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International Orthopaedics

, Volume 35, Issue 2, pp 289–298 | Cite as

Cementless acetabular revision: past, present, and future

Revision total hip arthroplasty: the acetabular side using cementless implants
  • Luis Pulido
  • Sridhar R. Rachala
  • Miguel E. CabanelaEmail author
Original Paper

Abstract

Background

Acetabular revision is probably the most difficult aspect of hip reconstructive surgery. Although the majority of acetabular revisions can be performed using an uncemented hemispherical acetabular device with ancillary fixation, patients with severe acetabular deficiencies and poor bone quality require more complex alternatives for revision. The limitations of traditional cementless acetabular implants has promoted the development of improved methods of fixation and revision techniques. Highly porous metals have been introduced for clinical use in arthroplasty surgery over the last decade. Their higher porosity and surface friction are ideal for acetabular revision, optimising biological fixation. The use of trabecular metal cups in acetabular revision has yielded excellent clinical results.

Purpose

This review focuses on the use of cementless implants for acetabular revision. The use of trabecular metal cups, augments, jumbo cups, oblong cups, cages, and structural grafting are also discussed.

Keywords

Aseptic Loosening Acetabular Component Acetabular Revision Trabecular Metal Acetabular Defect 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Luis Pulido
    • 1
  • Sridhar R. Rachala
    • 2
  • Miguel E. Cabanela
    • 1
    Email author
  1. 1.Department of Orthopedic SurgeryMayo ClinicRochesterUSA
  2. 2.Department of Orthopedic SurgeryState University of New York at BuffaloBuffaloUSA

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