Bridging Massive Acetabular Defects With the Triflange Cup
| Autor: | Martha F. Brinson, Michael J. Christie, David K. DeBoer, Marc E. Ruhling, Steven A. Barrington |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Adult
Male Reoperation musculoskeletal diseases medicine.medical_specialty Arthroplasty Replacement Hip medicine.medical_treatment Prosthesis Asymptomatic medicine Humans Orthopedics and Sports Medicine Aged Retrospective Studies Aged 80 and over business.industry Acetabulum Retrospective cohort study Prostheses and Implants General Medicine Middle Aged Arthroplasty Surgery Treatment Outcome Orthopedic surgery Female Hip Prosthesis Implant medicine.symptom business Pelvic discontinuity |
| Zdroj: | Clinical Orthopaedics and Related Research. 393:216-227 |
| ISSN: | 0009-921X |
| DOI: | 10.1097/00003086-200112000-00024 |
| Popis: | An unresolved issue in total hip arthroplasty is acetabular reconstruction when there is bone loss that results in pelvic discontinuity, that involves radiation-compromised bone stock, or that is significant enough to exceed the limits of jumbo hemispherical cups. Achieving pain relief and initial and long-term implant stability on host bone are the major goals of this type of reconstruction. Seventy-eight hips in 76 patients in whom a large acetabular defect was bridged using a custom-designed, flanged component were reviewed retrospectively. The preoperative deficiency was classified as a combined deficiency in 39 hips and as a pelvic discontinuity in the other 39 hips. Six patients died before a minimum 2 years followup. With five patients considered lost to followup, there were 67 hips in 65 patients with an average followup of 53 months (range, 24-107 months). No Triflange Cup has been removed. Harris hip scores improved from a preoperative mean of 33.3 points to a postoperative mean of 82.1 points. Radiographically there are two patients with incompletely healed discontinuities but both are asymptomatic. Re-operation for recurrent dislocation occurred in six patients (7.8%). The Triflange Cup offers an alternative method of repair that reliably provides pain relief, initial implant stability, potential long-term implant stability, and pelvic stability in cases of discontinuity. |
| Databáze: | OpenAIRE |
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