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Acetabular reinforcement in total hip replacement.

G Mayer, K Hartseil

    Archives of Orthopaedic and Traumatic Surgery. Archiv Fur Orthopadische Und Unfall-Chirurgie
    |January 1, 1986
    PubMed
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    Severe hip bone loss can be treated using combined acetabular reinforcement rings and cages. This surgical approach offers satisfactory radiological and clinical outcomes for patients with extreme acetabular deficiencies.

    Area of Science:

    • Orthopedic Surgery
    • Biomaterials Engineering

    Background:

    • Severe secondary protrusio acetabuli presents challenges due to extensive acetabular bone destruction.
    • Conventional total hip replacements may fail in cases of significant acetabular deficiency.

    Purpose of the Study:

    • To evaluate the efficacy of combined Müller acetabular reinforcement rings and Burch-Schneider anti-protrusio cages for severe acetabular deficiencies.
    • To assess the outcomes of this double anchorage technique in primary and revision hip arthroplasties.

    Main Methods:

    • Surgical technique involving double anchorage of polyethylene cups with Müller rings and Burch-Schneider cages.
    • Application in 21 patients with severe secondary protrusio acetabuli, including primary total hip replacements and revision surgeries.
    • Reconstructive surgery of cancellous bone was performed in conjunction with reinforcement implants.

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    Main Results:

    • Satisfactory radiological and clinical results were observed in 21 followed-up patients.
    • The screw-fixed reinforcement implants demonstrated effective fixation of the acetabular cup.
    • The technique proved successful even in cases with extreme acetabular deficiencies.

    Conclusions:

    • Combined use of Müller acetabular reinforcement rings and Burch-Schneider anti-protrusio cages provides a reliable solution for severe acetabular deficiencies.
    • This double anchorage method ensures solid fixation of acetabular components in complex hip reconstructions.
    • The described surgical approach is efficient for both primary and revision total hip arthroplasties with significant bone loss.