The Bürch-Schneider anti-protrusio cage in revision total hip arthroplasty

Abstract

Patients who had a revision total hip arthroplasty using the Bürch-Schneider anti-protrusio cage (APC) by a single surgeon have been reviewed after a minimum of five years. There were 63 operations in 58 patients with an average age of 63 years (41 to 83) at the time of revision. At an average follow-up of 8.5 years (5 to 18), 15 patients (25.9%) rated their results as excellent, 38 (65.5%) as good, and five (8.6%) as fair. Five further revisions of the acetabular prosthesis were required, three due to aseptic loosening, one for recurrent dislocation and one due to sepsis. Of the remainder, one was definitely loose, two probably loose, and 12 possibly so. Impressive augmentation of bone stock can be achieved with the anti-protrusio cage, while enabling the hip to be centred in its anatomical position.

Revision of Type III and Type IVB Acetabular Defects With Burch–Schneider Anti-Protrusio Cages

“…There are a lot of reports in the literature regarding the use of Burch-Schneider reinforcement cages [7][8][9][13][14][15][16][17][18][19][20]. However, the types of acetabular deficiencies for which these cages have been used vary considerably, perhaps because of interobserver differences in identifying an exact deficiency.…”

Acetabular Revision with Metal Mesh, Impaction Bone Grafting, and a Cemented Cup

“…Treatment options in segmental acetabular defects include the use of a high COR [12,27,45,56], structural grafts [20,24,46,52], impacted allografts [8,9,37,42,44,54], PMMA filling [26], large cementless cups [13,22,36,47,51], bilobed cups [4,29], and reconstruction rings [3,17,18,28,40]. Results vary among these techniques (Table 3).…”

Surgical Treatment of Adult Extra-Articular Distal Humeral Diaphyseal Fractures Using an Oblique Metaphyseal Locking Compression Plate via a Posterior Approach

“…Alignment was assessed on the final anteroposterior and lateral radiographs of the humerus. Shoulder function was assessed using the University of California at Los Angeles scoring system [16], while the elbow function was assessed using the Mayo Elbow Performance Score [17]. …”