Multicup reconstruction technique for the management of severe protrusio acetabular defects
Open Access
- 6 July 2021
- journal article
- research article
- Published by Springer Science and Business Media LLC in Arthroplasty
- Vol. 3 (1), 1-9
- https://doi.org/10.1186/s42836-021-00081-9
Abstract
In revision hip arthroplasty, managing the large protrusio acetabular defects remains a challenge. The report described a novel technique which employs a trabecular metal revision shell as a super-augment to buttress the superior medial structure. Between January 2015 and December 2018, the multicup reconstruction was performed in 21 patients with severe protrusio acetabular defects. The revision shell, plus two similar porous acetabular components was implanted into the initial shell to create a “multicup” construct. The functional outcomes were evaluated in terms of the Harris Hip Score. Acetabular loosening, restoration of hip center of rotation, and bone ingrowth etc., were radiographically assessed. The survival rate of the implants was also evaluated. A followup lasting a mean time of 31 months (range, 18–57 months) revealed that the average Harris Hip Score improved from preoperative 37.0 ± 7.1 to postoperative 76.4 ± 9.0. There were no revisions due to acetabular loosening. The horizontal offset increased by an average of 14 mm, and the vertical offset decreased by an average of 18 mm. Eighteen of the 21 patients (86 %) met at least 3 of 5 criteria associated with bone ingrowth. The survivorship free from re-revision for acetabular loosening after 2 years was 100 %. The multicup reconstruction technique was a simplified re-revision procedure for managing the severe protrusio acetabular defects and could achieve a high survival rate. Therapeutic study, Level IVa.Keywords
Funding Information
- Joint Funds of the National Natural Science Foundation of China (U1503221)
- Innovative Research Group Project of the National Natural Science Foundation of China (81760398)
- Natural Science Foundation of Xinjiang Province (2017DD1C285)
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