medicine Ain Shams UniversityBackground: The annual rate of primary THA has been increasing with new designs promoting THA in the younger population, therefore increasing rates and complexity of hip revision surgeries. Different types of acetabular defects in hip revisions, usually make the use of primary cementless cups quite difficult. In complex defects, using cages with cemented cups or combining cementless cups with metal augments, are possible reconstruction solutions. The Delta TT acetabular revision system provides a solution to complex defects combining the advantages of both cage construct and primary implants, with modularity that helps restore anatomical hip centre and biomechanics. The aim of this study is to evaluate the short-term results of the use of the Delta TT revision system in acetabular revision surgeries. Type of the study: A retrospective case series. Methods: 24 patients underwent acetabular revision using (Delta TT) revision system, from 2018 to 2021. The mean follow-up was 20.75 months. Clinical and functional outcomes were assessed using Harris Hip Score. Results: The use of the Delta TT revision system in acetabular revision surgery provided adequate pain relief, and early patient mobilization. The preoperative HHS mean of 29.88 improved to a mean of 85.21, at the last, follow-up. None of the patients developed periprosthetic infection or loosening or nerve palsy during the follow-up period. Conclusion: Short-term clinical outcomes for the use of the Delta TT revision cup system in acetabular revision are encouraging with good functional outcomes and patient satisfaction.https://www.sicot-j.org/articles/sicotj/full_html/2022/01/sicotj220046/sicotj220046.htmlacetabular revisionacetabular defectstrabecular titaniumrevision cupship arthroplasty
spellingShingle El Ghazawy Ahmed K.
Bassiony Ayman Abdelaziz
Abdelazim Haytham
Gameel Saleh
Acetabular revision using trabecular titanium (Delta TT) revision cups: A retrospective case series
SICOT-J
acetabular revision
acetabular defects
trabecular titanium
revision cups
hip arthroplasty
title Acetabular revision using trabecular titanium (Delta TT) revision cups: A retrospective case series
title_full Acetabular revision using trabecular titanium (Delta TT) revision cups: A retrospective case series
title_fullStr Acetabular revision using trabecular titanium (Delta TT) revision cups: A retrospective case series
title_full_unstemmed Acetabular revision using trabecular titanium (Delta TT) revision cups: A retrospective case series
title_short Acetabular revision using trabecular titanium (Delta TT) revision cups: A retrospective case series
title_sort acetabular revision using trabecular titanium delta tt revision cups a retrospective case series
topic acetabular revision
acetabular defects
trabecular titanium
revision cups
hip arthroplasty
url https://www.sicot-j.org/articles/sicotj/full_html/2022/01/sicotj220046/sicotj220046.html
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AT abdelazimhaytham acetabularrevisionusingtrabeculartitaniumdeltattrevisioncupsaretrospectivecaseseries
AT gameelsaleh acetabularrevisionusingtrabeculartitaniumdeltattrevisioncupsaretrospectivecaseseries