Evaluation of Uncemented Total Hip Arthroplasty in Acetabular Protrusio

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Protrusio After Medial Acetabular Wall Breach in Total Hip Arthroplasty.

BACKGROUND Medial protrusio is a recognized complication of total hip arthroplasty, but it is not known if a medial wall breach during cup implantation increases the risk. We thus investigated the effect of up to a 2 cm defect in the medial acetabular wall in a cadaveric model. Separately, we investigated the ability of acetabular screws to rescue the construct. METHODS Nine human fresh-froze...

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Hip Arthroplasty Revision with Severe Protrusio and Acetabular Insuffi ciency

Thanks to increases in longevity, many joint replacement patients will now live long enough and remain suffi ciently active for their prostheses to require revision surgery after becoming loose. The development of osteoporosis in such patients, however, creates a challenge for the orthopaedic surgeon. Acetabular component revision arthroplasty in patients with poor bone stock requires experienc...

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Comparison of acetabular reamings during hip resurfacing versus uncemented total hip arthroplasty.

PURPOSE To compare the quantity of bone removed from the acetabulum during resurfacing hip arthroplasty versus uncemented total hip arthroplasty (THA). METHODS 62 consecutive patients with osteoarthritis of the hip were prospectively studied. 24 men and 7 women aged 40 to 86 (mean, 59) years underwent Birmingham hip resurfacing. 13 men and 18 women aged 34 to 88 (mean, 61) years underwent unc...

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Bilateral, uncemented total hip arthroplasty in osteopetrosis.

Bilateral, uncemented hip replacements were performed on a 45-year-old woman with autosomal dominant osteopetrosis. The hips showed degenerative changes and protrusio acetabuli. Difficulties were encountered especially during preparation of the femoral canal. At ten-year follow-up she has an excellent clinical and radiological result with no sign of osteolysis. Uncemented hip replacement, while...

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The difficulties encountered in dealing with the bone deficient acetabulum are amongst the greatest challenges in hip surgery. Acetabular reconstruction in revision total hip arthroplasty can successfully be achieved with hemispherical components featuring a porous or roughened ingrowth surface and options for placement of multiple screws for minor acetabular defect. Acetabular component select...

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ژورنال

عنوان ژورنال: International Journal of Contemporary Medical Research [IJCMR]

سال: 2020

ISSN: 2454-7379,2393-915X

DOI: 10.21276/ijcmr.2020.7.5.20