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Cup-Cage Technique

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The Adult Hip - Master Case Series and Techniques

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Abstract

This is a relatively new technique that provides a viable option for the treatment of complex severe acetabular defects and pelvic discontinuity [1]. A porous trabecular metal acetabular shell (titanium and tantalum) and a bridging ilioischial cage are used to achieve mechanical construct stability and biologic fixation of the acetabular shell [2]. It was first presented at the 2007 annual meeting of American Association of Orthopaedic Surgeons [3, 4].

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References

  1. Amenabar Τ, Rahman WA, Hetaimish BM, Kuzyk PR, Safir OA, Gross AE. Promising mid-term results with a cup-cage construct for large Acetabular defects and pelvic discontinuity. Clin Orthop Relat Res. 2016;474(2):408–14.

    Article  PubMed  Google Scholar 

  2. Sheth NP, Nelson CL, Springer BD, Fehring TK, Paprosky WG. Acetabular bone loss in revision Total hip Arthroplasty: evaluation and management. J Am Acad Orthop Surg. 2013;21:128–39.

    Article  PubMed  Google Scholar 

  3. Noiseux M, Lewallen DB, Kellet C, Gross AE. Results of a porous coated cup-cage construct in complex revision surgery with severe bone loss. Paper presented at the 2007 Annual Meeting of American Association of Orthopaedic Surgeons, San Diego, CA.

    Google Scholar 

  4. Pulido L, Rachala SR, Cabanela ME. Cementless acetabular revision: past, present, and future revision total hip arthroplasty: the acetabular side using cementless implants. Int Orthop. 2011;35:289–98.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Abolghasemian M, et al. The challenge of pelvic discontinuity cup-cage reconstruction does better than conventional cages in mid-term. Bone Joint J. 2014;96-B:195–200.

    Article  CAS  PubMed  Google Scholar 

  6. Deirmengian GK, Zmistowski B, O’Neil JT, Hozack WJ. Current concepts review Management of Acetabular Bone Loss in revision Total hip Arthroplasty. J Bone Joint Surg Am. 2011;93:1842–52.

    Article  PubMed  Google Scholar 

  7. Kosashvili Y, et al. 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-B:870–6.

    Article  Google Scholar 

  8. Gililland JM, Anderson LA, Henninger HB, Kubiak EN, Peters CL. Biomechanical analysis of acetabular revision constructs: is pelvic discontinuity best treated with bicolumnar or traditional unicolumnar fixation? J Arthroplast. 2013;28:178–86.

    Article  Google Scholar 

  9. Ballester Alfaro JJ, Sueiro Fernandez 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(Suppl 7):S119–27.

    Article  PubMed  Google Scholar 

  10. Rogers BA, et al. The reconstruction of Periprosthetic pelvic discontinuity. J Arthroplast. 2012;27(8):1499–1506.e1.

    Article  Google Scholar 

  11. Ballester Alfaro JJ, Sueiro FJ. 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(Suppl. 7):119.

    Article  Google Scholar 

  12. Goodman S, Sastamoinen H, Shasha N, Gross A. Complications of ilio-ischial reconstruction rings in revision total hip arthroplasty. J Arthroplasty. 2004;19:436–46.

    Article  PubMed  Google Scholar 

  13. Taunton MJ, Fehring TK, Edwards P, Bernasek T, Holt GE, Christie MJ. Pelvic discontinuity treated with custom triflange component: a reliable option. Clin Orthop Relat Res. 2012;470:428.

    Article  PubMed  Google Scholar 

  14. Flecher X, Paprosky W, Grillo JC, Aubaniac JM, Argenson JN. Do tantalum components provide adequate primary fixation in all acetabular revisions? Orthop Traumatol Surg Res. 2010;96(3):235–41.

    Article  CAS  PubMed  Google Scholar 

  15. Sporer SM, Bottros JJ, Hulst JB, Kancherla VK, Moric M, Paprosky WG. Acetabular distraction: an alternative for severe defects with chronic pelvic discontinuity? Clin Orthop Relat Res. 2012;470:3156–63.

    Article  PubMed  PubMed Central  Google Scholar 

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Authors and Affiliations

  1. Academic Orthopaedic Unit, Aristotle University Medical School, Thessaloniki, Greece

    Eustathios Kenanidis M.D., Ph.D., M.Sc.

  2. Academic Orthopaedic Unit, Papageorgiou General Hospital, Aristotle University Medical School, Thessaloniki, Greece

    Eleftherios Tsiridis M.D., Ph.D., F.A.C.S., F.R.C.S.

  3. Wirral University Teaching Hospital, Wirral, UK

    Alan J. Highcock F.R.C.S. (T&O)

  4. Division of Orthopaedic Surgery, Mount Sinai Hospital, University of Toronto, Toronto, Canada

    Allan E. Gross M.D., F.R.C.S.C., O.Ont.

  5. Department of Orthopaedics and Traumatology Unit, Hospital Nord, Marseille, France

    Xavier Flecher M.D., Ph.D.

  6. Aix Marseille Univ, APHM, CNRS, ISM, Sainte-Marguerite Hospital, Institute for Locomotion, Marseille, France

    Xavier Flecher M.D., Ph.D.

  7. Mayo Clinic, Rochester, MN, USA

    Cameron K. Ledford M.D., Joseph M. Statz M.D. & Robert T. Trousdale M.D.

Authors
  1. Eustathios Kenanidis M.D., Ph.D., M.Sc.
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  2. Eleftherios Tsiridis M.D., Ph.D., F.A.C.S., F.R.C.S.
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  3. Alan J. Highcock F.R.C.S. (T&O)
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  4. Allan E. Gross M.D., F.R.C.S.C., O.Ont.
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  5. Xavier Flecher M.D., Ph.D.
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  6. Cameron K. Ledford M.D.
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  7. Joseph M. Statz M.D.
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  8. Robert T. Trousdale M.D.
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Editor information

Editors and Affiliations

  1. Aristotle University Medical School, Thessaloniki, Greece

    Eleftherios Tsiridis

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Kenanidis, E. et al. (2018). Cup-Cage Technique. In: Tsiridis, E. (eds) The Adult Hip - Master Case Series and Techniques. Springer, Cham. https://doi.org/10.1007/978-3-319-64177-5_20

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  • DOI: https://doi.org/10.1007/978-3-319-64177-5_20

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-64175-1

  • Online ISBN: 978-3-319-64177-5

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