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292944

Trabecular Metal Augments for Reconstruction of Acetabular Bone Defects in Revision Total Hipreplacement; Early Radiological and Clinical Outcomes

Article

Last updated: 28 Dec 2024

Subjects

-

Tags

Medical and Health Science.

Abstract

Background: The amount of total hip arthroplasty [THA] surgeries conducted yearly is on the rise, and this trend is also noticeable in revision hip procedures. However, reconstructing acetabular defects during revision THA can be difficult. Successful revision surgery requires achieving press-fit of the implant, bridging bony defects, and restoring the center of rotation of the hip. Various approaches have been implemented to attain these objectives. Aim: to evaluate early functional and radiological outcomes in patients undergoing revision THAwith acetabular defects using trabecular metal augments for reconstruction of the acetabulum. Patients and methods :A prospective cohort study was conducted in Benha university hospital including twenty patients undergoing revision THA with acetabular defects that necessitate reconstruction between April 2019 and December 2022 in using trabecular metal augment. Results: The average age of the patients examined was 59 years old. The majority of the patients were found to have a Paprosky type 2B defect [45%] according to classification. Out of the total patients, 55% [11 patients] had excellent results as per the Oxford Hip Score, 40% [8 patients] showed good results, and only 5% [1 patient] showed fair results. The average time of postoperative follow-up was 16 months. Conclusion: porous metalaugments are considered a valuable method in the management ofacetabular defect due to its modularity and the ability to reconstructdifferent types of defects with no fear of bone resorption.

DOI

10.21608/bjas.2023.201047.1125

Keywords

trabecular metal augment, Acetabulardefects and Paprosky Classification

Authors

First Name

Husam

Last Name

El Axir

MiddleName

Mohamed Hassan

Affiliation

M.B.B.Ch, M.Sc. (Orthopaedic surgery) Faculty of medicine – Benha university

Email

husam.elaxir@gmail.com

City

-

Orcid

-

First Name

Mohamed

Last Name

G.Alashhab

MiddleName

-

Affiliation

Orthopaedic Surgery Dept., Fac., of Medicine, Benha Univ., Egypt

Email

mohamedalashhab5@gmail.com

City

-

Orcid

-

First Name

Ahmed

Last Name

SH.Rizk

MiddleName

-

Affiliation

Orthopaedic Surgery Dept., Fac., of Medicine, Benha Univ., Egypt

Email

rizk15@gmail.com

City

-

Orcid

-

First Name

Ayman

Last Name

G.Sorial

MiddleName

-

Affiliation

Consultant of Orthopaedic Surgerybetsi Cadwalader Univ., Health Board u.K.

Email

dr.ayman22@gmail.com

City

-

Orcid

-

First Name

Emad

Last Name

S.Hussein

MiddleName

-

Affiliation

Orthopaedic Surgery Dept., Fac., of Medicine , Benha Univ., Egypt

Email

dr.emadsanad@gmail.com

City

-

Orcid

-

Volume

8

Article Issue

3

Related Issue

41778

Issue Date

2023-03-01

Receive Date

2023-01-04

Publish Date

2023-03-30

Page Start

54

Page End

61

Print ISSN

2356-9751

Online ISSN

2356-976X

Link

https://bjas.journals.ekb.eg/article_292944.html

Detail API

https://bjas.journals.ekb.eg/service?article_code=292944

Order

9

Type

Original Research Papers

Type Code

1,647

Publication Type

Journal

Publication Title

Benha Journal of Applied Sciences

Publication Link

https://bjas.journals.ekb.eg/

MainTitle

Trabecular Metal Augments for Reconstruction of Acetabular Bone Defects in Revision Total Hipreplacement; Early Radiological and Clinical Outcomes

Details

Type

Article

Created At

28 Dec 2024