Article
Orthopedics
Mackenzie Kelly, Danielle F. Peterson, Jung Yoo, Zachary M. Working, Darin Friess, Ryland Kagan
Summary: A retrospective review found that total hip arthroplasty (THA) for acute acetabular fractures carries a high risk of revision and major complications. Female patients are more likely to experience revision failure and complications in THA treatment. Restricting the use of THA for acute acetabular fractures is recommended, and further research is needed to investigate the influence of female patients and fracture characteristics on the risks of revision and complications.
JOURNAL OF ARTHROPLASTY
(2023)
Article
Orthopedics
Sasa Milenkovic, Milan Mitkovic, Milorad Mitkovic, Predrag Stojiljkovic
Summary: The study evaluated the outcomes of total hip arthroplasty (THA) in patients with post-traumatic osteoarthritis (OA) and avascular necrosis (AVN), who had previously undergone surgical treatment for acetabular fractures. THA significantly improved the life quality and functional status of patients with post-traumatic OA and AVN.
INTERNATIONAL ORTHOPAEDICS
(2021)
Article
Orthopedics
Mitzi S. Laughlin, Emily A. Vidal, Arin A. Drtil, Robin N. Goytia, Vasilios Mathews, Anay R. Patel
Summary: This study aimed to determine the mortality rate after revision total hip arthroplasty (revTHA). The overall 2-year mortality rate following revTHA was 19.5 deaths per 1000, with patients presenting with a periprosthetic fracture having a significantly higher rate. Other indications like dislocation or instability did not significantly impact mortality rates. Consideration of specific rates by indication for revision should be taken into account when counseling patients prior to revTHA.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Medicine, General & Internal
Afshin Taheriazam, Amin Saeidinia
Summary: This study evaluated the use of GAP II acetabular cage in total hip arthroplasty. The results showed a significant improvement in the Modified Harris Hip Score (MHHS) after surgery, indicating that the use of GAP II acetabular cage is desirable in hip revision surgery.
Article
Orthopedics
Rashid M. Tikhilov, Alisagib A. Dzhavadov, Anton N. Kovalenko, Stanislav S. Bilyk, Alexey O. Denisov, Igor I. Shubnyakov
Summary: This study compared the outcomes of using standard acetabular implants (SAIs) and custom-made acetabular implants (CMAIs) in the reconstruction of acetabular bone loss in revision total hip arthroplasty (RTHA). The results showed that the incidence of aseptic loosening was lower when using CMAI compared to SAI in cases with extensive acetabular bone loss.
JOURNAL OF ARTHROPLASTY
(2022)
Article
Orthopedics
Samantha N. Baxter, Grayson C. Kelmer, Jane C. Brennan, Andrea H. Johnson, Justin J. Turcotte, Paul J. King
Summary: This study aimed to summarize acetabular revisions at our institution and compare outcomes between direct anterior and posterior revision THA. The results showed that anterior approach patients had shorter length of stay, lower rate of discharge to skilled nursing facility, and lower rate of rerevision. The study recommends surgeons to select the surgical approach based on clinical preferences and patient factors.
JOURNAL OF ARTHROPLASTY
(2023)
Article
Orthopedics
Christopher A. Becker, Christoph Linhart, Jan Bruder, Christian Zeckey, Axel Greiner, Adrian Cavalcanti Kussmaul, Simon Weidert, Eduardo M. Suero, Wolfgang Boecker, Christian Kammerlander
Summary: The study shows that total hip arthroplasty is a feasible treatment option for acetabular fractures in geriatric patients. Primary hip arthroplasty using uncemented revision cup fixed with angular stable screws yields good results. The developed treatment algorithm is a useful tool for identifying the most appropriate treatment option.
ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH
(2021)
Article
Orthopedics
Matthew J. Grosso, Elie Kozaily, Giorgio Cacciola, Javad Parvizi
Summary: This study found that prolonged time to reimplantation in 2-stage exchange arthroplasty for prosthetic hip infections is associated with high rates of acetabular and femoral bone loss, as well as increased complexity of reimplantation.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Orthopedics
Hannu J. A. Miettinen, Simo S. A. Miettinen, Jukka S. Kettunen, Jussi Jalkanen, Heikki Kroger
Summary: Trabecular tantalum metal acetabulum component shows excellent outcomes in stability and fixation in revision hip arthroplasty, with acetabular component malposition and small head size being risk factors for dislocation.
Article
Orthopedics
Mary Nugent, David G. Campbell, Peter L. Lewis, Alana R. Cuthbert, Lucien B. Solomon
Summary: The study found that screws did not confer a protective effect against initial stability and osseointegration of uncemented acetabular components in total hip arthroplasty (THA). Additionally, screws were not associated with long-term negative consequences.
INTERNATIONAL ORTHOPAEDICS
(2021)
Article
Orthopedics
Tony S. Shen, Alex Gu, Patawut Bovonratwet, Nathaniel T. Ondeck, Peter K. Sculco, Edwin P. Su
Summary: This study aimed to investigate the etiology, complications, and rerevision risks of early aseptic revision total hip arthroplasty (THA). The results showed that the early revision group had significantly higher 2-year rerevision rates and 90-day complication rates compared with the control group. The most common reasons for early revision were dislocation, fracture, and mechanical loosening.
JOURNAL OF ARTHROPLASTY
(2021)
Review
Orthopedics
Fabio Mancino, Christopher W. Jones, Thomas P. Sculco, Peter K. Sculco, Giulio Maccauro, Ivan De Martino
Summary: Studies evaluated the survivorship and complication rate of CAL usage in complex hip arthroplasty, finding that CALs have a relatively high complication rate but remain a valuable salvage procedure for complex patients.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Orthopedics
Shane P. Russell, Cathleen J. O'Neill, Eoin J. Fahey, Shane Guerin, Rehan Gul, James A. Harty
Summary: This study provides comprehensive long-term outcomes of using TM augments for severe acetabular defects, with an estimated mean implant survivorship of 8.99 years. Despite some complications during surgery, the quality of life and joint function of patients were significantly improved postoperatively.
JOURNAL OF ARTHROPLASTY
(2021)
Review
Surgery
Xianyue Shen, Yanguo Qin, Yang Li, Xiongfeng Tang, Jianlin Xiao
Summary: This study compared the cup survival and the incidence of adverse events associated with the use of trabecular metal (TM) and non-TM cups for acetabular revision surgery. The results showed no significant difference in cup survival between the two types of cups. Overall, TM cups had fewer adverse events, but the difference was not significant. The incidence of aseptic loosening and infection was significantly lower for TM cups, while the incidence of dislocation was significantly higher.
INTERNATIONAL JOURNAL OF SURGERY
(2022)
Article
Orthopedics
Jiawei Ying, Liangliang Cheng, Junlei Li, Bin Wu, Xing Qiu, Tianwei Zhang, Feng Wang, Baoyi Liu, Lei Yang, Durga Bhakta Pokharel, Hui Xie, Fuyang Wang, Yuchen Liu, Minghao Xu, Haiyu Yu, Dewei Zhao
Summary: This study investigates the effectiveness of 3D printed acetabular augment for the treatment of acetabular bone defects in revision total hip arthroplasty (RTHA). The 3D printed augment showed firm attachment to the acetabulum during operation without any complications. The patients experienced significant improvement in pain score and hip joint function postoperatively. Therefore, 3D printed acetabular augment is an effective method for reconstructing acetabulum and improving hip joint function.
ORTHOPAEDIC SURGERY
(2023)