Acetabular Revision Total Hip Arthroplasty Using an Impacted Morselized Allograftand a Cementless Cup

Lee, Joong-Myung; Nam, Hee-Tae

doi:10.1016/j.arth.2011.03.035

Cited by 27 publications

(22 citation statements)

References 24 publications

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“…The study included several patients with medical problems due to the underlying disease which affected the hip biomechanics and the patient's mobilization as juvenile rheumatoid and ankylosing spondylitis. In spite of these medical problems, the survival rates were comparable to the other similar reports in patients of older age with less requirements [15,[20][21][22][23]. There was statistically significant improvement in clinical scores in all patients comparing the preoperative to the postoperative.…”

Section: Discussionsupporting

confidence: 74%

Total Hip Replacement in Patients Younger than Thirty Years 7-10 Years Follow up

Omar¹,

Nafe²

2016

Orthop Muscular Syst

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Section: Discussionsupporting

confidence: 74%

Total Hip Replacement in Patients Younger than Thirty Years 7-10 Years Follow up

Omar¹,

Nafe²

2016

Orthop Muscular Syst

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“…Failure of impacted bone grafting is known to be greater in patients with large acetabular defects. 39 One important concern regarding the use of ceramic bearings is its fragility and the possibility of fracture. 40 Hannouche et al 12 observed no fractures in 61 ceramic heads placed on retained femoral components in revised alumina-on-alumina hips, but there were two liner fractures.…”

Section: Discussionmentioning

confidence: 99%

The use of ceramic-on-ceramic bearings in isolated revision of the acetabular component

Jack

Molloy

Walter

et al. 2013

The Bone & Joint Journal

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The practice of removing a well-fixed cementless femoral component is associated with high morbidity. Ceramic bearing couples are low wearing and their use minimises the risk of subsequent further revision due to the production of wear debris. A total of 165 revision hip replacements were performed, in which a polyethylene-lined acetabular component was revised to a new acetabular component with a ceramic liner, while retaining the well-fixed femoral component. A titanium sleeve was placed over the used femoral trunnion, to which a ceramic head was added. There were 100 alumina and 65 Delta bearing couples inserted. The mean Harris hip score improved significantly from 71.3 (9.0 to 100.0) pre-operatively to 91.0 (41.0 to 100.0) at a mean follow up of 4.8 years (2.1 to 12.5) (p < 0.001). No patients reported squeaking of the hip. There were two fractures of the ceramic head, both in alumina bearings. No liners were seen to fracture. No fractures were observed in components made of Delta ceramic. At 8.3 years post-operatively the survival with any cause of failure as the endpoint was 96.6% (95% confidence interval (CI) 85.7 to 99.3) for the acetabular component and 94.0% (95% CI 82.1 to 98.4) for the femoral component. The technique of revising the acetabular component in the presence of a well-fixed femoral component with a ceramic head placed on a titanium sleeve over the used trunnion is a useful adjunct in revision hip practice. The use of Delta ceramic is recommended.

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“…25 A cementless acetabular reconstruction in revision THR is recommended for Paprosky type 1 and some type 2 defects, 29,30 however many studies have also used the cementless IBG technique successfully in type 3 defects. [31][32][33] The authors use IBG and cementless components predominantly for Paprosky Type 1 and the majority of type 2 defects. The technique for selected type 3 bone defects is also employed.…”

Section: Impaction Bone Grafting With Cementless Cupsmentioning

confidence: 99%

Acetabular impaction bone grafting in total hip replacement

Ibrahim

Raja

Haddad

2013

The Bone & Joint Journal

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The increasing need for total hip replacement (THR) in an ageing population will inevitably generate a larger number of revision procedures. The difficulties encountered in dealing with the bone deficient acetabulum are amongst the greatest challenges in hip surgery. The failed acetabular component requires reconstruction to restore the hip centre and improve joint biomechanics. Impaction bone grafting is successful in achieving acetabular reconstruction using both cemented and cementless techniques. Bone graft incorporation restores bone stock whilst providing good component stability. We provide a summary of the evidence and current literature regarding impaction bone grafting using both cemented and cementless techniques in revision THR.

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Acetabular Revision Total Hip Arthroplasty Using an Impacted Morselized Allograftand a Cementless Cup

Cited by 27 publications

References 24 publications

Total Hip Replacement in Patients Younger than Thirty Years 7-10 Years Follow up

Total Hip Replacement in Patients Younger than Thirty Years 7-10 Years Follow up

The use of ceramic-on-ceramic bearings in isolated revision of the acetabular component

Acetabular impaction bone grafting in total hip replacement

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