Clinical and Radiological Results over the Medium Term of Isolated Acetabular Revision

Acetabular cup loosening is associated with pain, reduced function, and instability of the implant. If such event happens while the femoral implant is in a satisfactory position and is well fixed to the bone, isolated acetabular revision surgery is indicated. The aim of this single-center retrospect...

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Main Authors: Nicola Piolanti, Lorenzo Andreani, Paolo Domenico Parchi, Enrico Bonicoli, Francesco Niccolai, Michele Lisanti
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2014/148592
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author Nicola Piolanti
Lorenzo Andreani
Paolo Domenico Parchi
Enrico Bonicoli
Francesco Niccolai
Michele Lisanti
author_facet Nicola Piolanti
Lorenzo Andreani
Paolo Domenico Parchi
Enrico Bonicoli
Francesco Niccolai
Michele Lisanti
author_sort Nicola Piolanti
collection DOAJ
description Acetabular cup loosening is associated with pain, reduced function, and instability of the implant. If such event happens while the femoral implant is in a satisfactory position and is well fixed to the bone, isolated acetabular revision surgery is indicated. The aim of this single-center retrospective study was to evaluate the clinical and radiological results over the medium term (12-month follow-up mean 36, max 60) of isolated acetabular revisions surgery using a porous hemispheric revision shell matched with a cemented all-poly cup and large diameter femoral head (>32). 33 patients were enrolled. We collect any relevant data from the clinical board. Routine clinical and radiographic examinations were performed preoperatively; the postoperative follow-up was made at 1, 3, and 6 months and yearly thereafter. At the last available follow-up, we report satisfactory improvement of functional scores in all the patients; 2 patients (6.1%) showed thigh pain and only 4 hips (12.11%) presented mild groin pain; all the femoral components are well fixed and there were no potential or pending rerevisions. With bias due to the follow-up and to the retrospective design of the study, we report clinical, functional, and radiological satisfactory results.
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spelling doaj-art-2ec261c90eeb45f694928287052f5eb92025-08-20T02:07:52ZengWileyThe Scientific World Journal2356-61401537-744X2014-01-01201410.1155/2014/148592148592Clinical and Radiological Results over the Medium Term of Isolated Acetabular RevisionNicola Piolanti0Lorenzo Andreani1Paolo Domenico Parchi2Enrico Bonicoli3Francesco Niccolai4Michele Lisanti51st Orthopedic Division, Department of Translational Research and New Technologies in Medicine, University of Pisa, Via Paradisa 2, 56124 Pisa, Italy1st Orthopedic Division, Department of Translational Research and New Technologies in Medicine, University of Pisa, Via Paradisa 2, 56124 Pisa, Italy1st Orthopedic Division, Department of Translational Research and New Technologies in Medicine, University of Pisa, Via Paradisa 2, 56124 Pisa, Italy1st Orthopedic Division, Department of Translational Research and New Technologies in Medicine, University of Pisa, Via Paradisa 2, 56124 Pisa, Italy1st Orthopedic Division, Department of Translational Research and New Technologies in Medicine, University of Pisa, Via Paradisa 2, 56124 Pisa, Italy1st Orthopedic Division, Department of Translational Research and New Technologies in Medicine, University of Pisa, Via Paradisa 2, 56124 Pisa, ItalyAcetabular cup loosening is associated with pain, reduced function, and instability of the implant. If such event happens while the femoral implant is in a satisfactory position and is well fixed to the bone, isolated acetabular revision surgery is indicated. The aim of this single-center retrospective study was to evaluate the clinical and radiological results over the medium term (12-month follow-up mean 36, max 60) of isolated acetabular revisions surgery using a porous hemispheric revision shell matched with a cemented all-poly cup and large diameter femoral head (>32). 33 patients were enrolled. We collect any relevant data from the clinical board. Routine clinical and radiographic examinations were performed preoperatively; the postoperative follow-up was made at 1, 3, and 6 months and yearly thereafter. At the last available follow-up, we report satisfactory improvement of functional scores in all the patients; 2 patients (6.1%) showed thigh pain and only 4 hips (12.11%) presented mild groin pain; all the femoral components are well fixed and there were no potential or pending rerevisions. With bias due to the follow-up and to the retrospective design of the study, we report clinical, functional, and radiological satisfactory results.http://dx.doi.org/10.1155/2014/148592
spellingShingle Nicola Piolanti
Lorenzo Andreani
Paolo Domenico Parchi
Enrico Bonicoli
Francesco Niccolai
Michele Lisanti
Clinical and Radiological Results over the Medium Term of Isolated Acetabular Revision
The Scientific World Journal
title Clinical and Radiological Results over the Medium Term of Isolated Acetabular Revision
title_full Clinical and Radiological Results over the Medium Term of Isolated Acetabular Revision
title_fullStr Clinical and Radiological Results over the Medium Term of Isolated Acetabular Revision
title_full_unstemmed Clinical and Radiological Results over the Medium Term of Isolated Acetabular Revision
title_short Clinical and Radiological Results over the Medium Term of Isolated Acetabular Revision
title_sort clinical and radiological results over the medium term of isolated acetabular revision
url http://dx.doi.org/10.1155/2014/148592
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