Trabecular metal acetabular revision system (cup-cage construct) to address the massive acetabular defects in revision arthroplasty

Indian Journal of Orthopaedics

Volumn 46, Issue 4, 2012, Pages 483-486

  Malhotra, Rajesh ^a   Kancherla, Ramprasad ^a   Kumar, Vijay ^a   Soral, Aditya ^a  

^a ALL INDIA INSTITUTE OF MEDICAL SCIENCES   (India)

Author keywords

Allograft; cup cage; revision; total hip arthroplasty; trabecular metal acetabular revision system

Indexed keywords

EID: 84864470923     PISSN: 00195413     EISSN: 19983727     Source Type: Journal    
DOI: 10.4103/0019-5413.97264     Document Type: Article

References (21)

1. Lai KA, Shen WJ, Yang CY, Lin RM, Lin CJ, Jou IM. Two-stage cementless revision THR after infection. 5 recurrences in 40 cases followed 2.5-7 years. Acta Orthop Scand 1996;67:325-8.
2. Younger A, Duncan C, Masri B. Treatment of infection associated with segmental bone loss in the proximal part of the femur in two stages with use of an antibiotic-loaded interval prosthesis. J Bone Joint Surg Am 1998;80:60-9. (Pubitemid 28087302)
3. Stockley I, Mockford BJ, Hoad-Reddick A, Norman P. The use of two-stage exchange arthroplasty with depot antibiotics in the absence of long-term antibiotic therapy in infected total hip replacement. J Bone Joint Surg Br 2008;90:145-8. (Pubitemid 351303337)
4. Winkler H, Kaudela K, Stoiber A, Menschik F. Bone grafts impregnated with antibiotics as a tool for treating infected implants in orthopedic surgery - one stage revision results. Cell Tissue Bank 2006;7:319-23. (Pubitemid 44724555)
5. Winkler H, Stoiber A, Kaudela K, Winter F, Menschik F. One stage uncemented revision of infected total hip replacement using cancellous allograft bone impregnated with antibiotics. J Bone Joint Surg Br 2008;90:1580-4.
6. Anract P, Coste J, Vastel L, Jeanrot C, Mascard E, Tomeno B. Proximal femoral reconstruction with megaprosthesis versus allograft prosthesis composite: A comparative study of functional results, complications and longevity in 41 cases. [In French] Rev Chir Orthop Reparatrice Appar Mot 2000; 86:278-88. (Pubitemid 30367676)
7. Farid Y, Lin PP, Lewis VO, Yasko AW. Endoprosthetic and allograft-prosthetic composite reconstruction of the proximal femur for bone neoplasms. Clin Orthop Relat Res 2006;442:223-9. (Pubitemid 44384188)
8. Della Valle CJ, Shuaipaj T, Berger RA, Rosenberg AG, Shott S, Jacobs JJ, et al. Revision of the acetabular component without cement after total hip arthroplasty. A concise follow-up, at fifteen to nineteen years, of a previous report. J Bone Joint Surg Am 2005;87:1795-800. (Pubitemid 41061200)
9. Engh CA, Glassman AH, Griffin WL, Mayer JG. Results of cementless revision for failed cemented total hip arthroplasty. Clin Orthop Relat Res 1988;235:91-110.
10. Harris WH. Results of uncemented cups: A critical appraisal at 15 years. Clin Orthop Relat Res 2003;417:121-5. (Pubitemid 37499517)
11. Goodman S, Saastamoinen H, Shasha N, Gross A. Complications of ilioischial reconstruction rings in revision total hip arthroplasty. J Arthroplasty 2004;19:436-46. (Pubitemid 38725925)
12. Gross AE, Goodman S. The current role of structural grafts and cages in revision arthroplasty of the hip. Clin Orthop Relat Res 2004;429:193-200. (Pubitemid 39579212)
13. Hooten JP Jr, Engh CA, Heekin RD, Vinh TN. Structural bulk allografts in acetabular reconstruction: Analysis of two grafts received at post-mortem. J Bone Joint Surg Br 1996;78:270-5.
14. Pollock FH, Whiteside LA. The fate of massive allografts in total hip acetabular revision surgery. J Arthroplasty 1992;7:271-6.
15. Bobyn JD, Stackpool GJ, Hacking SA, Tanzer M, Krygier JJ. Characteristics of bone ingrowth and interface mechanics of a new porous tantalum biomaterial. J Bone Joint Surg Br 1999;81:907-14. (Pubitemid 29438375)
16. Unger AS, Lewis RJ, Gruen T. Evaluation of a porous tantalum uncemented acetabular cup in revision total hip arthroplasty: Clinical and radiological results of 60 hips. J Arthroplasty 2005;20:1002-9. (Pubitemid 41820986)
17. Lakstein D, Backstein D, Safir O, Kosashvili Y, Gross AE. Trabecular Metal™ Cups for acetabular defects with 50% or less host bone contact. Clin Orthop Relat Res 2009;467:2318-24.
18. Hanssen AD, Lewallen DG. Modular acetabular augments: Composite void fillers. Orthopedics 2005;28:971-2. (Pubitemid 41341590)
19. Ballester Alfaro JJ, Sueiro Fernaíndez J. Trabecular metal buttress augment and the trabecular metal cup-cage construct in revision hip arthroplasty for severe acetabular bone loss and pelvic discontinuity. Hip Int 2010;20:119-27.
20. Catherine F Kellet, Allan E Gross, David Backstein, Oleg Safir. Massive acetabular bone loss: The cup-cage solution. Semin Arthroplast 2010;21:57-61.
21. Kosashvili Y, Backstein D, Safir O, Lakstein D, Gross AE. Acetabular revision using an anti-protrusion (ilio-ischial) cage and trabecular metal acetabular component for severe acetabular bone loss associated with pelvic discontinuity. J Bone Joint Surg Br 2009;91:870-6.