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Management of Paprosky type three B acetabular defects by custom-made components: early results

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Abstract

Purpose

Our study aims at the evaluation of the recently introduced Lima Promade custom-made acetabular device for the treatment of complex acetabular Paprosky 3B defects.

Methods

Between 2016 and 2018, eight patients with major acetabular osteolysis and multiple revisions history were treated with a custom-made implant in a single centre and by a single surgeon. We assessed patients’ demographics, peri-operative data, and complications and a specific questionnaire was submitted to the surgeon after each procedure.

Results

All the devices were correctly positioned. In two over eight cases, a post-operative dislocation occurred, where extensive soft tissue impairment was present. The questionnaire showed a good pre-operative and intra-operative experience of the surgeon.

Conclusions

The Promade custom-made acetabular system showed encouraging results for complex defects and the entire procedure was positively rated. Further analysis with a higher number of cases and a longer follow-up should be performed for a complete clinical and cost-effective evaluation.

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Authors and Affiliations

  1. Orthopaedic Department, Città della Salute e della Scienza, University of Turin, Viale 25 Aprile 137 int 6, 10133, Turin, Italy

    Alessandro Aprato, Matteo Giachino, Paolo Bedino, Danilo Mellano, Raimondo Piana & Alessandro Massè

Authors
  1. Alessandro Aprato
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  2. Matteo Giachino
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  3. Paolo Bedino
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  4. Danilo Mellano
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  5. Raimondo Piana
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  6. Alessandro Massè
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Corresponding author

Correspondence to Alessandro Aprato.

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The authors declare that they have no conflicts of interest.

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Aprato, A., Giachino, M., Bedino, P. et al. Management of Paprosky type three B acetabular defects by custom-made components: early results. International Orthopaedics (SICOT) 43, 117–122 (2019). https://doi.org/10.1007/s00264-018-4203-5

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  • DOI: https://doi.org/10.1007/s00264-018-4203-5

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