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    24GR040061

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    ALFONSO CARRASCO DOMINGO

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    24GR040061

    Uploaded by

    ALFONSO CARRASCO DOMINGO
    5 views1 page

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    24GR040061

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    ALFONSO CARRASCO DOMINGO

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    © All Rights Reserved
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    of 1

    World Academy of Science, Engineering and Technology

    International Journal of Health and Medical Engineering


    Vol:18, No:04, 2024

    Cup-Cage Construct for Treatment of Severe Acetabular Bone Loss in


    Revision Total Hip Arthroplasty: Midterm Clinical and Radiographic
    Outcomes
    Authors : Faran Chaudhry, Anser Daud, Doris Braunstein, Oleg Safir, Allan Gross, Paul Kuzyk
    Abstract : Background: Acetabular reconstruction in the context of massive acetabular bone loss is challenging. In rare
    Open Science Index, Health and Medical Engineering Vol:18, No:04, 2024 publications.waset.org/abstracts/179286.pdf

    scenarios where the extent of bone loss precludes shell placement (cup-cage), reconstruction at our center consisted of a cage
    combined with highly porous metal augments. This study evaluates survivorship, complications, and functional outcomes using
    this technique. Methods: A total of 131 cup-cage implants (129 patients) were included in our retrospective review of revisions
    of total hip arthroplasty from January 2003 to January 2022. Among these cases, 100/131 (76.3%) were women, the mean age
    at surgery time was 68.7 years (range, 29.0 to 92.0; SD, 12.4), and the mean follow-up was 7.7 years (range, 0.02 to 20.3; SD,
    5.1). Kaplan-Meier survivorship analysis was conducted with failure defined as revision surgery and/or failure of the cup-cage
    reconstruction. Results: A total of 30 implants (23%) reached the study endpoint involving all-cause revision. Overall
    survivorship was 74.8% at 10 years and 69.8% at 15 years. Reasons for revision included infection 12/131 (9.1%), dislocation
    10/131 (7.6%), aseptic loosening of cup and/or cage 5/131 (3.8%), and aseptic loosening of the femoral stem 2/131 (1.5%). The
    mean LLD improved from 12.2 ± 15.9 mm to 3.9 ± 11.8 (p<0.05). The horizontal and vertical hip centres on plain film
    radiographs were significantly improved (p<0.05). Functionally, there was a decrease in the number of patients requiring the
    use of gait aids, with fewer patients (34, 25.9%) using a cane, walker, or wheelchair post-operatively compared to pre-
    operatively (58, 44%). There was a significant increase in the number of independent ambulators from 24 to 47 (36%).
    Conclusion: The cup-cage construct is a reliable treatment option for the treatment of various acetabular defects. There are
    favourable survivorship, clinical and radiographic outcomes, with a satisfactory complication rate.
    Keywords : revision total hip arthroplasty, acetabular defect, pelvic discontinuity, trabecular metal augment, cup-cage
    Conference Title : ICOTS 2024 : International Conference on Orthopaedic Trauma Surgery
    Conference Location : Athens, Greece
    Conference Dates : April 04-05, 2024

    International Scholarly and Scientific Research & Innovation 18(04) 2024 1 ISNI:0000000091950263

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