Revision total hip arthroplasty for pelvic osteolysis with well-fixed cementless cup.
Treatment of pelvic osteolysis after total hip arthroplasty (THA) remains controversial. Clinical and radiographic outcomes of revision THA were evaluated in 62 hips with pelvic osteolysis and well-fixed cementless cups. The patients' mean age was 50.9 years, and the mean interval from primary to revision THA was 9.7 years. For revision, cementless cups were used in 51 hips, and cemented cups in 11 with acetabular reinforcement rings in 9. The mean duration of follow-up after revision THA was 5.9 years (range, 3.0-9.7 years). At final follow-up, the average Harris Hip Score was 92.4, and there was no radiographic complication except for 1 with change of inclination. Revision THA for pelvic osteolysis with well-fixed cementless cups showed favorable outcomes, and it can be preferentially used in young patients.
Chang
Jun-Dong
JD
Department of Orthopaedic Surgery, Hallym University College of Medicine, Seoul, Republic of Korea.
Yoo
Je-Hyun
JH
Hur
Mina
M
Lee
Sang-Soo
SS
Chung
Yung-Khee
YK
Lee
Chang-Ju
CJ
D000077:Acetabulum / Q000000981:diagnostic imaging / Q000601:surgery; D000328:Adult; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods*; D001843:Bone Cements; D005260:Female; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D016268:Internal Fixators; D008297:Male; D008875:Middle Aged; D010014:Osteolysis / Q000209:etiology* / Q000601:surgery*; D011859:Radiography; D012086:Reoperation / Q000379:methods; D012189:Retrospective Studies; D016896:Treatment Outcome
D001843:Bone Cements