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International Orthopaedics
Published in: International Orthopaedics 2/2008

01-04-2008 | Original Paper

Acetabular revisions using a cementless oblong cup: five to ten year results

Authors: R. Civinini, A. Capone, C. Carulli, M. Villano, M. I. Gusso

Published in: International Orthopaedics | Issue 2/2008

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Abstract

The purpose of this paper was to evaluate the results of acetabular revisions with the use of an oblong revision cup that is designed with its longitudinal diameter elongated relative to its transverse diameter. Between 1996 and 2001, 62 hips in 60 patients underwent an acetabular revision with the insertion of a LOR acetabular component. Seven hips were lost to follow-up or the patients died; the remaining 55 hips (53 patients) remained in follow-up for an average of 7.2 years (range: 5.0–10.1 years). One socket was revised for aseptic loosening, and another was operated on for a late polyethylene liner dissociation. The average Harris hip score (HHS) improved from 34 to 79. Results were rated as excellent in 16 hips, good in 28, fair in six and poor in three. Radiographic analysis demonstrated an improvement in the average vertical displacement of the hip centre: 49 hips had a well-fixed, bone-ingrown cup and four had a stable fibrous union. For large superolateral acetabular bone deficiencies, this implant facilitated a complex reconstruction without the need for bulk structural acetabular bone grafts, provided good clinical results and showed satisfactory stability at the midterm follow-up.
Literature
1.
Berry DJ, Sutherland CJ, Trousdale RT, Colwell CW Jr, Chandler HP, Hayres D, Yashar AA (2000) Bilobed oblong porous coated acetabular components in revision total hip arthroplasty. Clin Orthop 371:154–160PubMedCrossRef
2.
Chareancholvanich K, Tanchuling A, Seki T, Gustilo RB (1999) Cementless acetabular revision for aseptic failure of cemented hip arthroplasty. Clin Orthop 361:140–149PubMedCrossRef
3.
Chen WM, Engh CA Jr, Hopper RH, McAuley JP, Engh CA (2000) Acetabular revision with use of a bilobed component inserted without cement in patients who have acetabular bone-stock deficiency. J Bone Joint Surg Am 82-A:197–206
4.
Dearborn JT, Harris WH (2000) Acetabular revision arthroplasty using so-called jumbo cementless components: an average 7-year follow-up study. J Arthroplasty 15:8–15PubMedCrossRef
5.
DeBoer DK, Christie MJ (1998) Reconstruction of the deficient acetabulum with an oblong prosthesis: three-to seven-year results. J Arthroplasty 13:674–680PubMedCrossRef
6.
De Lee JG, Charnley J (1976) Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop 121:20–32
7.
Hardinge K (1982) The direct lateral approach to the hip. J Bone Joint Surg 64-B(1):17–19
8.
Harris WH (1969) Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. J Bone Joint Surg 51A:737–755
9.
Herrera A, Martinez AA, Cuenca J, Canales V (2006) Management of types III and IV acetabular deficiencies with the longitudinal oblong revision cup. J Arthroplasty 21:857–864PubMedCrossRef
10.
Jasty M, Harris WH (1990) Salvage total hip reconstruction in patients with major acetabular bone deficiency using structural femoral head allografts. J Bone Joint Surg 72B:63–67
11.
Jones CP, Lachiewicz PF (2004) Factors influencing the longer-term survival of uncemented acetabular components used in total hip revisions. J Bone Joint Surg Am 86-A:342–347PubMed
12.
Köster G, Willert H-G, Köhler H-P, Döpkens K (1998) An oblong revision cup for large acetabular defects: design rationale and two- to seven-year follow-up. J Arthroplasty 13:559–569PubMedCrossRef
13.
Lee BP, Cabanela ME, Wallrichs SL, Ilstrup DM (1997) Bone-graft augmentation for acetabular deficiencies in total hip arthroplasty. J Arthroplasty 12:503–510PubMedCrossRef
14.
Leopold SS, Rosenberg AG, Bhatt RD, Sheinkop MB, Quigley LR, Galante JO (1999) Cementless acetabular revision: evaluation at an average of 10.5 years. Clin Orthop 369:179–186PubMedCrossRef
15.
Padgett DE, Kull L, Rosenberg A, Sumner DR, Galante JO (1993) Revision of the acetabular component without cement after total hip arthroplasty. J Bone Joint Surg 75A:663–673
16.
Paprosky WG, Perona PG, Lawrence JM (1994) Acetabular defect classification and surgical reconstruction in revision arthroplasty: a 6 year follow-up evaluation. J Arthroplasty 9:33–44PubMedCrossRef
17.
Schutzer SF, Harris WH (1994) High placement of porous-coated acetabular components in complex total hip arthroplasty. J Arthroplasty 9:359–367PubMedCrossRef
18.
Sporer SM, Paprosky WG (2006) Acetabular revision using a trabecular metal acetabular component for severe acetabular bone loss associated with a pelvic discontinuity. J Arthroplasty 21:87–90PubMedCrossRef
19.
Surace MF, Zatti G, De Pietri M, Cherubino P (2006) Acetabular revision surgery with the LOR cup. Three to 8 years’ follow-up. J Arthroplasty 21:114–121PubMedCrossRef
20.
Traina F, Giardina F, De Clerico M, Toni A (2005) Structural allograft and primary press-fit cup for severe acetabular deficiency. A minimum 6-year follow-up study. Int Orthop 29:135–139PubMedCrossRef
21.
Whaley AL, Berry DJ, Harmsen WS (2001) Extra-large uncemented hemispherical acetabular components for revision total hip arthroplasty. J Bone Joint Surg 83A:1352–1357
Metadata
Title
Acetabular revisions using a cementless oblong cup: five to ten year results
Authors
R. Civinini
A. Capone
C. Carulli
M. Villano
M. I. Gusso
Publication date
01-04-2008
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 2/2008
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-006-0307-4

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