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Isolated revision acetabuloplasty using a porous-coated cementless acetabular component without removal of a well-fixed femoral component. A 3- to 9-year follow-up study.

Publication ,  Journal Article
Moskal, JT; Danisa, OA; Shaffrey, CI
Published in: J Arthroplasty
October 1997

The results of isolated acetabular revision performed in 31 patients (32 hips) were monitored for between 3 and 9 years. All femoral components were well fixed and not removed or revised at the time of index surgery. There were 4 hips with little or no acetabular bony defect, 2 hips with pure segmental defects (type I), 10 hips with cavitary defects (type II), 15 with combined segmental cavitary defects (type III), and I with pelvic discontinuity (type IV). All revision acetabular implants were cementless, using a porous-coated hemispheric cup with or without bone-graft. There were four grade I reconstructions, 16 grade II reconstructions, and 12 grade III reconstructions. At final follow-up evaluation 94% of the cups were judged to be stable. Two hips required a second revision acetabuloplasty because of loss of fixation of the cup. The 2 repeat revisions were also done without removal of the femoral component. One acetabular component had evidence of rotational migration, which stabilized and remained nonprogressive. There were no cases of femoral component radiographic or clinical failure. The mean pre and postoperative hip scores were 44 and 83, respectively. The pre- and postoperative pain scores were 12 and 42, respectively. The findings of this study suggest that isolated acetabular revision, using a cementless porous-coated hemispheric cup, can be successfully performed without removing or revising a well-fixed femoral stem and not compromise the final outcome.

Duke Scholars

Published In

J Arthroplasty

DOI

ISSN

0883-5403

Publication Date

October 1997

Volume

12

Issue

7

Start / End Page

719 / 727

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Reoperation
  • Orthopedics
  • Middle Aged
  • Male
  • Humans
  • Hip Prosthesis
  • Follow-Up Studies
  • Female
  • Arthroplasty, Replacement, Hip
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Moskal, J. T., Danisa, O. A., & Shaffrey, C. I. (1997). Isolated revision acetabuloplasty using a porous-coated cementless acetabular component without removal of a well-fixed femoral component. A 3- to 9-year follow-up study. J Arthroplasty, 12(7), 719–727. https://doi.org/10.1016/s0883-5403(97)90000-0
Moskal, J. T., O. A. Danisa, and C. I. Shaffrey. “Isolated revision acetabuloplasty using a porous-coated cementless acetabular component without removal of a well-fixed femoral component. A 3- to 9-year follow-up study.J Arthroplasty 12, no. 7 (October 1997): 719–27. https://doi.org/10.1016/s0883-5403(97)90000-0.
Moskal, J. T., et al. “Isolated revision acetabuloplasty using a porous-coated cementless acetabular component without removal of a well-fixed femoral component. A 3- to 9-year follow-up study.J Arthroplasty, vol. 12, no. 7, Oct. 1997, pp. 719–27. Pubmed, doi:10.1016/s0883-5403(97)90000-0.
Journal cover image

Published In

J Arthroplasty

DOI

ISSN

0883-5403

Publication Date

October 1997

Volume

12

Issue

7

Start / End Page

719 / 727

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Reoperation
  • Orthopedics
  • Middle Aged
  • Male
  • Humans
  • Hip Prosthesis
  • Follow-Up Studies
  • Female
  • Arthroplasty, Replacement, Hip