RSA Measurements of Implant Instability in a Paprosky III Pelvic Defect with Discontinuity-Reference-Cited by-同舟云学术

RSA Measurements of Implant Instability in a Paprosky III Pelvic Defect with Discontinuity

Published:2022 Issue:4 Volume:12 Page:
ISSN:2160-3251
Container-title:JBJS Case Connector
language:en
Short-container-title:

Author:

Ramasamy Boopalan¹²^ORCID,Abrahams John Matthew¹²^ORCID,Clothier Robyn Janice¹²^ORCID,Solomon Lucian Bogdan¹²^ORCID,Callary Stuart Adam¹²^ORCID

Affiliation:

1. Centre for Orthopaedic and Trauma Research, The University of Adelaide, Adelaide, South Australia

2. Department of Orthopaedics and Trauma, Royal Adelaide Hospital, Adelaide, South Australia

Abstract

Case: We report a case of acetabular reconstruction for a large defect with pelvic discontinuity that underwent 4 revisions for dislocations over a 3-year period. This allowed assessment of implant stability both on imaging, using measurements on plain radiographs and radiostereometric analysis (RSA) against both ilium and ischium, and direct assessment during each surgery. Only implant stability measured with RSA correlated with intraoperative revision findings. Conclusion: This case underlines the role of RSA in assessing early acetabular implant stability in pelvic discontinuity and the importance of assessing the stability of the implant against both ilium and ischium.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Orthopedics and Sports Medicine,Surgery

Reference26 articles.

1. Porous-coated cementless acetabular cups in revision surgery: a 6- to 11-year follow-up study;Garcia-Cimbrelo;J Arthroplasty.,1999

2. Acetabular reconstruction using structural grafts in total hip replacement: a 12 1/2 year follow-up;Chandler;Semin Arthroplasty.,1995

3. Revision of the acetabular component of a total hip arthroplasty with a massive structural allograft. Study with a minimum five-year follow-up;Garbuz;J Bone Joint Surg.,1996

4. Current construct options for revision of large acetabular defects: a systematic review;Baauw;JBJS Rev.,2016

5. Acetabular revision using a trabecular metal acetabular component for severe acetabular bone loss associated with a pelvic discontinuity;Sporer;J Arthroplasty.,2006

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