[Bone defect adjusted strategy in revision arthroplasty of the hip : Wich implant in wich situation? Innovations and approved methods].
BACKGROUND
Revision total hip arthroplasty is of rising importance, with 35,000 procedures a year in Germany.


OBJECTIVE
Primary stability of the revision implant, reconstruction of the anatomical hip center, reconstruction of bone stock, and permanent secondary integration are the main priorities.


METHODS
Current literature and examples from our own experience are presented.


CONCLUSIONS
Novel developments from basic research and industrial partners extend the possibilities for treating affected patients. For an integrated therapy concept in implant selection criteria, such as situation and structure of the defect, combination with any remaining implants, causes of loosening and failure, implant allergy, and patient-specific parameters should be taken into consideration.
Orthopädische Klinik, Universität Regensburg, Kaiser-Karl-V-Allee 3, 93077, Bad Abbach, Deutschland, benjamin.craiovan@ukr.de.
B S
BS
Craiovan
J
J
Grifka
A
A
Keshmiri
B
B
Moser
M
M
Wörner
T
T
Renkawitz
D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects* / Q000379:methods; D001862:Bone Resorption / Q000209:etiology* / Q000601:surgery*; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007593:Joint Instability / Q000209:etiology / Q000517:prevention & control*; D017755:Prosthesis Fitting / Q000379:methods*; D011859:Radiography; D012086:Reoperation / Q000379:methods