Mid-Term Results of Graft Augmentation Prosthesis II Cage and Impacted Allograft Bone in Revision Hip Arthroplasty

Hosny, Hazem A.H.; El‐Bakoury, Ahmed; Fekry, Helmy; Keenan, Jonathan

doi:10.1016/j.arth.2017.11.060

Cited by 19 publications

(24 citation statements)

References 35 publications

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“…In all acute THA cases, morselized autograft bone transplantation from the resected femoral head was performed using an impaction grafting technique (Hosny et al. 2017). In the first acute THA case, anterior column reduction and fixation was performed using an AIP approach.…”

Section: Methodsmentioning

confidence: 99%

Total hip arthroplasty, combined with a reinforcement ring and posterior column plating for acetabular fractures in elderly patients: good outcome in 34 patients

et al. 2019

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Background and purpose — Low-energy acetabulum fractures are uncommon, and mostly occur in elderly patients. Determining the optimal operative treatment for such fractures is challenging. Here we investigated whether acutely performed total hip arthroplasty plus posterior column plating (THA) reduced complications and reoperations compared with open reduction and internal fixation (ORIF) in elderly patients with acetabular fractures. Patients and methods — We retrospectively reviewed the records of 59 patients, > 55 years of age, with complex acetabular fractures, caused by low-energy trauma, treated between January 2008 and September 2017. Of these patients, 34 underwent acute THA, and 25 ORIF alone. Patient and implant survival were compared between groups using Kaplan–Meier survival analysis and Cox multiple regression. Functional outcomes assessed by Oxford Hip Score (OHS) were compared between the THA patients and those 9 ORIF patients who underwent secondary THA due to posttraumatic hip osteoarthritis (OA) during follow-up. Results — Overall patient survival was 90% (95% CI 82–98) at 12 months, and 64% (CI 47–81) at 5 years. Of 25 ORIF patients, 9 required secondary THA due to posttraumatic OA. Large fragments on the weight-bearing acetabular dome upon imaging predicted ORIF failure and secondary THA. The acute THA group and secondary THA group had similar 12-month OHS. Interpretation — Acute THA including a reinforcement ring resulted in fewer reoperations than ORIF alone in elderly patients with acetabular fractures. These findings support acute THA as first-line treatment for complex acetabular fractures in elderly patients.

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Section: Methodsmentioning

confidence: 99%

Total hip arthroplasty, combined with a reinforcement ring and posterior column plating for acetabular fractures in elderly patients: good outcome in 34 patients

et al. 2019

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“…22 The use of reconstruction cage which had similar surface design with impaction bone grafting demonstrated the encouraging mid-term results with low failure rate in managing severe complex uncontained acetabular bony defects. 23 Based on the principle of biologic fixation, initial rigid stability of the implant is required for long-term osteointegration. 24 To obtain primary stability, screw fixation of the implant to host bone was planned.…”

Section: Discussionmentioning

confidence: 99%

The patient-specific implant created with 3D printing technology in treatment of a severe open distal humerus fracture with complete loss of the lateral column

Luenam

Kosiyatrakul

Phakdeewisetkul

et al. 2020

J Orthop Surg (Hong Kong)

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The open distal humeral fracture associated with the major loss of the articular surface and bony structure is a challenging problem for orthopedic surgeons. In this case report, we describe a case of complete missing lateral column of the distal humerus with severe articular destruction of capitellum and lateral trochlear ridge which was treated with the patient-specific implant created with three-dimensional printing technology. Apart from anatomic replacement of the articular surface, the lateral collateral ligament complex and extensor muscle which are the key soft tissue stabilizers of elbow were repaired by reattaching their bony origins to the impacted iliac crest bone graft inside the implant. Due to the favorable result at 2-year follow-up, this modality is a potentially viable surgical option in treating of the severe open distal humeral fracture associated with entire lateral condylar damage.

