Objective: The aim: The purpose of the article is to analyze the ways of solving the problem of revision hip joint replacement. The article discusses the methods of treatment using a custom triflange acetabular component.
Patients And Methods: Materials and methods: The analysis of 37 literary sources includes a discussion of the features of the use of individual triflange acetabular components and errors in revision hip arthroplasty, which are associated with various factors.
Conclusion: Conclusions: A review of studies devoted to the use of custom triflange acetabular components confirms the effectiveness in the early postoperative period in the treatment of critical acetabular defects and pelvic ring discontinuity. The CTAC use is particularly relevant in case of the pelvic ring disintegration, as it provides for the appropriate endoprosthesis adaptation with the healthy bone, as well as for the bone defects plastics and recovery of the hip joint biome¬chanics. So, the use of individual constructions is indicated for the patients with significant bone mass loss, where augment adaptation and adjustment is impossible. This method is used more often when there is no other alternative. Research results showed a trend that special three-flange components of the acetabulum have better long-term results compared to traditional standard components for large bone defects. Improving production and increasing the number of CTACs should reduce their cost. In summary, the custom triflange acetabulum components provide a personalized secure fit that can reduce the risk of complications and improve patient outcomes. In summary, the triple-flange acetabulum components provide a personalized secure fit that can reduce the risk of complications and improve patient outcomes.
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http://dx.doi.org/10.36740/WLek202312120 | DOI Listing |
Orthop Traumatol Surg Res
November 2024
Department of Orthopedic Surgery and Trauma, Pierre Paul Riquet University Hospital, Toulouse, France. Electronic address:
Periprosthetic acetabular fractures are a major challenge in orthopedics. Proper recognition of these complex cases helps to identify and treat patients with different presentations. These fractures can occur intraoperatively and be treated immediately, or they can occur postoperatively, following trauma or in the context of chronic low bone quality or associated implant loosening.
View Article and Find Full Text PDFJ Arthroplasty
October 2024
Hip Department, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.
Bone Jt Open
August 2024
Department of Tumour Orthopaedics and Revision Arthroplasty, Orthopaedic Hospital Volmarstein, Wetter, Germany.
Aims: Custom-made partial pelvis replacements (PPRs) are increasingly used in the reconstruction of large acetabular defects and have mainly been designed using a triflange approach, requiring extensive soft-tissue dissection. The monoflange design, where primary intramedullary fixation within the ilium combined with a monoflange for rotational stability, was anticipated to overcome this obstacle. The aim of this study was to evaluate the design with regard to functional outcome, complications, and acetabular reconstruction.
View Article and Find Full Text PDFOrthop Traumatol Surg Res
December 2024
Service d'Orthopédie, Hôpital Salengro, CHU de Lille, Place de Verdun, 59000 Lille, France.
Zhonghua Wai Ke Za Zhi
September 2024
Senior Department of Orthopaedics, the Forth Medical Center of Chinese People's Liberation Army General Hospital, National Clinical Research Center for Orthopaedics, Sports Medicine and Rehabilitation, Beijing 100048, China.
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