TITLE

Jumbo cups for revision of acetabular defects after total hip arthroplasty: a retrospective review of a case series

AUTHOR(S)
Wedemeyer, Christian; Neuerburg, Carl; Heep, Hansjoerg; Von Knoch, Fabian; Von Knoch, Marius; Löer, Franz; Saxler, Guido
PUB. DATE
June 2008
SOURCE
Archives of Orthopaedic & Trauma Surgery;Jun2008, Vol. 128 Issue 6, p545
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
The treatment of acetabular bone defects presents a great challenge in revision total hip arthroplasty (THA). The purpose of this study was to evaluate the clinical and radiological outcome of revision THA using jumbo cups for acetabular reconstruction after applying the bone-grafting technique. We studied 17 patients with acetabular defects ranging from Type 2A to Type 3A according to Paprosky`s classification. According to the AAOS-score twelve patients were classified as Type II and five patients as Type III. Uncemented press-fit cups with an outer diameter larger than 64 mm were used in all cases. Fifteen patients received morselized bone allografts. In eight patients an additional screw fixation was necessary. The mean follow-up period was 82 months (range 33–149). The mean Harris Hip Score was preoperatively 62 and at the time of the last follow-up examination 83 points ( p = 0.007). Two acetabular components failed, one due to aseptic loosening and another one due to septic loosening. There was a trend of displacement of the femoral head centre towards the infero-lateral position after using jumbo cups that approached statistical significance ( p = 0.065). Closure of acetabular defects of Types 2A to 3A according to Paprosky’s classification and type II to III according to the AAOS-score respectively can be satisfactorily accomplished using jumbo cups after applying the bone-grafting technique.
ACCESSION #
31722153

 

Related Articles

  • Femoral Fixation in Revision Total Hip Arthroplasty. Hartman, Curtis W.; Garvin, Kevin L. // Journal of Bone & Joint Surgery, American Volume;12/21/2011, Vol. 93-A Issue 24, p2311 

    The article discusses femoral implant revision in total hip arthroplasty. Four radiographic views are included in a standard evaluation for preoperative planning. Information on a classification system for femoral bone loss is provided. A study found that cemented femoral implant revision was...

  • Look to constrained liners to treat patients with chronic hip dislocation after THA. Brockenbrough, Gina // Orthopedics Today;Oct2008, Vol. 28 Issue 10, p9 

    The article looks at using constrained total hip designs to treat dislocation in total hip arthroplasty. Mathias P.G. Bostrom, MD, noted the success rates using the Osteonics device but suggested options such as using Durasul, a Zimmer design which has an improved range of motion. Bostrom...

  • Strategies for head and inlay exchange in revision hip arthroplasty. Pospischill, Martin; Knahr, Karl // International Orthopaedics;Feb2011, Vol. 35 Issue 2, p261 

    Due to the increasing number of total hip arthroplasties performed during the last three decades and the limited long-term survival, mainly because of wear, the number of revisions has increased during the last two years. If the implant itself is still considered to be stable, only head and...

  • Modes of Failure of Osteonics Constrained Tripolar Implants: A Retrospective Analysis of Forty-three Failed Implants. Olivier Guyen; David G. Lewallen; Miguel E. Cabanela // Journal of Bone & Joint Surgery, American Volume;Jul2008, Vol. 90-A Issue 7, p1553 

    Background: The Osteonics constrained tripolar implant has been one of the most commonly used options to manage recurrent instability after total hip arthroplasty. Mechanical failures were expected and have been reported. The purpose of this retrospective review was to identify the observed...

  • REVISION OF THE ACETABULAR COMPONENT WITHOUT CEMENT AFTER TOTAL HIP ARTHROPLASTY. Della Valle, Craig J.; Shuaipaj, Tasin; Berger, Richard A.; Rosenberg, Aaron G.; Shott, Susan; Jacobs, Joshua J.; Galante, Jorge O. // Journal of Bone & Joint Surgery, American Volume;Aug2005, Vol. 87-A Issue 8, p1795 

    Abstract: We previously reported our results at a minimum of three and seven years after use of a porous-coated acetabular metal shell in a consecutive series of 138 revision total hip arthroplasties. The current report presents the longer-term outcomes of these procedures, at fifteen to...

  • Revision total hip arthroplasty using the Zweymuller femoral stem. Matthew Oetgen; Michael Huo // Journal of Orthopaedics & Traumatology;Jun2008, Vol. 9 Issue 2, p57 

    Abstract Background  A variety of femoral stem designs have been reported to be successful in revision total hip arthroplasty without consensus as to optimal design. We evaluated the clinical and radiographic outcomes in a consecutive series of femoral revisions using a wedge-shape,...

  • Revision of failed hip resurfacing to total hip arthroplasty rapidly relieves pain and improves function in the early post operative period. Sandiford, Nemandra A.; Muirhead-Allwood, Sarah K.; Skinner, John A. // Journal of Orthopaedic Surgery & Research;2010, Vol. 5, p88 

    We reviewed the results of 25 consecutive patients who underwent revision of a hip resurfacing prosthesis to a total hip replacement. Revisions were performed for recurrent pain and effusion, infection and proximal femoral fractures. Both components were revised in 20 cases. There were 12 male...

  • The Epidemiology of Revision Total Hip Arthroplasty in the United States. Bozic, Kevin J.; Kurtz, Steven M.; Lau, Edmund; Kevin Ong; Vail, Thomas P.; Berry, Daniel J. // Journal of Bone & Joint Surgery, American Volume;Jan2009, Vol. 91-A Issue 1, p128 

    Background: Understanding the causes of failure and the types of revision total hip arthroplasty performed is essential for guiding research, implant design, clinical decision-making, and health-care policy. The purpose of the present study was to evaluate the mechanisms of failure and the types...

  • THE USE OF STRUCTURAL DISTAL FEMORAL ALLOGRAFTS FOR ACETABULAR RECONSTRUCTION. Sporer, Scott M.; O'Rourke, Michael; Chong, Paul; Paprosky, Wayne G. // Journal of Bone & Joint Surgery, American Volume;Apr2005, Vol. 87-A Issue 4, p760 

    Background: Acetabular fixation during revision total hip arthroplasty in patients who have a nonsupportive superior dome and proximal migration of tile acetabular component (a Paprosky Type-IIIa defect) cannot be achieved reliably with use of a hemispherical porous-coated component alone. The...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics