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Acetabular Component Revision

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DiscussionGAPCUP1

examination:

preop planning » (radiographs, equipment, implant selection);

Surgical Considerations

acetabular exposure »

management of osteolysis »

technique for cup removal »

protrusio »

bone grafting of acetabular defects »

Acetabular Component Insertion and Grafting Options

general considerations:

gap cup and reconstruction rings »

femoral component considerations »

Post Op Radiographic Evaluation »

Examples

AACE10AACE11

 

 

 

  • example of an acetabular component that was obviously loose after 3 years;
    • at surgery, the femoral component was secure and was left in place;
    • the acetabulum was re-reamed for insertion of a larger component;
    • a cortical allograft was anchored to the lateral femur inorder to re-oppose the abductors

References