REVISION ARTHROPLASTY USING AN ANTI-PROTRUSIO CAGE FOR MASSIVE ACETABULAR BONE DEFICIENCY

被引:216
作者
BERRY, DJ
MULLER, ME
机构
[1] MAYO CLIN & MAYO GRAD SCH MED,ROCHESTER,MN 55905
[2] UNIV BERN,ORTHOPAED SURG,CH-3001 BERN,SWITZERLAND
来源
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 1992年 / 74卷 / 05期
关键词
D O I
10.1302/0301-620X.74B5.1527119
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
摘要
Revision hip arthroplasty in patients with massive acetabular bone deficiency has generally given poor long-term results. We report the use of an 'anti-protrusio cage', secured to the ischium and ilium, which bridges areas of acetabular bone loss, provides support for the acetabular socket, and allows pelvic bone grafting in an environment protected from excessive stress. Forty-two failed hip arthroplasties with massive acetabular bone loss were revised with the Burch-Schneider anti-protrusio cage and evaluated after two to 11 years (mean five years). There was failure due to sepsis in five hips (12%) and aseptic loosening in five (12%); the remaining 32 hips (76%) showed no evidence of acetabular component failure or loosening.
引用
收藏
页码:711 / 715
页数:5
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