Cemented Hip Revision Surgery in Severe Acetabular Defects Using a Semirigid Acetabular Reinforcement Ring-a 5-to 25-Year Follow-Up Study

被引:7
作者
Haverkamp, Daniel [1 ]
De Man, F. Harald R. [1 ]
Slegt, Raoul [1 ]
Besselaar, Philip P. [1 ]
Marti, Rene K. [1 ]
机构
[1] Univ Amsterdam, Acad Med Ctr, Dept Orthopaed Surg, Orthopaed Res Ctr, NL-1100 DD Amsterdam, Netherlands
关键词
hip; osteoarthritis; arthroplasty; revision; acetabular defects; QUANTITATIVE COMPUTED-TOMOGRAPHY; ANTI-PROTRUSIO CAGE; PRESS-FIT; ANTIPROTRUSIO CAGE; BONE-GRAFT; ARTHROPLASTY; REPLACEMENT; RECONSTRUCTION; DYSPLASIA; DEFICIENCY;
D O I
10.1016/j.arth.2008.07.020
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
Between 1978 and 1998, a total of 38 consecutive acetabular component revisions were performed in 38 patients. Average age was 67 years, and 87% of patients had severe uncontained segmental acetabular defects of more than 50%. We describe the operative technique of acetabular component revisions performed with bone grafting and a steel, semirigid acetabular reinforcement ring (Eichler), and long-term results are presented. After an average of 11.2 years follow-up, I CLIP was revised after 0.8 years for mechanical loosening, but the ring remained stably fixed. Remodeling (partial) of autografts Occurred in all cases. The average HHS was 72.5. The Eichler reinforcement ring is a viable option for segmental acetabular defects in revision hip surgery, allows for restoration of pelvic bone, and makes future revisions feasible.
引用
收藏
页码:246 / 255
页数:10
相关论文
共 48 条
[1]   REVISION ARTHROPLASTY USING AN ANTI-PROTRUSIO CAGE FOR MASSIVE ACETABULAR BONE DEFICIENCY [J].
BERRY, DJ ;
MULLER, ME .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1992, 74 (05) :711-715
[2]   ECTOPIC OSSIFICATION FOLLOWING TOTAL HIP-REPLACEMENT - INCIDENCE AND A METHOD OF CLASSIFICATION [J].
BROOKER, AF ;
BOWERMAN, JW ;
ROBINSON, RA ;
RILEY, LH .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1973, A 55 (08) :1629-1632
[3]   Acetabular revision with use of a bilobed component inserted without cement in patients who have acetabular bone-stock deficiency [J].
Chen, WM ;
Engh, CA ;
Hopper, RH ;
McAuley, JP ;
Engh, CA .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2000, 82A (02) :197-206
[4]  
DANTONIO JA, 1989, CLIN ORTHOP RELAT R, P126
[5]   Weber rotation total hip replacement - A prospective 5-to 20-year followup study [J].
de Jong, PT ;
van der Vis, HM ;
De Man, FHR ;
Marti, RK .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2004, (419) :107-114
[6]   Total hip replacement with a superolateral bone graft for osteoarthritis secondary to dysplasia - A long-term follow-up [J].
de Jong, PT ;
Haverkamp, D ;
van der Vis, HM ;
Marti, RK .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2006, 88B (02) :173-178
[7]  
DELEE JG, 1976, CLIN ORTHOP RELAT R, P20
[8]   Different loss of BMD using uncemented press-fit and whole polyethylene cups fixed with cement -: Repeated DXA studies in 96 hips randomized to 3 types of fixation [J].
Digas, G ;
Kärrholm, J ;
Thanner, J .
ACTA ORTHOPAEDICA, 2006, 77 (02) :218-226
[9]   SURVIVORSHIP OF TOTAL HIP REPLACEMENTS [J].
DOBBS, HS .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1980, 62 (02) :168-173
[10]   PROTRUSIO-ACETABULI, A NEW METHOD OF OPERATIVE TREATMENT - PRELIMINARY REPORT [J].
EICHLER, J .
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, 1973, 75 (01) :76-80