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Trabecular titanium implants in complex acetabular revision surgery.

F Jara-García1, J Diranzo-García1, V Estrems-Díaz1

  • 1Servicio de Cirugía Ortopédica y Traumatología, Consorcio Hospital General Universitario de Valencia, Valencia, España.

Revista Espanola De Cirugia Ortopedica Y Traumatologia
|September 29, 2022
PubMed
Summary
This summary is machine-generated.

Trabecular titanium Cup-Cage implants show promise for complex acetabular revision surgery. These implants offer good clinical and radiological outcomes, with acceptable complication rates and implant survival in challenging cases.

Keywords:
Cirugía de revisión de caderaComplex acetabular defectCup-CageDefectos acetabulares complejosHip revision surgeryTitanio trabecularTrabecular titanium

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Area of Science:

  • Orthopedic Surgery
  • Biomaterials Science
  • Implantology

Background:

  • Acetabular revision surgery presents significant challenges due to complex bone defects, impacting implant fixation and osseointegration.
  • Trabecular titanium implants are designed to address these difficulties in revision arthroplasty.

Purpose of the Study:

  • To evaluate clinical and radiological outcomes of trabecular titanium Cup-Cage implants in acetabular revision surgery.
  • To assess implant survival and mid-term complication rates in patients with Paprosky type IIIA and IIIB defects.

Main Methods:

  • Retrospective observational study of 37 acetabular revisions using trabecular titanium Cup-Cage implants (2011-2019).
  • Inclusion of complex defects: 20 type IIIA, 17 type IIIB, including five with pelvic discontinuity.
  • Analysis of clinical outcomes (pain, function), radiological parameters (rotation center, mobilization), and complications.

Main Results:

  • Mean follow-up of 61 months demonstrated significant improvements in patient function (Merlé D'Aubigné-Postel scale) and pain reduction (VAS scale).
  • Recorded complications included two cases of acetabular loosening, one dislocation, and three surgical wound infections (without implant involvement).

Conclusions:

  • Trabecular titanium Cup-Cage implants represent a viable option for acetabular revision in complex bone defects.
  • The implants exhibit favorable primary fixation and osseointegration, contributing to good clinical results and implant survival.