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Related Experiment Videos

Don't throw away the ring: indications and use.

Allan E Gross1, Paul Wong, Khaled J Saleh

  • 1Division of Surgery, University of Toronto, and Division of Orthopaedic Surgery, Mount Sinai Hospital, Toronto, Ontario, Canada. allan.gross@utoronto.ca

The Journal of Arthroplasty
|June 18, 2002
PubMed
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Protective rings are crucial for revision acetabular surgery, offering support for bone grafts. The choice between roof and reconstructive rings depends on the defect size and graft type used.

Area of Science:

  • Orthopedic Surgery
  • Biomaterials Engineering

Background:

  • Revision acetabular surgery presents challenges in restoring bone stock and joint stability.
  • Protective rings are utilized to support bone grafts during acetabular reconstruction.

Purpose of the Study:

  • To delineate the indications for using two types of protective rings: the roof ring and the reconstructive ring (cage).
  • To guide the selection of the appropriate ring based on acetabular defect characteristics and bone graft type.

Main Methods:

  • This study reviews the application of roof rings and reconstructive rings in revision acetabular surgery.
  • It analyzes the use of these rings with both morcellized and structural bone grafts.

Main Results:

  • The roof ring, smaller in size, supports the ilium to the inferomedial acetabulum and is suitable for smaller structural grafts (<50% cup support) or contained defects with superior and inferomedial host bone contact.

Related Experiment Videos

  • The reconstructive ring (cage), larger in size, supports the ilium to the ischium and is indicated for more global defects or larger structural grafts (>50% cup support).
  • Both ring types can effectively protect morcellized or structural bone grafts.
  • Conclusions:

    • The selection of protective rings in revision acetabular surgery is guided by the extent of the acetabular defect and the type and size of the bone graft.
    • Appropriate ring selection ensures optimal support and stability for acetabular reconstruction.