Massive bone defect compromises postoperative cup survivorship of acetabular revision hip arthroplasty with impaction bone grafting.
retrospective_cohort · Level III
Where this comes from
- Record sourced from PubMed, PMID 24798193.
- Also identified by DOI 10.1016/j.arth.2014.04.001.
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Abstract
We evaluated 66 acetabular revision arthroplasties using cemented cup with impaction bone grafting (IBG) to detect the extent that bone defect affects the outcome. We defined the maximum acetabular defect distance (MADD), which indicates the greatest depth of the grafted layer. Cup survival analysis with aseptic loosening as the endpoint revealed that the "MADD≤20mm" group showed higher survivorship than the "MADD>20mm" group (95% vs. 74%, P=0.034), and that the simple-wall-defect group (none or one mesh used) showed higher survivorship than the complex-wall-defect group (two meshes used) (96% vs. 73%, P=0.044). A favorable indication for acetabular IBG reconstruction is cases in which those cups can be placed at≤20mm MADD with a simple wall defect.
Medical subject headings
- Acetabulum
- Arthroplasty, Replacement, Hip
- Bone Resorption
- Bone Transplantation
- Hip Joint
- Joint Diseases
- Prosthesis Failure
Anatomy
- hip
- pelvis