The number of cases with extensive and complex bone defects undergoing revision endoprosthetization continues to increase. We tested a reendoprosthetization method for hip joints with severe bone tissue deficits using individualized endoprosthesis components in four patients. Clinical data showed that use of a personalized approach to reendoprosthetization of hip joints with severe bone tissue deficit provided complete filling of defects in the acetabulum.
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Park, B., Liporace, F., and Marwin, S., “Managing acetabular defects in total hip arthroplasty,” Bull. Hosp. Jt. Dis., 75, No. 1, 37-46 (2017).
Shon, W. Y., Santhanam, S. S., and Choi, J. W., “Acetabular reconstruction in total hip arthroplasty,” Hip Pelvis, 28, No. 1, 1-14 (2016).
Villatte, G., Erivan, R., Salles, G., Pereira, B., Galvin, M., Descamps, S., and Boisgard, S., “Acetabular bone defects in THA revision: Reconstruction using morsellised virus-inactivated bone allograft and reinforcement ring. Seven-year outcomes in 95 patients,” Orthop. Traumatol. Surg. Res., 103, No. 4, 543-548 (2017).
Abolghasemian, M., Sadeghi Naini, M., Tangsataporn, S., Lee, P., Backstein, D., Safir, O., Kuzyk, P., and Gross, A. E., “Reconstruction of massive uncontained acetabular defects using allograft with cage or ring reinforcement: An assessment of the graft’s ability to restore bone stock and its impact on the outcome of re-revision,” Bone Joint J., 96-B, No. 3, 319-324 (2014).
Flecher, X., Appy, B., Parratte, S., Ollivier, M., and Argenson, J. N., “Use of porous tantalum components in Paprosky two and three acetabular revision. A minimum five-year follow-up of fifty one hips,” Int. Orthop., 41, No. 5, 911-916 (2017).
Jenkins, D. R., Odland, A. N., Sierra, R. J., Hanssen, A. D., and Lewallen, D. G., “Minimum five-year outcomes with porous tantalum acetabular cup and augment construct in complex revision total hip arthroplasty,” J. Bone Joint Surg. Am., 99, No. 10, e49 (2017).
Waddell, B. S. and Della Valle, A. G., “Reconstruction of non-contained acetabular defects with impaction grafting, a reinforcement mesh and a cemented polyethylene acetabular component,” Bone Joint J., 99-B, No. 1, Supplement A, 25-30 (2017).
Huang, C., Qin, L., Yan, W., Weng, X., and Huang, X., “Clinical evaluation following the use of mineralized collagen graft for bone defects in revision total hip arthroplasty,” Regen. Biomater., 2, No. 4, 245-249 (2015).
Kostensalo, I., Seppänen, M., Virolainen, P., Mokka, J., Koivisto, M., and Mäkelä, K. T., “Acetabular reconstruction with impaction bone grafting and cemented polyethylene socket in total hip revision arthroplasty,” Scand. J. Surg., 104, No. 4, 267-272 (2015).
Garcia-Rey, E., Madero, R., and Garcia-Cimbrelo, E., “THA revisions using impaction allografting with mesh is durable for medial but not lateral acetabular defects,” Clin. Orthop. Relat. Res., 473, No. 12, 3882-3891 (2015).
Hourscht, C., Abdelnasser, M. K., Ahmad, S. S., Kraler, L., Keel, M. J., Siebenrock, K. A., and Klenke, F. M., “Reconstruction of AAOS type III and IV acetabular defects with the Ganz reinforcement ring: High failure in pelvic discontinuity,” Arch. Orthop. Trauma Surg., 137, No. 8, 1139-1148 (2017).
Brüggemann, A., Fredlund, E., Mallmin, H., and Hailer, N. P., “Are porous tantalum cups superior to conventional reinforcement rings?,” Acta Orthop., 88, No. 1, 35-40 (2017).
Jain, S., Grogan, R. J., and Giannoudis, P. V., “Options for man-aging severe acetabular bone loss in revision hip arthroplasty. A systematic review,” Hip Int., 24, No. 2, 109-122 (2014).
Li, H., Qu, X., Mao, Y., Dai, K., and Zhu, Z., “Custom acetabular cages offer stable fixation and improved hip scores for revision THA with severe bone defects,” Clin. Orthop. Relat. Res., 474, No. 3, 731-740 (2016).
Mao, Y., Xu, C., Xu, J., Li, H., Liu, F., Yu, D., and Zhu, Z., “The use of customized cages in revision total hip arthroplasty for Paprosky type III acetabular bone defects,” Int. Orthop., 39, No. 10, 2023-2030 (2015).
Berasi, C. C., 4th, Berend, K. R., Adams, J. B., Ruh, E. L., and Lombardi, A. V., Jr., “Are custom triflange acetabular components effective for reconstruction of catastrophic bone loss?,” Clin. Orthop. Relat. Res., 473, No. 2, 528-535 (2015).
Baauw, M., van Hellemondt, G. G., and Spruit, M. A., “Custom-made acetabular implant for Paprosky type 3 defects,” Orthopedics, 40, No. 1, e195-e198 (2017).
Baauw, M., van Hellemondt, G. G., van Hooff, M. L., and Spruit, M., “The accuracy of positioning of a custom-made implant within a large acetabular defect at revision arthroplasty of the hip,” Bone Joint J., 97-B, No. 6, 780-785 (2015).
Gubin, A. V., Kuznetsov, V. P., Borzunov, D. Yu., Koryukov, A. A., Reznik, A. V., and Chevardin, A. Yu., “Problems and perspectives in the introduction of customized implants made using additive technologies into traumatology and orthopedics,” Med. Tekh., No. 4, 52-55 (2016).
Esipova, A. A., “Use of geodesic domes in construction: Advantages and drawbacks,” Nauk Sovremen., No. 38, 8-11 (2015).
Romanovich, A. N., “Geodesic domes. Characteristics of use and computations,” Sovremen. Innov., 8, No. 6, 22-23 (2016).
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Translated from Meditsinskaya Tekhnika, Vol. 53, No. 3, May-Jun., 2019, pp. 16-19.
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Chegurov, O.K., Ovchinnikov, E.N., Stogov, M.V. et al. Design of Individual Components of the Prosthesis for Revision Hip Replacement. Biomed Eng 53, 172–175 (2019). https://doi.org/10.1007/s10527-019-09902-3
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DOI: https://doi.org/10.1007/s10527-019-09902-3