Tuesday, March 12, 2013

Bone restoration and grafting..a common occurance in planning for revision surgeries

[I found this abstract interesting.  Surgeons performing revision surgeries have much in store for them in the OR.  Grafting and restoration of bone loss appears to be a planned event in these surgeries now.]
2013 Mar;21(3):128-39. doi: 10.5435/JAAOS-21-03-128.

Acetabular bone loss in revision total hip arthroplasty: evaluation and management.


As the number of primary total hip arthroplasty (THA) procedures performed continues to rise, the burden of revision THA procedures is also expected to increase. Proper evaluation and management of acetabular bone loss at the time of revision surgery will be an increasing challenge facing orthopaedic surgeons. Proper preoperative patient assessment and detailed preoperative planning are essential in obtaining a good clinical result. Appropriate radiographs are critical in assessing acetabular bone loss, and specific classification schemes can identify bone loss patterns and guide available treatment options. Treatment options include impaction grafting and cementation of the acetabulum, noncemented hemispheric acetabular reconstruction, structural allograft reconstruction, noncemented reconstruction with modular porous metal augments, ring and cage reconstruction, oblong cup reconstruction, cup-cage reconstruction, and triflange reconstruction

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