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Structural allograft and primary press-fit cup for severe acetabular deficiency

A minimum 6-year follow-up study

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Abstract

Between October 1992 and December 1996, 23 patients with pelvic bone stock deficiency involving major columns underwent revision surgery with a cementless press-fit cup and a structural bone graft. Twenty cases were followed up for a minimum of 6 (average 7.6, range 6–11) years. Three cups were revised: one for aseptic loosening, one for septic loosening, and one for recurrent dislocation. At latest follow-up, the average Merle d’Aubigné hip score improved from 10.9 to 16.2; four hips were rated excellent, seven very good, three good, two fair, and one poor. All cups were stable; the grafts were integrated and anatomy was restored. The Kaplan–Meier cumulative probability of not having revision for loosening at 11 years, predicted a survival rate of 84.4%. We are confident that these results are satisfactory for a very demanding procedure.

Résumé

Entre octobre 1992 et décembre 1996, 23 malades avec une perte de substance du bassin atteignant les colonnes du cotyle, ont subi une révision chirurgicale avec une cupule acétabulaire sans ciment et une greffe d’os structurelle. Vingt cas ont été suivis pendant un minimum de 6 ans (moyenne 7,6, écart 6–11); Trois cupules ont été révisées, une pour descellement aseptique, un pour descellement septique, et une pour luxation récidivante. Àu dernier recul, le score de Merle d’Aubigné s’est, en moyenne, amélioré de 10,9 à 16,2; le résultat a été estimé excellent pour 4 hanches, très bon pour 7, bon pour 3, moyen pour 2, et mauvais pour 1. Toutes les cupules étaient stables, les greffes étaient intégrées et l’anatomie restaurée. Le taux de survie selon Kaplan Meier, en prenant comme élément la révision pour descellement est de 84,4% à 11 ans. Nous considérons ces résultats comme satisfaisants pour une procédure très exigeante.

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Authors and Affiliations

  1. First Department of Orthopaedic Surgery, Medical Technology Laboratory, Istituti Ortopedici Rizzoli, Via di Barbiano 1/10, 40136, Bologna, Italy

    F. Traina, F. Giardina, M. De Clerico & A. Toni

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  1. F. Traina
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  2. F. Giardina
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  3. M. De Clerico
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  4. A. Toni
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Correspondence to F. Traina.

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Traina, F., Giardina, F., De Clerico, M. et al. Structural allograft and primary press-fit cup for severe acetabular deficiency. International Orthopaedics (SICOT) 29, 135–139 (2005). https://doi.org/10.1007/s00264-005-0640-z

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  • DOI: https://doi.org/10.1007/s00264-005-0640-z

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