Custom Triflange Acetabular Components for Revision Hip Arthroplasty in the Patients with Severe Acetabular Defects: Planning, Surgical Technique, Outcomes

Autor: A. A. Korytkin, Ya. S. Novikova, E. A. Morozova, S. A. Gerasimov, K. A. Kovaldov, Yo. M. El moudni
Jazyk: ruština
Rok vydání: 2020
Předmět:
Zdroj: Travmatologiâ i Ortopediâ Rossii, Vol 26, Iss 2, Pp 20-30 (2020)
Druh dokumentu: article
ISSN: 2311-2905
2542-0933
DOI: 10.21823/2311-2905-2020-26-2-20-30
Popis: Employment of custom triflange acetabular components (CTAC) is one of the few options for pelvic reconstruction in the patients requiring complex acetabulum revisions with Paprosky 2 C, 3 A and 3 B defects and pelvic ring disruption.The purpose of the study was to describe the features of planning, surgical technique, and short-term treatment outcomes of the patients with significant acetabular defects, in which the revision hip arthroplasty was performed using the CTAC.Materials and Methods. A single-center analysis of a series of consecutive patients was performed: 50 complex acetabulum revisions in 47 patients (16 men and 31 women). The average age of the patients was 60±12 years (from 31 to 82; Me 62 years), the average body mass index was 29.7±6.3 kg/m2 (18.4 to 46.3; Me 29.0 kg/m).Results. The mean follow-up was 22±13 months (from 3 to 3.6 years; Me 20 months). The average Harris score increased from 27±7 (from 15 to 39; Me 27) before surgery to 64±16 (from 22 to 90; Me 67) a year after (p
Databáze: Directory of Open Access Journals