Skip to main content

Advertisement

SpringerLink
Log in

Acetabular revisions using a cementless oblong cup: five to ten year results

  • Original Paper
  • Published:
International Orthopaedics Aims and scope Submit manuscript

Abstract

The purpose of this paper was to evaluate the results of acetabular revisions with the use of an oblong revision cup that is designed with its longitudinal diameter elongated relative to its transverse diameter. Between 1996 and 2001, 62 hips in 60 patients underwent an acetabular revision with the insertion of a LOR acetabular component. Seven hips were lost to follow-up or the patients died; the remaining 55 hips (53 patients) remained in follow-up for an average of 7.2 years (range: 5.0–10.1 years). One socket was revised for aseptic loosening, and another was operated on for a late polyethylene liner dissociation. The average Harris hip score (HHS) improved from 34 to 79. Results were rated as excellent in 16 hips, good in 28, fair in six and poor in three. Radiographic analysis demonstrated an improvement in the average vertical displacement of the hip centre: 49 hips had a well-fixed, bone-ingrown cup and four had a stable fibrous union. For large superolateral acetabular bone deficiencies, this implant facilitated a complex reconstruction without the need for bulk structural acetabular bone grafts, provided good clinical results and showed satisfactory stability at the midterm follow-up.

Résumé

Le but de cette étude est d’évaluer les résultats des révisions acétabulaires par l’utilisation d’une cupule oblongue. 62 hanches chez 60 patients ont bénéficié de cette révision acétabulaire avec cet insert (LOR). Ces révisions ont été réalisées de 1996 à 2001. 7 hanches ont été perdues de vue ou les patients décédés, 55 hanches (53 patients) ont été suivies en moyenne pendant 7,2 ans (de 5 à 10,1 ans). Une cupule a été révisée pour descellement aseptique et une autre a été reprise pour un débricolage de l’insert en polyéthylène. Le score HHS moyen a été amélioré passant de 34 à 79. Les résultats ont été cotés comme excellents dans 16 hanches, bons dans 28 hanches, moyens dans 6 hanches et mauvais dans 3 hanches. L’analyse radiographique a montré une amélioration du centrage de la hanche, 49 implants sont considérés comme bien en place et bien fixés, 4 hanches ont une fixation fibreuse mais stable. Cet implant facilite les reconstructions difficiles lorsqu’il existe une perte de substance supérieure et latérale du cotyle sans qu’il soit nécessaire de greffer les patients par une allogreffe. Il permet d’avoir de bons résultats et montre une stabilité tout à fait satisfaisante à moyen terme.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Berry DJ, Sutherland CJ, Trousdale RT, Colwell CW Jr, Chandler HP, Hayres D, Yashar AA (2000) Bilobed oblong porous coated acetabular components in revision total hip arthroplasty. Clin Orthop 371:154–160

    Article  PubMed  Google Scholar 

  2. Chareancholvanich K, Tanchuling A, Seki T, Gustilo RB (1999) Cementless acetabular revision for aseptic failure of cemented hip arthroplasty. Clin Orthop 361:140–149

    Article  PubMed  Google Scholar 

  3. Chen WM, Engh CA Jr, Hopper RH, McAuley JP, Engh CA (2000) Acetabular revision with use of a bilobed component inserted without cement in patients who have acetabular bone-stock deficiency. J Bone Joint Surg Am 82-A:197–206

    Google Scholar 

  4. Dearborn JT, Harris WH (2000) Acetabular revision arthroplasty using so-called jumbo cementless components: an average 7-year follow-up study. J Arthroplasty 15:8–15

    Article  PubMed  CAS  Google Scholar 

  5. DeBoer DK, Christie MJ (1998) Reconstruction of the deficient acetabulum with an oblong prosthesis: three-to seven-year results. J Arthroplasty 13:674–680

