We reviewed 263 consecutive patients with failed acetabular components after total hip arthroplasty that were revised using porous tantalum acetabular components and augments when necessary. The mean follow-up was 73.6 months (range, 60-84 months). The improvement of mean Harris hip score, Western Ontario and McMaster Osteoarthritis Index, and University of California Los Angeles activity scales were statistically significant (P < .001). Subjective assessments showed that 87.3% of patients reported "improvement" and 85.9% were "very or fairly pleased" with the results. At the most recent follow-up, all acetabular components were radiographically stable and none required rerevision for loosening. The acetabular revision was considered successful in 87% of cases. From this study, we conclude that the acetabular component used was reliable in creating a durable composite without failure for a minimum of 5 years.
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http://dx.doi.org/10.1016/j.arth.2009.07.027 | DOI Listing |
J Hum Evol
January 2025
Department of Pathology and Anatomical Sciences, University of Missouri, Columbia, MO 65212, USA.
Hominin pelvic form differs dramatically from that of other primates by having more laterally facing iliac blades, a wider sacrum, and a larger, transversely broad pelvic inlet. The orientation of the acetabulum may also differ, plausibly related to differences in load transmission during upright posture and habitual bipedal locomotion, which may, in turn, affect overall pelvic geometry. We compared acetabular orientation in humans, a phylogenetically broad sample of extant anthropoid primates, and fossil hominins including Australopithecus afarensis (A.
View Article and Find Full Text PDFFront Artif Intell
December 2024
Department of Orthopedic Hip and Knee Surgery, Rasoul-e-Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
Background: Total Hip Arthroplasty (THA) is a transformative surgical intervention for hip joint disorders, necessitating meticulous preoperative planning for optimal outcomes. With the emergence of Artificial Intelligence (AI), preoperative planning paradigms have evolved, leveraging AI algorithms for enhanced decision support and imaging analysis. This systematic review aims to comprehensively evaluate the role of AI in THA preoperative planning, synthesizing evidence from studies exploring various AI techniques and their applications.
View Article and Find Full Text PDFHip Int
January 2025
Department of Orthopaedic Surgery, Hospital de Sant Pau (HSCSP), Barcelona, Spain.
Background: Survival at 25 years' follow-up for total hip arthroplasty (THA) has been reported at 5%-77%, with hydroxyapatite (HA) coating, due to its osteo-conductive properties, used to enhance implant fixation and survival. The progressive increase in life expectancy raises doubts regarding HA-coated THA survival and THA revision surgery risk. The aim of our study was to retrospectively analyse survival for primary uncemented fully HA-coated THA after 28 years' follow-up.
View Article and Find Full Text PDFJ Orthop Res
January 2025
Stavros Niarchos Foundation Complex Joint Reconstruction Center, Hospital for Special Surgery, New York, New York, USA.
Patient-specific flanged acetabular components are utilized to treat failed total hip arthroplasties with severe acetabular defects. We previously developed and published a finite element model that investigated the impact of hip joint center lateralization on construct biomechanics during gait conditions. This model consisted of a patient-specific implant designed to address a superior-medial defect created in a standard pelvic geometry.
View Article and Find Full Text PDFArthroplasty
January 2025
Sant'Andrea Hospital, Faculty of Medicine and Psychology, Sapienza University of Rome, 00162, Rome, Italy.
Background: Proper positioning of a total hip arthroplasty (THA) plays a crucial role in the success and long-term survivorship of the implant. Cup positioning within the Lewinnek Safe Zone (LSZ) does not, however, avoid implant dislocation. Thus, the concept of a functional cup position has been introduced.
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