Revision of Complex Acetabular Defects Using Cages with the Aid of Rapid Prototyping

被引:32
作者
Li, Huiwu [1 ]
Wang, Liao [1 ]
Mao, Yuanqing [1 ]
Wang, You [1 ]
Dai, Kerong [1 ]
Zhu, Zhenan [1 ]
机构
[1] Shanghai Jiao Tong Univ, Shanghai Peoples Hosp 9, Sch Med, Dept Orthopaed, Shanghai 200011, Peoples R China
关键词
revision hip arthroplasty; cage; complex acetabular defects; rapid prototyping; acetabular reconstruction; TOTAL HIP-ARTHROPLASTY; ANTI-PROTRUSIO CAGE; BONE LOSS; RECONSTRUCTION RINGS; ANTIPROTRUSIO CAGE; DEFICIENCY; FRACTURES; ALLOGRAFT; SURGERY; GRAFTS;
D O I
10.1016/j.arth.2012.12.019
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
This study details a method using rapid prototyping (RP) technique to assist in acetabular revision with complex bone defects. Hemi-pelvic RP models were built among 25 patients with complex acetabular bone defects. Each patient was scheduled to undergo revision using either commercially available or customized cages based on individualized RP models. Average follow-up was 4.4 years (range, 1 to 9 years). The average Harris hip score was 36.1 (range, 20 to 58) preoperatively and reached an average of 82.6 (range, 60-96) at the last follow-up. No mechanical failure or loosening was observed. One patient experienced hip dislocation 4 days postoperatively. The resultant findings of this study merit consideration of RP as a helpful clinical complement for dealing with some complex bone defect of acetabulum. (C) 2013 Elsevier Inc. All rights reserved.
引用
收藏
页码:1770 / 1775
页数:6
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