Modular revision strategy with bispherical augments in severe acetabular deficiency reconstruction

Li, Guoyuan; Zhang, Xiaoqi; Chen, Min; Luo, Zaili; Ji, Xiaofeng; Shang, Xifu

doi:10.1007/s00264-021-05195-y

Cited by 4 publications

(2 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In 2022, Alqwbani [56] et al suggested satisfactory mid-term clinical and radiological outcomes in reconstructing major acetabular defects with the employment of tantalum shells and augments, whilst at the same time, Melnic et al [57] reported encouraging short-term results with the combination of porous tantalum acetabular cup and a cemented monoblock dual-mobility acetabular component. Additionally, bispherical augments can be utilized as an alternative method in severe acetabular deficiency reconstruction with comparable clinical and radiological results to tantalum augments [59].…”

Section: Discussionmentioning

confidence: 99%

Porous Tantalum Acetabular Cups in Primary and Revision Total Hip Arthroplasty: What Has Been the Experience So Far?—A Systematic Literature Review

Argyropoulou,

Sakellariou,

Galanis

et al. 2024

Biomedicines

View full text Add to dashboard Cite

Background: The global population, especially in the Western world, is constantly aging and the need for total hip arthroplasties has rocketed, hence there has been a notable increase in revision total hip arthroplasty cases. As time has passed, a considerable developments in science and medicine have been attained which have also resulted in the evolution of both surgical techniques and implants. Continuous improvements have allowed large bore bearings to be utilized which provide an increased range of motion, with ameliorated stability and a very low rate of wear. The trend for almost the last two decades has been the employment of porous tantalum acetabular cups. Several studies exist comparing them with other conventional methods for total hip arthroplasties, exhibiting promising short and midterm results. Methods: The Preferred Reporting Items for Systematic Reviews and a Meta-Analysis (PRISMA) were used to identify published studies in a comprehensive search up to February 2023, and these studies were reviewed by the authors of the article. Specific rigorous pre-determined inclusion and exclusion criteria were implemented. Results: Fifty-one studies met our inclusion criteria and were involved in the systematic review. Sixteen studies examined postoperative clinical and radiological outcomes of using a tantalum cup in primary and revision total hip arthroplasty, whilst four biomechanical studies proved the superiority of tantalum acetabular components. Five articles provided a thorough comparison between tantalum and titanium acetabular cups, while the other studies analyzed long-terms results and complication rates. Conclusions: Porous tantalum acetabular cups appear to be a valuable option in revision total hip arthroplasty, providing clinical improvement, radiological stability, and promising long-term outcomes. However, ongoing research, longer follow-up periods, and careful consideration of patient factors are essential to further validate and refine the use of tantalum in various clinical scenarios.

show abstract

Section: Discussionmentioning

confidence: 99%

Porous Tantalum Acetabular Cups in Primary and Revision Total Hip Arthroplasty: What Has Been the Experience So Far?—A Systematic Literature Review

Argyropoulou,

Sakellariou,

Galanis

et al. 2024

Biomedicines

View full text Add to dashboard Cite

show abstract

“…Currently, the Paprosky type IIIA and IIIB and AAOS type III and IV are regarded as the most challenging conditions, which involve extensive bone loss of the acetabular rim and columns, and even pelvic discontinuity (10,11). Several methods of reconstruction have been developed for severe acetabular bone loss in rTHA, such as structural allografts, impaction bone grafting, the jumbo cup, the highly porous metallic augments and hemispherical cup, the cup-cage system, custom monoflanged acetabular components, and the cup-on-cup technique (12)(13)(14)(15)(16)(17)(18)(19)(20). Many studies as well as systematic reviews have reported the clinical results of these reconstruction techniques (21)(22)(23)(24), but the most effective solution remains controversial.…”

Section: Introductionmentioning

confidence: 99%

Clinical and radiological outcomes of jumbo cup in revision total hip arthroplasty: A systematic review

Wang

Liu

et al. 2022

Front. Surg.

View full text Add to dashboard Cite

IntroductionMany studies have reported the clinical outcomes of a jumbo cup in revision total hip arthroplasty (rTHA) with acetabular bone defect. We conducted a systematic review to access the survivorship and clinical and radiological outcomes of a jumbo cup in rTHA.MethodsA systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A comprehensive literature search from PubMed, MEDLINE, EMBASE, and the Cochrane Database of Systematic Reviews was performed with the keywords (“revision” OR “revision surgery” OR “revision arthroplasty”) AND (“total hip arthroplasty” OR “total hip replacement” OR “THA” OR “THR”) AND (“jumbo cup” OR “jumbo component” OR “extra-large cup” OR “extra-large component”). Studies reporting the clinical or radiological outcomes were included. The basic information and radiological and clinical results of these studies were extracted and summarized for analysis.ResultsA total of 19 articles were included in the systematic review. The analysis of clinical results included 953 hips in 14 studies. The re-revision-free survivorship of the jumbo cup was 95.0% at a mean follow-up of 9.3 years. Dislocation, aseptic loosening, and periprosthetic joint infection were the top three complications with an incidence of 5.9%, 3.0%, and 2.1%, respectively. The postrevision hip center was relatively elevated 10.3 mm on average; the mean postoperative leg-length discrepancy was 5.4 mm.ConclusionA jumbo cup is a favorable option for acetabular bone defect reconstruction in rTHA with satisfying survivorship and acceptable complication rates.

show abstract

Outcomes of a Double-Cup Construct to Treat Paprosky 3A and 3B Acetabular Defects at a Mean of 39 Months

Liu,

Zhang,

et al. 2024

The Journal of Arthroplasty

View full text Add to dashboard Cite

Modular revision strategy with bispherical augments in severe acetabular deficiency reconstruction

Cited by 4 publications

References 28 publications

Porous Tantalum Acetabular Cups in Primary and Revision Total Hip Arthroplasty: What Has Been the Experience So Far?—A Systematic Literature Review

Porous Tantalum Acetabular Cups in Primary and Revision Total Hip Arthroplasty: What Has Been the Experience So Far?—A Systematic Literature Review

Clinical and radiological outcomes of jumbo cup in revision total hip arthroplasty: A systematic review

Outcomes of a Double-Cup Construct to Treat Paprosky 3A and 3B Acetabular Defects at a Mean of 39 Months

Contact Info

Product

Resources

About