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01-10-2013 | Original Paper

Acetabular cup positioning in revision total hip arthroplasty with Paprosky type III acetabular defects: Martell radiographic analysis

Authors: Ho-Rim Choi, David Anderson, Scott Foster, Matthew Beal, Jo Ann Lee, Christopher Barr, Henrik Malchau, Joseph McCarthy, Young-Min Kwon

Published in: International Orthopaedics | Issue 10/2013

Abstract

Purpose

This study evaluates acetabular cup position in the setting of revision total hip arthroplasty (THA) with severe acetabular bone defects.

Methods

With a definition of safe zone of abduction (30–50°) and anteversion (5–25°), acetabular cup position was measured by a digital image analysis program for 34 patients with Paprosky type III acetabular bone defects.

Results

There were 24 cups (71 %) for abduction and 26 cups (76 %) for anteversion located in the safe zone. Nineteen cups (56 %) were within the safe zone for both abduction and anteversion. There was no dislocation, however one cup out of the safe zone resulted in early cup failure due to aseptic loosening.

Conclusions

The acetabular cup positioning in patients with Paprosky type III defects was 'optimal' in half of the cases. The prevalence of optimal acetabular cup position was similar to those reported in primary THA, suggesting that the presence of a large acetabular bone defect may not be a significant risk factor for suboptimal acetabular cup positioning in the setting of revision THA.

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Title: Acetabular cup positioning in revision total hip arthroplasty with Paprosky type III acetabular defects: Martell radiographic analysis
Authors: Ho-Rim Choi
David Anderson
Scott Foster
Matthew Beal
Jo Ann Lee
Christopher Barr
Henrik Malchau
Joseph McCarthy
Young-Min Kwon
Publication date: 01-10-2013
Publisher: Springer Berlin Heidelberg
Published in: International Orthopaedics / Issue 10/2013
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-013-2008-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Acetabular cup positioning in revision total hip arthroplasty with Paprosky type III acetabular defects: Martell radiographic analysis

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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