Acetabular Reconstruction Using a Kerboull Cross-Plate, Structural Allograft and Cemented Dual-Mobility Cup in Revision THA at a Minimum 5-Year Follow-Up

被引:43
作者
Wegrzyn, Julien [1 ,2 ]
Pibarot, Vincent [1 ]
Jacquel, Alexandre [1 ]
Carret, Jean-Paul [1 ]
Bejui-Hugues, Jacques [1 ]
Guyen, Olivier [1 ,3 ]
机构
[1] Hop Edouard Herriot, Dept Orthoped Surg, F-69437 Lyon, France
[2] Univ Lyon, INSERM, UMR 1033, Lyon, France
[3] Univ Lyon, IFSTTAR, LBMC, UMR T 9406, Lyon, France
关键词
total hip arthroplasty; revision; instability; dual mobility cup; Kerboull cross-plate; structural allograft; TOTAL HIP-ARTHROPLASTY; REINFORCEMENT DEVICE; BONE LOSS; PELVIC DISCONTINUITY; TRIPOLAR IMPLANTS; COMPONENTS; DISLOCATION; MANAGEMENT; SOCKET; CAGE;
D O I
10.1016/j.arth.2013.05.030
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
100224 [整形外科学];
摘要
The current study aimed to evaluate the outcome of a continuous and prospective series of 61 revision THAs with AAOS grade III and IV acetabular bone defect reconstruction using a Kerboull cross-plate, structural allograft and cemented dual mobility cup (Saturne, Amplitude, Valence, France). At a 7.5-year mean follow-up, no instability was reported after revision. In addition, no failure of the acetabular reconstruction was observed in 98% of the patients with complete allograft osseointegration and no evidence of mechanical rupture of the Kerboull cross-plate and/or loosening of the cemented dual mobility cup. In conclusion, such reconstruction technique demonstrated excellent results at mid-term follow-up in terms of prevention of instability after revision, restoration of the acetabular bone stock, and stable cemented fixation of the dual mobility cup. (C) 2014 Elsevier Inc. All rights reserved.
引用
收藏
页码:432 / 437
页数:6
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