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Bone Defects in Acetabular Revision Surgery. Imaging and Classifications

  • Eduardo García-Rey
Chapter

Abstract

Acetabular bone defects determine the type of acetabular revision surgery. In order to avoid complications, preoperative planning must include patient evaluation, detailed imaging assessment of the bone defects, defect classification, and the proposed surgical reconstruction. Diagnosis of osteolysis and aseptic loosening is made based on serial radiographs, but potential difficulties in the presurgical evaluation require imaging techniques such as the use of Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) to supplement information for radiographic assessment. Because of the complexity of acetabular revision surgery, the bone defects must be classified preoperatively in order to prepare the appropriate surgical technique. The definitive bone defects are evaluated intraoperatively after removal of the failed cup. A good bone defect classification system must be based on imaging findings, it must be validated by documented low rates of interobserver and intraobserver error prior before being accepted into routine usage, and it must be a guide to the surgeon that will facilitate choosing the right surgical technique.

Keywords

Acetabular revision Bone defects Imaging Classifications Preoperative planning 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Eduardo García-Rey
    • 1
  1. 1.Orthopaedic Surgery Department, Hospital Universitario La Paz-IdiPazMadridSpain

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