Current techniques and new developments in acetabular revision surgery

被引:5
作者
Burns, Alexander W. R. [1 ]
McCalden, Richard W. [1 ]
机构
[1] Univ Western Ontario, London Hlth Sci Ctr, London, ON N6A 5A5, Canada
来源
CURRENT ORTHOPAEDICS | 2006年 / 20卷 / 03期
关键词
revision total hip arthroplasty; acetabular; reconstruction; trabecular metal; tantalum;
D O I
10.1016/j.cuor.2006.06.008
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
Revision of a failed acetabular component is one of the most challenging aspects of revision hip arthroplasty. The revision hip surgeon must have a systematic approach to preoperative, operative and post-operative management. The majority of acetabular revisions can be performed using uncemented "jumbo" components, however severe bone loss can make reconstruction difficult. An advanced skill set including practical knowledge of extensile exposures, special techniques in removal of components, management of bone defects, and reimplantation of revision components, is essential. The various surgical options available to the revision surgeon are discussed in this article with particular focus on new techniques, instruments, materials and prostheses which may make this challenging area less complex to manage and may improve outcomes for patients in the future. (C) 2006 Published by Elsevier Ltd.
引用
收藏
页码:162 / 170
页数:9
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