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International Orthopaedics

, Volume 37, Issue 4, pp 605–610 | Cite as

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

  • Takashi SakaiEmail author
  • Kenji Ohzono
  • Takashi Nishii
  • Masaki Takao
  • Hidenobu Miki
  • Nobuo Nakamura
  • Nobuhiko Sugano
Original Paper

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.

Keywords

Aseptic Loosening Acetabular Revision Pelvic Discontinuity Paprosky Type Morsellised Bone Graft 
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.

Notes

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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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Takashi Sakai
    • 1
    Email author
  • Kenji Ohzono
    • 2
  • Takashi Nishii
    • 3
  • Masaki Takao
    • 1
  • Hidenobu Miki
    • 4
  • Nobuo Nakamura
    • 5
  • Nobuhiko Sugano
    • 3
  1. 1.Department of Orthopaedic SurgeryOsaka University Graduate School of MedicineSuitaJapan
  2. 2.Department of Orthopaedic SurgeryKansai Rosai HospitalAmagasakiJapan
  3. 3.Department of Orthopaedic Medical EngineeringOsaka University Graduate School of MedicineSuitaJapan
  4. 4.Department of Orthopaedic SurgeryOsaka National HospitalChuo-kuJapan
  5. 5.Center of ArthroplastyKyowakai HospitalSuitaJapan

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