Use of Jumbo Cups for Revision of Acetabulae With Large Bony Defects

被引:54
作者
Gustke, Kenneth A. [1 ]
Levering, Melissa F. [2 ]
Miranda, Michael A. [1 ]
机构
[1] Florida Orthopaed Inst, Tampa, FL USA
[2] Fdn Orthopaed Res & Educ, Tampa, FL USA
关键词
acetabular; total hip revision; jumbo cups; TOTAL HIP-ARTHROPLASTY; ANTI-PROTRUSIO CAGE; SCHNEIDER ANTIPROTRUSIO CAGE; CONCISE FOLLOW-UP; HIGH PLACEMENT; COMPONENT; RECONSTRUCTION; CEMENT; MANAGEMENT; ALLOGRAFT;
D O I
10.1016/j.arth.2012.11.010
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Several methods of treatment are available for acetabular revision associated with bone loss. Jumbo cups (minimum diameter of 62 mm in women, 66 mm in men, or 10 mm larger than the normal contralateral acetabulum) are often useful for large defects. The purpose of this study is to report a large jumbo cup series with an average 10-year follow-up. A total of 196 jumbo cups in 186 patients with a minimum of 2-year follow-up were available for review. Harris hip score improved from 44 preoperatively to 72 postoperatively. Survivorship was 98% at 4 years and 96% at 16 years. Five revisions and two resection arthroplasties were performed for failure. In conclusion, porous jumbo cup acetabular revision with supplemental screw fixation provides good to excellent intermediate- and long-term outcomes. (C) 2014 Elsevier Inc. All rights reserved.
引用
收藏
页码:199 / 203
页数:5
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