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
来源
JOURNAL OF ARTHROPLASTY | 2009年 / 24卷 / 02期
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
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