NDLI: Short-term results of a custom triflange acetabular component for massive acetabular bone loss in revision THA.

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Short-term results of a custom triflange acetabular component for massive acetabular bone loss in revision THA.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Wind, Michael A. Swank, Michael L. Sorger, Joel I.
Description	Country affiliation: United States Author Affiliation: Wind MA ( OrthoVirginia, Richmond, VA 23235, USA. michaelwind7@gmail.com)
Abstract	Managing severe periacetabular bone loss during revision total hip arthroplasty (THA) is a challenging task. Multiple treatment options have been described. A custom triflanged acetabular component is a recent treatment option. The authors retrospectively reviewed 19 hips in 19 patients with massive periacetabular bone loss (Paprosky types 3A/3B and AAOS types III/IV) treated with custom triflanged acetabular components. Mean patient age at surgery was 58 years (range, 42-79 years).At an average follow-up of 31 months (range, 16-59 months), mean Harris Hip Score had improved from 38 preoperatively to 63 postoperatively, and mean Western Ontario McMaster Osteoarthritis Index scores had improved from 43 preoperatively to 26 postoperatively. Sixty-five percent of cases were considered successful. Three (16%) patients had significant complications; 2 (11%) custom triflanged acetabular components were removed due to failure. At last follow-up, 6 (43%) of 14 patients reported that their ambulatory status was improved vs their preoperative status, 3 (21%) reported no change, and 5 (36%) reported that their ambulatory status was worse than their preoperative status.In this study, the use of a custom triflanged acetabular component for massive periacetabular bone loss in revision THA had less favorable results than in other reports. Use of a custom triflanged acetabular component for massive periacetabular bone loss in revision THA remains a viable option, but surgeon and patient expectations should be realistic.
Related Links	https://www.healio.com/orthopedics/journals/ortho/2013-3-36-3/{a119389c-da8d-4e1f-8dbf-3bd5ec37a4ff}/short-term-results-of-a-custom-triflange-acetabular-component-for-massive-acetabular-bone-loss-in-revision-tha
File Format	HTM / HTML
ISSN	01477447
e-ISSN	19382367
DOI	10.3928/01477447-20130222-11
Journal	Orthopedics
Issue Number	3
Volume Number	36
Language	English
Publisher	SLACK Incorporated
Publisher Date	2013-03-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline Orthopedics Acetabulum Surgery Arthroplasty, Replacement, Hip Instrumentation Bone Diseases Hip Prosthesis Osteoarthritis, Hip Prosthesis Failure Reoperation Retrospective Studies
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Surgery

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Short-term results of a custom triflange acetabular component for massive acetabular bone loss in revision THA.