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Modular acetabular reconstructive cup in acetabular revision total hip arthroplasty at a minimum ten year follow-up

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Abstract

Purpose

Modular acetabular reconstructive cups have been introduced in an attempt to offer initial rigid fixation by iliac lag screws and ischial pegs, to support bone grafts with a flanged metal socket, and to restore original hip center in acetabular revision. The purpose of this study was to clarify minimum ten year follow-up results of this cup system with morsellised allografts in revision cases.

Methods

We retrospectively investigated 54 acetabular revisions at a mean of 11 years (range, ten to 14 years). The indications were Paprosky’s type 2B (eight hip), 2C (eight hips), 3A (23 hips), 3B (nine hips), and 4 (six hips).

Results

Using aseptic loosening as the endpoints, the survival rate was 89.3 % (95 % CI 81–98). Radiographically, one type 3A hip, three type 3B hips and one type 4 hip showed aseptic loosening while no type 2 hips or no cemented cups showed loosening.

Conclusions

The modular reconstructive cups for acetabular revision showed bone stock restoration and stable implantation.

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Acknowledgments

We thank Prof Hideki Yoshikawa for technical support.

Conflict of interest

No competing interests declared. Each author certifies that he or she, or a member of their immediate family, has no commercial associations that might pose a conflict of interest in connection with the submitted article.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, 565-0871, Suita, Japan

    Takashi Sakai & Masaki Takao

  2. Department of Orthopaedic Surgery, Kansai Rosai Hospital, 3-1-69, Inabasou, 660-8511, Amagasaki, Japan

    Kenji Ohzono

  3. Department of Orthopaedic Medical Engineering, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, 565-0871, Suita, Japan

    Takashi Nishii & Nobuhiko Sugano

  4. Department of Orthopaedic Surgery, Osaka National Hospital, 2-1-14, Hoenzaka, Chuo-ku, 540-0006, Osaka, Japan

    Hidenobu Miki

  5. Center of Arthroplasty, Kyowakai Hospital, 1-24-1, Kishibekita, 564-0001, Suita, Japan

    Nobuo Nakamura

Authors
  1. Takashi Sakai
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  2. Kenji Ohzono
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  3. Takashi Nishii
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  4. Masaki Takao
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  5. Hidenobu Miki
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  6. Nobuo Nakamura
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  7. Nobuhiko Sugano
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Corresponding author

Correspondence to Takashi Sakai.

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Sakai, T., Ohzono, K., Nishii, T. et al. Modular acetabular reconstructive cup in acetabular revision total hip arthroplasty at a minimum ten year follow-up. International Orthopaedics (SICOT) 37, 605–610 (2013). https://doi.org/10.1007/s00264-013-1818-4

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  • DOI: https://doi.org/10.1007/s00264-013-1818-4

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