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Acetabular revision surgery with the LOR cup: three to 8 years' follow-up
Michele F Surace1, Giovanni Zatti, Marco De Pietri
1Dipartimento di Scienze Ortopediche e Traumatologiche M. Boni, Facoltà di Medicina e Chirurgia, Università degli Studi dell'Insubria, Varese, Italy.
Abstract:
A retrospective review was conducted to evaluate the mid-term results of the Längsovalen Revisionspfanne oblong revision cup. From July 1995 to March 2000, 41 acetabular revision surgeries were performed for aseptic loosening of the acetabular cup. The acetabular defects were classified as type 2A to 3B, according to Paprosky's criteria. Morselized bone grafts were used in 19 cases (45.2%) to fill cavitary defects. The mean postoperative follow-up was 63.5 months (range, 40-99 months). Clinical assessment at follow-up showed a significantly improved mean Harris Hip Score from 46 points preoperatively to 82.2 points postoperatively, whereas the x-ray examination did not show any sign of loosening of the cups. Data analysis showed that significantly better results were correlated with restoring the hip rotation center and reducing leg length discrepancy.