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Year: 2010 Volume: 468 Issue: 1

Year: 2009 Volume: 467

Year: 2008 Volume: 466

Outcomes of isolated acetabular revision.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Lawless, Bryan M. Healy, William L. Sharma, Sanjeev Iorio, Richard
Description	Country affiliation: United States Author Affiliation: Lawless BM ( Department of Orthopaedics, The Lahey Clinic, 41 Mall Road, Burlington, MA 01805, USA. bmlawles@hotmail.com)
Abstract	UNLABELLED: Isolated acetabular revision can be associated with variable patient outcomes; there is a risk of hip instability. We evaluated 42 isolated acetabular revision operations and investigated the impact of patient age, diagnosis, bone stock, bone loss, bone augmentation, and obesity on pain and the Harris hip score. Preoperative radiographs were graded according to Paprosky et al. Postoperative radiographs were graded according to Moore et al. and for implant position, prosthetic fixation, and osteolysis. Complications, patient outcome, reoperations, and acetabular rerevisions were recorded. All patients had complete clinical and radiographic followup with a minimum followup of 2 years (mean, 6.4 years; range, 2-13 years). The mean pain score and the mean Harris hip score improved postoperatively. There was one infection 6 months after operation. There were no dislocations. There were three acetabular rerevisions (7%) for aseptic loosening. Patient age, preoperative diagnosis, bone loss, and pelvic bone augmentation had no influence on pain or Harris hip scores. Before operation, obese patients tended to have less pain than nonobese patients but at followup obese patients had less improvement in pain scores than nonobese patients. LEVEL OF EVIDENCE: Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.
File Format	HTM / HTML
ISSN	0009921X
e-ISSN	15281132
DOI	10.1007/s11999-009-1104-3
Journal	Clinical Orthopaedics and Related Researchtextregistered
Issue Number	2
Volume Number	468
Language	English
Publisher	Springer
Publisher Date	2010-02-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline Orthopaedics Acetabulum Surgery Arthroplasty, Replacement, Hip Instrumentation Hip Joint Hip Prosthesis Joint Instability Osteolysis Adverse Effects Body Mass Index Physiopathology Etiology Obesity Complications Pain Prevention & Control Pain Measurement Prosthesis Failure Prosthesis-related Infections Radiography Recovery Of Function Reoperation Retrospective Studies Severity Of Illness Index Time Factors
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Surgery Sports Science

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