    Article  PubMed  CAS  Google Scholar 

  6. De Lee JG, Charnley J (1976) Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop 121:20–32

    Google Scholar 

  7. Hardinge K (1982) The direct lateral approach to the hip. J Bone Joint Surg 64-B(1):17–19

    Google Scholar 

  8. Harris WH (1969) Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. J Bone Joint Surg 51A:737–755

    Google Scholar 

  9. Herrera A, Martinez AA, Cuenca J, Canales V (2006) Management of types III and IV acetabular deficiencies with the longitudinal oblong revision cup. J Arthroplasty 21:857–864

    Article  PubMed  Google Scholar 

  10. Jasty M, Harris WH (1990) Salvage total hip reconstruction in patients with major acetabular bone deficiency using structural femoral head allografts. J Bone Joint Surg 72B:63–67

    Google Scholar 

  11. Jones CP, Lachiewicz PF (2004) Factors influencing the longer-term survival of uncemented acetabular components used in total hip revisions. J Bone Joint Surg Am 86-A:342–347

    PubMed  Google Scholar 

  12. Köster G, Willert H-G, Köhler H-P, Döpkens K (1998) An oblong revision cup for large acetabular defects: design rationale and two- to seven-year follow-up. J Arthroplasty 13:559–569

    Article  PubMed  Google Scholar 

  13. Lee BP, Cabanela ME, Wallrichs SL, Ilstrup DM (1997) Bone-graft augmentation for acetabular deficiencies in total hip arthroplasty. J Arthroplasty 12:503–510

    Article  PubMed  CAS  Google Scholar 

  14. Leopold SS, Rosenberg AG, Bhatt RD, Sheinkop MB, Quigley LR, Galante JO (1999) Cementless acetabular revision: evaluation at an average of 10.5 years. Clin Orthop 369:179–186

    Article  PubMed  Google Scholar 

  15. Padgett DE, Kull L, Rosenberg A, Sumner DR, Galante JO (1993) Revision of the acetabular component without cement after total hip arthroplasty. J Bone Joint Surg 75A:663–673

    Google Scholar 

  16. Paprosky WG, Perona PG, Lawrence JM (1994) Acetabular defect classification and surgical reconstruction in revision arthroplasty: a 6 year follow-up evaluation. J Arthroplasty 9:33–44

    Article  PubMed  CAS  Google Scholar 

  17. Schutzer SF, Harris WH (1994) High placement of porous-coated acetabular components in complex total hip arthroplasty. J Arthroplasty 9:359–367

    Article  PubMed  CAS  Google Scholar 

  18. Sporer SM, Paprosky WG (2006) Acetabular revision using a trabecular metal acetabular component for severe acetabular bone loss associated with a pelvic discontinuity. J Arthroplasty 21:87–90

    Article  PubMed  Google Scholar 

  19. Surace MF, Zatti G, De Pietri M, Cherubino P (2006) Acetabular revision surgery with the LOR cup. Three to 8 years’ follow-up. J Arthroplasty 21:114–121

    Article  PubMed  Google Scholar 

  20. Traina F, Giardina F, De Clerico M, Toni A (2005) Structural allograft and primary press-fit cup for severe acetabular deficiency. A minimum 6-year follow-up study. Int Orthop 29:135–139

    Article  PubMed  CAS  Google Scholar 

  21. Whaley AL, Berry DJ, Harmsen WS (2001) Extra-large uncemented hemispherical acetabular components for revision total hip arthroplasty. J Bone Joint Surg 83A:1352–1357

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Second Orthopaedic Clinic Department of Orthopaedics and Traumatology, Plastic Surgery and Rehabilitation, University of Florence, CTO - Largo Palagi 1, 50139, Florence, Italy

    R. Civinini, C. Carulli, M. Villano & M. I. Gusso

  2. Department of Orthopaedics and Traumatology, University of Cagliari, Cagliari, Italy

    A. Capone

Authors
  1. R. Civinini
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. A. Capone
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. C. Carulli
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. M. Villano
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. M. I. Gusso
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to R. Civinini.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Civinini, R., Capone, A., Carulli, C. et al. Acetabular revisions using a cementless oblong cup: five to ten year results. International Orthopaedics (SICO 32, 189–193 (2008). https://doi.org/10.1007/s00264-006-0307-4

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00264-006-0307-4

Keywords

Search

Navigation