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Erschienen in: International Orthopaedics 2/2011

01.02.2011 | Original Paper

Cementless acetabular revision: past, present, and future

Revision total hip arthroplasty: the acetabular side using cementless implants

verfasst von: Luis Pulido, Sridhar R. Rachala, Miguel E. Cabanela

Erschienen in: International Orthopaedics | Ausgabe 2/2011

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Abstract

Background

Acetabular revision is probably the most difficult aspect of hip reconstructive surgery. Although the majority of acetabular revisions can be performed using an uncemented hemispherical acetabular device with ancillary fixation, patients with severe acetabular deficiencies and poor bone quality require more complex alternatives for revision. The limitations of traditional cementless acetabular implants has promoted the development of improved methods of fixation and revision techniques. Highly porous metals have been introduced for clinical use in arthroplasty surgery over the last decade. Their higher porosity and surface friction are ideal for acetabular revision, optimising biological fixation. The use of trabecular metal cups in acetabular revision has yielded excellent clinical results.

Purpose

This review focuses on the use of cementless implants for acetabular revision. The use of trabecular metal cups, augments, jumbo cups, oblong cups, cages, and structural grafting are also discussed.
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Metadaten
Titel
Cementless acetabular revision: past, present, and future
Revision total hip arthroplasty: the acetabular side using cementless implants
verfasst von
Luis Pulido
Sridhar R. Rachala
Miguel E. Cabanela
Publikationsdatum
01.02.2011
Verlag
Springer-Verlag
Erschienen in
International Orthopaedics / Ausgabe 2/2011
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-010-1198-y

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