Isolated acetabular revision with femoral stem retention using computed tomography-based navigation

Kubota, Yuta; Kaku, Nobuhiro; Tagomori, Hiroaki; Kataoka, Masashi; Tsumura, Hiroshi

doi:10.1016/j.otsr.2019.08.002

Cited by 6 publications

(4 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, this could be challenging during acetabular cup only revision or liner exchange, where the femoral stem is left in situ. [3,8] Furthermore, applying vigorous retraction on the femoral stem or direct contact of the trunnion with metal retractors could lead to scratches and damage to the femoral stem trunnion with subsequent failure due to trunnionosis. [9] Various techniques were used to protect the trunnion to avoid the previously mentioned drawbacks, mainly using a soft material to cover the trunnion, such as swabs, a rubber laryngeal mask, [5] and part of urine drainage Foley's catheter.…”

Section: Discussionmentioning

confidence: 99%

“…Isolated acetabular cup revision with retention of the femoral stem constitutes a substantial number of revision total hip arthroplasty (RTHA) cases reaching up to 25% of all RTHA. [1][2][3][4] If a complete revision of the acetabular component or a liner exchange is planned, the femoral stem needs to be retracted to visualize the acetabulum better. During this procedure, the trunnion could be scratched or damaged by retractors or the instruments.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A disposable plastic syringe helps protect the femoral stem trunnion during acetabular cup only revision: A technical note

Abdelaal

Khalifa

2022

JMSR

View full text Add to dashboard Cite

Up to 25% of revision total hip arthroplasty (RTHA) requires acetabular cup only revision, during which the femoral stem is left in place. The metal retractors and instruments used to obtain the required exposure during revision surgery with the femoral stem in place could damage the trunnion, which could lead to further failure due to trunnionosis. Hence, protection of the trunnion during surgery is paramount. Here, we describe the use of a disposable plastic syringe to cover the trunnion during acetabular cup only RTHA, in which we consider an effective and cheap effective technique.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A disposable plastic syringe helps protect the femoral stem trunnion during acetabular cup only revision: A technical note

Abdelaal

Khalifa

2022

JMSR

View full text Add to dashboard Cite

show abstract

“…CT-based navigation and robotic-assisted surgery are representative tools; CT-based navigation has been reported to reduce the error of placement of the acetabular cup and to be useful for both primary and complicated THA procedures (dysplasia and revision THA). 15–19 Robotic surgery has also been reported to improve cup implantation accuracy. 10,20,21 In addition to these 2 tools, 3D patient-specific guidance, preoperative 3D planning, augmented reality, and an accelerometer have been reported to be useful; 8,22–26 however, a major initial investment and familiarity are necessary for their use.…”

Section: Discussionmentioning

confidence: 99%

A high body mass index tilts the pelvis caudally in the lateral decubitus position for total hip arthroplasty

et al. 2022

View full text Add to dashboard Cite

Background: Accurate cup placement is essential for obtaining excellent outcomes in total hip arthroplasty (THA). We evaluated the pelvic lateral tilt of the patient (which affects the incline of the acetabular cup in THA) and investigated the factors affecting it. Methods: We reviewed the medical records of THA procedures performed at our hospital between October 2015 and January 2021 for which an anteroposterior pelvic radiograph was always taken preoperatively once the patient was placed in the lateral decubitus position. These radiographs were used to measure the lateral pelvic tilt in each case. We analysed whether patient factors (sex, body mass index [BMI], range of motion of abduction or adduction in both hips, surgical history of both hips, and lumbar Cobb angle) influenced the tilt. Results: We reviewed 363 cases (341 primary, 22 revision). The mean pelvic lateral tilt was 4.1°, and the operated hip was located on the caudal side compared to the unoperated hip. Statistical analyses revealed that the patient BMI and surgical history of the operated and unoperated hips significantly influenced tilt. Conclusions: The pelvis in the lateral decubitus position leaned 4.1° to the caudal side, most commonly due to a high BMI. Surgeons should consider this when performing acetabular cup implantation in THA.

show abstract

“…Several observational studies have assessed the outcomes of isolated cup revision with a retained stem ( 9 – 11 ). Most researchers recommended that the selection criteria for patients who were about to undergo an isolated cup revision should be rigorous.…”

Section: Introductionmentioning

confidence: 99%

Survivorship of the retained femoral component after revision total hip arthroplasty: A systematic review and meta-analysis

Zhuang

et al. 2022

Front. Surg.

View full text Add to dashboard Cite

ObjectiveThis systematic review and meta-analysis aimed to estimate re-revision rates of retained femoral components after revision of total hip arthroplasty (THA).MethodsPapers were searched in the PubMed, Embase, Web of Science, and Cochrane Library databases with predetermined keywords from January 2000 to January 2022. The studies reporting the re-revision rates of retained stems after revision THA were identified. Pooled rates of re-revision for any reason and aseptic loosening were calculated using a random-effects model or a fixed-effects model based on the results of heterogeneity assessment after the Freeman–Tukey double-arcsine transformation. A meta-regression was performed to explore potential sources of heterogeneity.ResultsThere were 20 studies with 1,484 hips that received the isolated cup revision with the femoral component retained. The pooled re-revision rate of retained stems was 1.75% [95% confidence interval (CI) 0.43%–3.65%]. The re-revision rate of retained stems due to aseptic loosening was 0.62% (95% CI, 0.06%–1.55%). The meta-regression showed that the fixation type (cemented or cementless) was related to the re-revision rate for any reason and the re-revision rate for aseptic loosening.ConclusionBased on the existing evidence, the isolated cup revision with a stable stem in situ yields low re-revision rates. The cement status of retained stems may influence the survivorship of stems.

show abstract

Isolated acetabular revision with femoral stem retention using computed tomography-based navigation

Cited by 6 publications

References 22 publications

A disposable plastic syringe helps protect the femoral stem trunnion during acetabular cup only revision: A technical note

A disposable plastic syringe helps protect the femoral stem trunnion during acetabular cup only revision: A technical note

A high body mass index tilts the pelvis caudally in the lateral decubitus position for total hip arthroplasty

Survivorship of the retained femoral component after revision total hip arthroplasty: A systematic review and meta-analysis

Contact Info

Product

Resources

About