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[Translated article] 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, Spain.

Revista Espanola De Cirugia Ortopedica Y Traumatologia
|December 19, 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 manageable complications and high implant survival rates.

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

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Area of Science:

  • Orthopedic Surgery
  • Biomaterials Science
  • Implantology

Background:

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

Purpose of the Study:

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

Main Methods:

  • Retrospective observational study of 37 acetabular replacements using trabecular titanium cups (2011-2019).
  • Inclusion of complex defects (Paprosky IIIA/IIIB), including pelvic discontinuity.
  • Analysis of clinical (pain, function) and radiological (rotational center, mobilization) parameters.

Main Results:

  • Mean follow-up of 61 months.
  • Significant improvements observed: 8-point median increase on Merlé D'Aubigné-Postel scale and 6-point decrease on VAS pain scale.
  • Low complication rate: 2 acetabular loosening, 1 dislocation, 3 superficial infections.

Conclusions:

  • Trabecular titanium Cup-Cage implants represent a viable option for acetabular revision in complex bone defects.
  • The implants demonstrate favorable clinical and radiological results, with good complication profiles and implant survival.
  • Effective primary fixation and osseointegration are key factors contributing to successful outcomes.