Scribd
Upload
45 views

Acetabular Component Positioning

Uploaded by

Purushotham Nalamati
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
45 views

Acetabular Component Positioning

Uploaded by

Purushotham Nalamati
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 4

REVIEW ARTICLES

Acetabular Component and Liner Selection for


the Prevention of Dislocation After Primary
Total Hip Arthroplasty
Kunze, Kyle N. MD ; Premkumar, Ajay MD, MPH ; Bovonratwet, Patawut MD ; Sculco,
1,a 1 1

Peter K. MD 1

Author Information
JBJS Reviews 9(12):e21.00148, December 2021. | DOI: 10.2106/JBJS.RVW.21.00148

 BUY

Metrics
Abstract
 » Primary total hip arthroplasty (THA) is a reproducible and efficacious procedure for
patients with end-stage osteoarthritis; however, dislocation remains the most common
cause of revision arthroplasty.
 » Technological advancements in acetabular component design and liner options, in
conjunction with a more comprehensive understanding of the spinopelvic factors that
influence dislocation, will likely reduce the risk of dislocation and revision over time.
 » The contemporary liner and shell options for primary THA, in order of increasing
constraint and stability, include (1) neutral, (2) lateralized, (3) face-changing
(oblique), (4) lipped (high-wall) with or without lateralization, (5) modular and
anatomic dual-mobility, and (6) constrained options.
 » Different liner designs can alter functional anteversion, inclination, and jump
distance, and can be used to minimize a single predictable dislocation vector (lipped
[high-wall] liners) or multiple vectors of instability risk when the dislocation direction
is unpredictable (dual-mobility liners).
 » Liner selection should be based on the patient-specific risk of dislocation, including
static anatomic (e.g., large anterior inferior iliac spine or greater trochanter
morphology), dynamic anatomic (e.g., limited sitting-standing change in the sacral
slope), and demographic or medical (e.g., neurocognitive disorders and obesity) risk
factors.

Copyright © 2021 by The Journal of Bone and Joint Surgery, Incorporated

REVIEW ARTICLES

Acetabular Component Removal Systems


Njoku, Innocent MD ; Surace, Peter MD ; Piuzzi, Nicolas S. MD ; Deren, Matthew E. MD
1 1 1 1,a

Author Information
JBJS Reviews 11(4):e22.00246, April 2023. | DOI: 10.2106/JBJS.RVW.22.00246

 BUY

Metrics
Abstract
 » As primary total hip arthroplasty procedures continue to rise, acetabular revision
surgery will be in increasing demand.
 » Treatment of acetabular component failure and associated bone defects depends on
patient characteristics, the degree and location of bone loss, the ability of the columns
to support biologic fixation, and the presence of pelvic discontinuity.
 » In revision total hip arthroplasty, technological advances have been made to address
limitations of acetabular cup removal while preserving host bone stock.
 » The goal of acetabular revision reconstruction should be to obtain stable fixation
and restore the hip center. The various acetabular cup removal systems are discussed.

Copyright © 2023 by The Journal of Bone and Joint Surgery, Incorporated

CASE REPORTS

Segmental Acetabular Defects Managed


by Augments in Conjunction with CT During
Robotic Total Hip Arthroplasty
A Report of 2 Cases
Chen, Foster MD ; Stoll, Thomas MD
1,a 1

Author Information
JBJS Case Connector 12(4):e22.00185, October-December
2022. | DOI: 10.2106/JBJS.CC.22.00185

 BUY

Metrics
Abstract
Cases: 

We present 2 robotic-assisted hip arthroplasty cases with significant segmental acetabular


defects that could compromise cup fixation. We outline an algorithmic planning approach on
a computed tomography (CT)-based platform to address these defects by predicting
augmentation needs, when component adjustments alone are inadequate, and describe the
novel combination of augments in conjunction with robotic-assisted hip arthroplasty.

Conclusion: 

CT-based robotic-assisted hip arthroplasty is a powerful tool to assess and address acetabular
deficiencies. Rudimentary augment planning extracts additional value out of the preoperative
CT. However, there remains room for intelligent assessment of hip centers and for deliberate
augment planning and execution.
Copyright © 2022 by The Journal of Bone and Joint Surgery, Incorporated

Novel Technique for Removing a Well-Fixed


Cemented Cup with a Dedicated Original
Device during Revision Total Hip
Arthroplasty: Surgical Technique
 1 of 1

  Export

  Download

 
 More... 
Acta Medica OkayamaVolume 75, Issue 6, 2021, Pages 751-754

Novel Technique for Removing a Well-Fixed Cemented Cup


with a Dedicated Original Device during Revision Total Hip
Arthroplasty: Surgical Technique(Article)
 Endo, H.,

 Yamada, K.,
 

 Testunaga, T.,

 Furumatsu, T.,

 Mitani, S.,

 Ozaki, T.

 View Correspondence (jump link)

 a
Department of Bone and Joint Surgery, Kawasaki Medical School, Okayama,
Kurashiki City, 701-0192, Japan
 b
Department of Orthopaedic Surgery, Okayama University Graduate School of
Medicine, Denstry and Pharmaceutical Scineces, Okayama, 700-8558, Japan

Abstract

The improved cemented cup technique has attained excellent long-term results in
primary total hip arthroplasty. When cup revision surgery was performed, the
cemented cup, which was loosened at the bone-cement interface, was easily
removed. However, with a well-fixed bone-cement interface, it remains difficult to
remove the cemented cup for a revision in the event of a recurring dislocation. In
addition, protrusions in the cement can cause unpredictable bone defects. A new
removal device was created and used successfully to remove a well-fixed cemented
cup safely and efficiently. This report introduces the device and the technique used
in cemented cup removal. © 2021,Acta Medica Okayama.All Rights Reserved

Author keywords

Cemented cupRevision surgeryTotal hip arthroplastyWell-fixed

Indexed keywords

You might also like