title: Use of jumbo cups for revision of acetabulae with large bony defects.
abstract: Several methods of treatment are available for acetabular revision associated with bone loss. Jumbo cups (minimum diameter of 62 mm in women, 66 mm in men, or 10 mm larger than the normal contralateral acetabulum) are often useful for large defects. The purpose of this study is to report a large jumbo cup series with an average 10-year follow-up. A total of 196 jumbo cups in 186 patients with a minimum of 2-year follow-up were available for review. Harris hip score improved from 44 preoperatively to 72 postoperatively. Survivorship was 98% at 4 years and 96% at 16 years. Five revisions and two resection arthroplasties were performed for failure. In conclusion, porous jumbo cup acetabular revision with supplemental screw fixation provides good to excellent intermediate- and long-term outcomes.
authors.affiliation: Florida Orthopaedic Institute, Tampa, Florida.
authors.forename: Kenneth A
authors.initials: KA
authors.lastname: Gustke
authors.forename: Melissa F
authors.initials: MF
authors.lastname: Levering
authors.forename: Michael A
authors.initials: MA
authors.lastname: Miranda
mesh_terms: D000077:Acetabulum / Q000601:surgery*; D000368:Aged; D019644:Arthroplasty, Replacement, Hip; D001862:Bone Resorption / Q000601:surgery*; D005260:Female; D006621:Hip Joint / Q000601:surgery*; D006622:Hip Prosthesis; D006801:Humans; D007592:Joint Diseases / Q000601:surgery; D008297:Male; D011474:Prosthesis Design; D012086:Reoperation
keywords: acetabular; jumbo cups; total hip revision