| Autor: |
Murylev Valery Yu., Kukovenko Grigory A., Efimenko Olga, Muzychenkov Aleksei V., Elizarov Pavel M., Rudnev Alexander I., Alekseev Semyon S., Golubkin Dmitrii O. |
| Jazyk: |
angličtina |
| Rok vydání: |
2024 |
| Předmět: |
|
| Zdroj: |
SICOT-J, Vol 10, p 42 (2024) |
| Druh dokumentu: |
article |
| ISSN: |
2426-8887 |
| DOI: |
10.1051/sicotj/2024040 |
| Popis: |
Introduction: There is a wide range of commercially produced revision implants for adequate reconstruction of acetabular large bone defects today, however, it is not always possible to achieve long-term survival of these implants. There is an increasing number of scientific publications concerning the use of custom-designed 3D components, which make it possible not only to achieve stable fixation and connect the pelvic bones but also to restore hip joint biomechanics. Objectives: To evaluate the positioning of 3D acetabular implants after revision hip arthroplasty and its impact on clinical and functional outcomes. Methods: we analyzed results in 48 patients with bone defect types IIIA and IIIB Paprosky types, after revision hip arthroplasty. A prospective study was conducted from 2017 to 2023. Revision arthroplasty due to aseptic loosening of the components was performed in 30 cases and as a second stage of periprosthetic infection treatment in 18 cases. Results: We did not achieve a statistically significant difference when using additional flanges and clinical and functional results. In 2 cases we faced aseptic loosening in patients using flanges. In no case were we able to install an implant with 100% adherence to porous structure compared to preoperatively planned adherence. According to the WOMAC and VAS scales, increasing the contact area of the components showed a slight statistical difference in the improvement of clinical and functional results and the reduction of pain. Conclusions: When acetabular 3D components adhered to the bone by more than 68%, we did not register a single complication in the postoperative period, and acetabular 3D components adhered to the bone by less than 68%, a total of 8 (16.6%) complications were registered. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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