지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 1 - 14 (14page)
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The difficulties encountered in dealing with the bone deficient acetabulum are amongst the greatest challenges in hip surgery. Acetabular reconstruction in revision total hip arthroplasty can successfully be achieved with hemispherical components featuring a porous or roughened ingrowth surface and options for placement of multiple screws for minor acetabular defect. Acetabular component selection is mostly based on the amount of bone loss present. In the presence of combined cavitary and segmental defects without superior acetabular coverage, reconstructions with a structural acetabular allograft protected by a cage or a custom-made triflange cage have been one of preferred surgical options. The use of a cage or ring over structural allograft bone for massive uncontained defects in acetabular revision can restore host bone stock and facilitate subsequent rerevision surgery to a certain extent. But high complication rates have been reported including aseptic loosening, infection, dislocation and metal failure. On the other hand, recent literature is reporting satisfactory outcomes with the use of modular augments combined with a hemispherical shell for major acetabular defect. Highly porous metals have been introduced for clinical use in arthroplasty surgery over the last decade. Their higher porosity and surface friction are ideal for acetabular revision, optimizing biological fixation. The use of trabecular metal cups in acetabular revision has yielded excellent clinical results. This article summarizes author’s experience regarding revision acetabular reconstruction options following failed hip surgery including arthroplasty.
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참고문헌 (44)
참고문헌 신청
Slooff TJ / 1993 / Cemented fixation with bone grafts / Orthop Clin North Am 24:667~677
van Egmond N / 2011 / Revisions of extensive acetabular defects with impaction grafting and a cement cup / Clin Orthop Relat Res 469:562~573
van Haaren EH / 2007 / High rate of failure of impaction grafting in large acetabular defects / J Bone Joint Surg Br 89:296~300
Bostrom MP / 2006 / Acetabular revision with the Contour antiprotrusio cage : 2-to 5-year followup / Clin Orthop Relat Res 453:188~194
Issack PS / 2009 / Acetabular component revision in total hip arthroplasty. Part II: management of major bone loss and pelvic discontinuity / Am J Orthop(Belle Mead NJ) 38:550~556
van Egmond N / 2011 / Revisions of extensive acetabular defects with impaction grafting and a cement cup / Clin Orthop Relat Res 469:562~573
van Haaren EH / 2007 / High rate of failure of impaction grafting in large acetabular defects / J Bone Joint Surg Br 89:296~300
Bostrom MP / 2006 / Acetabular revision with the Contour antiprotrusio cage : 2-to 5-year followup / Clin Orthop Relat Res 453:188~194
Issack PS / 2009 / Acetabular component revision in total hip arthroplasty. Part II: management of major bone loss and pelvic discontinuity / Am J Orthop(Belle Mead NJ) 38:550~556
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