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“…Ключевые слова: ревизионное эндопротезирование тазобедренного сустава, дефекты вертлужной впадины, аугменты, нарушение целостности тазового кольца. введение устранение дефектов вертлужной впадины во время ревизионных вмешательств на тазобедренном суставе (ТБс) -комплексная задача, от способа решения которой зависит успешный исход операции и удовлетворение потребностей пациента [1]. Целями реконструкции вертлужной впадины являются продолжительная выживаемость и правильное функционирование имплантата, что не представляется возможным без обеспечения стабильной фиксации вертлужного компонента эндопротеза, восстановления центра ротации сустава и адекватного восполнения костного дефицита [2].…”

Section: среднесрочные результаты ревизионного эндопротезирования тазunclassified

“…за рубежом танталовые аугменты были введены в клиническую практику еще в 1997 г. Известно, что высокая степень пористости и шероховатая микротекстура поверхности танталовых аугментов способствуют лучшей остеоинтеграции и первичной стабильности при имплантации [25]. в ряде исследований показаны хорошие и отличные результаты использования ацетабулярных аугментов при ревизионном эндопротезировании ТБс [1,[6][7][8][9][10]23]. I. elganzoury и a.a. Bassiony вели наблюдение за 18 пациентами, которым было выполнено ревизионное эндопротезирование ТБс с использованием трабекулярных металлических чашек и аугментов из тантала [8].…”

Section: клинический примерunclassified

Mid-Term Outcomes of Revision Hip Arthroplasty with Acetabular Augments

Корыткин

Новикова

Ковалдов

et al. 2019

Traumatology and Orthopedics of Russia

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acetabular defects are a major obstacle to achieving good outcomes after revision hip arthroplasty. one way to deal with this problem is to use acetabular augments. We aimed to describe mid-term outcomes of revision hip arthroplasty using acetabular augments. Materials and methods. We analyzed 85 cases (83 patients) of revision hip arthroplasty using acetabular augments performed during 2012-2018 period: 53 women and 30 men with average age of 57±13 years (25-79). Distribution of acetabular defects was: 51 cases-Paprosky IIIa, 17 cases-Paprosky IIIB, 12 cases-Paprosky IIB, 5 cases-Paprosky IIc. 14 patients had chronic pelvic discontinuity. aseptic loosening was indication for the operation in 83 cases, periprosthetic hip fracture-1, dislocation-1. The amount of previously undregone ipsilateral hipsurgeries was 1 in 35 cases, 2 in 25 cases, 3 and more in 25 cases. average follow-up period was 38±19 months (1-79). Results. The average HHS score improved from 37±7 preoperatively to 73±9 after 3 months and to 80±11 after 12 months postoperatively (p = 0.001). average VaS score improved from 7±2 preoperatively to 4±1 after 3 months and to 3±1 after 12 months postoperatively (p = 0.001). Stable acetabular fixation was achieved in each case according to x-ray findings at final follow-up. However, radiolucent lines were present around the cup in 10 cases (11.8 %) followed by no clinical evidence of aseptic loosening. Hip center of rotation was restored from 26.40±18.38 mm (4-75) preoperatively to 4.78±5.02 mm (0-20) postoperatively relatively to 0 point. complications manifested in 9 out of 85 cases (10,6%). Distribution of complications was: periprosthetic joint infection in 6 cases, recurrent dislocation-2, periprosthetic hip fracture-1.7 patients required implant removal and exchange. Conclusions. Good mid-term outcomes can be achieved using acetabular augments during hip revision surgery in setting of acetabular defects. acetabular augments are a reliable option in case of Paprosky IIIB, IIIa defects and chronic pelvic discontinuity, providing good mechanical stability.

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Mid-Term Results of Graft Augmentation Prosthesis II Cage and Impacted Allograft Bone in Revision Hip Arthroplasty

Cited by 19 publications

References 35 publications

Total hip arthroplasty, combined with a reinforcement ring and posterior column plating for acetabular fractures in elderly patients: good outcome in 34 patients

Total hip arthroplasty, combined with a reinforcement ring and posterior column plating for acetabular fractures in elderly patients: good outcome in 34 patients

The patient-specific implant created with 3D printing technology in treatment of a severe open distal humerus fracture with complete loss of the lateral column

Mid-Term Outcomes of Revision Hip Arthroplasty with Acetabular Augments

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