title: Arthroscopic shaver-assisted total hip arthroplasty revision.
abstract: A case report of a 54-year-old man who underwent a revision arthroplasty 13 years after his original hip replacement is presented. The patient presented to the clinic with a 2-month history of hip pain. Severe pelvic osteolytic lesions were seen on radiographs. The revision procedure consisted of debridment of the osteolytic lesions and bone grafting. An arthroscopic shaver was used to remove the osteolytic lesions proximal to the acetabular cup. Excellent debridment was obtained. Cortical bone allograft was the used to fill the void areas behind the cup. The patient did well postoperatively with no recurrence of osteolysis as seen on radiographs obtained 7 months after surgery. This report presents a successful case of pelvic osteolytic debridment with the use of an arthroscopic shaver.
authors.affiliation: Orthopaedic Surgery and Biomedical Engineering, University of Miami School of Medicine, FL, USA. info@laverniainstitute.com
authors.forename: Carlos J
authors.initials: CJ
authors.lastname: Lavernia
authors.forename: Carlos E
authors.initials: CE
authors.lastname: Moreyra
authors.forename: Michele R
authors.initials: MR
authors.lastname: Dapuzzo
mesh_terms: D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects* / Q000379:methods; D001182:Arthroscopy / Q000379:methods*; D016025:Bone Transplantation / Q000379:methods*; D003646:Debridement / Q000379:methods; D005500:Follow-Up Studies; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D011475:Prosthesis Failure; D016059:Range of Motion, Articular / Q000502:physiology; D020127:Recovery of Function; D012086:Reoperation; D014184:Transplantation, Homologous; D016896:Treatment Outcome