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Should the well-fixed, uncemented femoral components be revised during isolated acetabular revision?

  • Orthopaedic Surgery
  • Published:
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Abstract

Introduction

The results of isolated acetabular revision performed in 35 patients (36 hips) were monitored from 3 to 10 years. All femoral components were well fixed and not removed or revised during index surgery.

Method

All revision acetabular implants were cementless, using a porous-coated hemispheric cup with or without bone graft. There were no cases of femoral component radiographic or clinical failure. For some cases, we performed bone grafting to focal osteolysis of the proximal femur around the cementless stem.

Results

Bone incorporation occurred in 12 hips (overall 14). The mean pre- and postoperative Harris Hip Scores were 49 and 80, respectively. The findings suggest that isolated acetabular revision using a cementless porous-coated hemispheric cup can be performed without removing or revising a stable, well-fixed, uncemented femoral component if there is no concern about dislocation.

Conclusion

We demonstrated that isolated acetabular revision is feasible and that grafting to the osteolytic femoral defects is a worthwhile procedure to restore bone stock.

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Acknowledgments

The authors did not have a financial relationship with the organization that sponsored the research. The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Kanazawa Medical University, 1-1 Daigaku, Uchinada-machi, Kahokugun, Ishikawa, 920-0293, Japan

    Kiyokazu Fukui, Ayumi Kaneuji, Tanzo Sugimori, Toru Ichiseki, Kenji Kitamura & Tadami Matsumoto

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  1. Kiyokazu Fukui
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  2. Ayumi Kaneuji
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  3. Tanzo Sugimori
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  4. Toru Ichiseki
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  5. Kenji Kitamura
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  6. Tadami Matsumoto
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Correspondence to Kiyokazu Fukui.

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Fukui, K., Kaneuji, A., Sugimori, T. et al. Should the well-fixed, uncemented femoral components be revised during isolated acetabular revision?. Arch Orthop Trauma Surg 131, 481–485 (2011). https://doi.org/10.1007/s00402-010-1152-x

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  • DOI: https://doi.org/10.1007/s00402-010-1152-x

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