scholarly journals Revision of Acetabular Component with a Debonded Porous Coating in an Elderly Patient

Geriatrics ◽  
2020 ◽  
Vol 5 (4) ◽  
pp. 73
Author(s):  
Katarina Barbaric Starcevic ◽  
Goran Bicanic ◽  
Stjepan Dokuzovic ◽  
Damir Starcevic ◽  
Domagoj Delimar
Keyword(s):  
Elderly Patient ◽  
Elderly Patients ◽  
Acetabular Component ◽  
Rare Complication ◽  
Porous Coating ◽  
Bone Stock ◽  
Revision Total Hip Arthroplasty ◽  
Hip Endoprosthesis ◽  
Total Hip ◽  
Duration Of Surgery

Debonding of the porous coating from the acetabular component of a total hip endoprosthesis is a rare complication. Revision total hip arthroplasty for an unstable acetabular component with a debonded porous coating strongly fixed to the bone can be challenging, especially in elderly patients of poor overall health. In such patients, revision procedures should be as simple and safe as possible. We present our technique of solving that problem in a case of an 82-year-old female with bad general condition and unstable acetabular component of hip endoprosthesis. Because of extremely deficient bone stock, a well-fixed porous coating was left in acetabulum to serve as a “cage“, allowing cemented acetabular component placement. This procedure can reduce the risk of intraoperative bone fracture, blood loss, and duration of surgery, which is important in elderly patients with poor overall health.

Improving Initial Acetabular Component Stability in Revision Total Hip Arthroplasty

2012 ◽  
Vol 27 (2) ◽  
pp. 305-309 ◽  
Author(s):  
David J. Jacofsky ◽  
John D. McCamley ◽  
Andrew M. Jaczynski ◽  
M. Wade Shrader ◽  
Marc C. Jacofsky
Keyword(s):  
Total Hip Arthroplasty ◽  
Acetabular Component ◽  
Hip Arthroplasty ◽  
Revision Total Hip Arthroplasty ◽  
Total Hip

Restoration of Femoral Bone Stock in Revision Total Hip Arthroplasty

1993 ◽  
Vol 24 (4) ◽  
pp. 697-703 ◽  
Author(s):  
William C. Head ◽  
Russell A. Wagner ◽  
Roger H. Emerson ◽  
Theodore I. Malinin
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Bone Stock ◽  
Revision Total Hip Arthroplasty ◽  
Femoral Bone ◽  
Total Hip

scholarly journals Coloarticular fistula: A rare complication of revision total hip arthroplasty

2011 ◽  
Vol 6 (3) ◽  
pp. 533 ◽  
Author(s):  
Suzanne S. Long ◽  
Nicholas E. Tawa ◽  
Douglas K. Ayres ◽  
Ayesha Abdeen ◽  
Jim S. Wu
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Rare Complication ◽  
Revision Total Hip Arthroplasty ◽  
Total Hip

Revision of Failed Cemented Total Hip Arthroplasty Using the Charnley Technique and Implants

1997 ◽  
Vol 7 (1) ◽  
pp. 17-27 ◽  
Author(s):  
G. CH. Babis ◽  
TH. Pantazopoulos ◽  
TH. Ioannidis ◽  
G. Hartofilakidis
Keyword(s):  
Total Hip Arthroplasty ◽  
Femoral Component ◽  
Acetabular Component ◽  
Bone Stock ◽  
Total Hip ◽  
The Mean ◽  
Hip Arthroplasties ◽  
Cemented Total Hip Arthroplasty

The authors present the results of 57 revisions in 54 patients performed for aseptic loosening of cemented total hip arthroplasties. The Charnley technique and implants were used in all cases. The mean follow-up was 8 years and 6 months with a minimum of 5 years. The failure rate for the femoral component was 15% and for the acetabular component it was 19.1%. The cumulative success rate at 8 years was 81.7% for the femoral component and 83.4% for the acetabular component. The Charnley technique and implants were found efficient for revision of cemented total hip arthroplasties in the long term, but there are limitations to their use in the presence of severely compromised bone stock.

Revision total hip arthroplasty with a cementless acetabular component: evaluation at a mean of 15 years

2004 ◽  
Vol 19 (2) ◽  
pp. 259
Author(s):  
Craig J. Della Valle ◽  
Tasin Shuaipaj ◽  
Richard A. Berger ◽  
Aaron G. Rosenberg ◽  
Joshua J. Jacobs ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Acetabular Component ◽  
Hip Arthroplasty ◽  
Revision Total Hip Arthroplasty ◽  
Total Hip ◽  
Cementless Acetabular Component

scholarly journals Dislocation Rate at Short-term Follow-up after Revision Total Hip Arthroplasty with a Dual Mobility Component

2016 ◽  
Vol 6 (1) ◽  
pp. 17-20 ◽  
Author(s):  
Samuel S Wellman ◽  
David E Attarian ◽  
Taylor R McClellan ◽  
Roberto D Calderon ◽  
Paul F Lachiewicz
Keyword(s):  
Total Hip Arthroplasty ◽  
Acetabular Component ◽  
Hip Arthroplasty ◽  
Dislocation Rate ◽  
Revision Total Hip Arthroplasty ◽  
Short Term ◽  
Dual Mobility ◽  
Total Hip ◽  
Increased Risk

ABSTRACT Patients undergoing a revision total hip arthroplasty (THA) are at increased risk for dislocation. The literature suggests dual-mobility components may decrease the frequency of dislocation. We conducted a retrospective study of one type of dual mobility acetabular component implanted in 82 revision THA cases that were considered at increased risk for dislocation. Of the 82 hips, 58 had a mean follow-up of 12 months (3–28 months). The indication for revision was instability in 18 hips (31%), adverse metal-on-metal reaction in 13 hips (22%), reimplantation for infection in 11 hips (19%), and aseptic loosening of the acetabular component in 9 hips (16%). In the course of follow-up, 6 hips developed a deep infection requiring reoperation. There were no early hip dislocations. McClellan TR, Calderon RD, Bolognesi MP, Attarian DE, Lachiewicz PF, Wellman SS. Dislocation Rate at Short-term Follow-up after Revision Total Hip Arthroplasty with a Dual Mobility Component. The Duke Orthop J 2016;6(1):17-20.

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