Advances in acetabular reconstruction in revision total hip arthroplasty: maximizing function and outcomes after treatment of periacetabular osteolysis around the well-fixed shell.
As the incidence of primary and revision hip arthroplasty increases, the need for a comprehensive approach to acetabular revision cannot be overstated. In the presence of osteolysis, there is a substantial population of patients with a well-fixed acetabular shell. It will be helpful to orthopaedic surgeons to review the classification of acetabular defects, techniques for exposing an acetabular component when the femoral component will be retained, methods of facilitating access to osteolytic lesions, the principles of bone grafting, options for liner fixation, and when removal of a well-fixed shell is necessary.
Resident, Department of Orthopaedic Surgery, Southern Illinois University School of Medicine, Springfield, Illinois.
Adam
A
Hall
Mark
M
Eilers
Rachel
R
Hansen
Brooke S
BS
Robinson
William J
WJ
Maloney
Wayne G
WG
Paprosky
Michael D
MD
Ries
Khaled J
KJ
Saleh
D000077:Acetabulum; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D006622:Hip Prosthesis; D006801:Humans; D010014:Osteolysis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D011474:Prosthesis Design; D011475:Prosthesis Failure / Q000009:adverse effects; D020127:Recovery of Function; D012086:Reoperation; D016896:Treatment Outcome