Massive Periacetabular Osteolysis Treated With Acetabular Cup Retention and Cemented Screw Fixation
Management of periacetabular osteolysis is a challenging dilemma in revision total hip arthroplasty. When the acetabular shell is well-fixed, the surgeon may prefer to retain the cup to minimize further bone loss. However, filling the surrounding defect can be difficult if the area of involvement is...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-02-01
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| Series: | Arthroplasty Today |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352344124002802 |
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| author | Isabella T. Wu, MD, MPH Cary S. Politzer, MD Frank Chiarappa, MD Scott T. Ball, MD |
| author_facet | Isabella T. Wu, MD, MPH Cary S. Politzer, MD Frank Chiarappa, MD Scott T. Ball, MD |
| author_sort | Isabella T. Wu, MD, MPH |
| collection | DOAJ |
| description | Management of periacetabular osteolysis is a challenging dilemma in revision total hip arthroplasty. When the acetabular shell is well-fixed, the surgeon may prefer to retain the cup to minimize further bone loss. However, filling the surrounding defect can be difficult if the area of involvement is massive. In this case, holes were created in the existing acetabular cup for supplemental pelvic screws, which were placed using computed tomography navigation, and then the areas of osteolysis were filled with cement. The patient recovered uneventfully, and he was satisfied with the outcome at 4 years postoperatively. Thus, pelvic screw placement with cement augmentation could be a viable option for a stable cup with surrounding osteolysis. Patient selection should be considered carefully as the long-term outcomes of this procedure are unknown. |
| format | Article |
| id | doaj-art-390ed1d9a5e54fddbe05fc2c95b320b1 |
| institution | Kabale University |
| issn | 2352-3441 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroplasty Today |
| spelling | doaj-art-390ed1d9a5e54fddbe05fc2c95b320b12025-02-10T04:34:29ZengElsevierArthroplasty Today2352-34412025-02-0131101595Massive Periacetabular Osteolysis Treated With Acetabular Cup Retention and Cemented Screw FixationIsabella T. Wu, MD, MPH0Cary S. Politzer, MD1Frank Chiarappa, MD2Scott T. Ball, MD3Department of Orthopaedic Surgery, University of California, San Diego, San Diego, CA, USADepartment of Orthopaedic Surgery, University of California, San Diego, San Diego, CA, USADepartment of Orthopaedic Surgery, University of California, San Diego, San Diego, CA, USACorresponding author. Department of Orthopaedic Surgery, University of California, San Diego, 200 W Arbor Dr, Mail Code 8201, San Diego, CA 92103, USA.; Department of Orthopaedic Surgery, University of California, San Diego, San Diego, CA, USAManagement of periacetabular osteolysis is a challenging dilemma in revision total hip arthroplasty. When the acetabular shell is well-fixed, the surgeon may prefer to retain the cup to minimize further bone loss. However, filling the surrounding defect can be difficult if the area of involvement is massive. In this case, holes were created in the existing acetabular cup for supplemental pelvic screws, which were placed using computed tomography navigation, and then the areas of osteolysis were filled with cement. The patient recovered uneventfully, and he was satisfied with the outcome at 4 years postoperatively. Thus, pelvic screw placement with cement augmentation could be a viable option for a stable cup with surrounding osteolysis. Patient selection should be considered carefully as the long-term outcomes of this procedure are unknown.http://www.sciencedirect.com/science/article/pii/S2352344124002802Acetabular osteolysisRevision total hip arthroplastyCement augmentationCT navigationPelvic screws |
| spellingShingle | Isabella T. Wu, MD, MPH Cary S. Politzer, MD Frank Chiarappa, MD Scott T. Ball, MD Massive Periacetabular Osteolysis Treated With Acetabular Cup Retention and Cemented Screw Fixation Arthroplasty Today Acetabular osteolysis Revision total hip arthroplasty Cement augmentation CT navigation Pelvic screws |
| title | Massive Periacetabular Osteolysis Treated With Acetabular Cup Retention and Cemented Screw Fixation |
| title_full | Massive Periacetabular Osteolysis Treated With Acetabular Cup Retention and Cemented Screw Fixation |
| title_fullStr | Massive Periacetabular Osteolysis Treated With Acetabular Cup Retention and Cemented Screw Fixation |
| title_full_unstemmed | Massive Periacetabular Osteolysis Treated With Acetabular Cup Retention and Cemented Screw Fixation |
| title_short | Massive Periacetabular Osteolysis Treated With Acetabular Cup Retention and Cemented Screw Fixation |
| title_sort | massive periacetabular osteolysis treated with acetabular cup retention and cemented screw fixation |
| topic | Acetabular osteolysis Revision total hip arthroplasty Cement augmentation CT navigation Pelvic screws |
| url | http://www.sciencedirect.com/science/article/pii/S2352344124002802 |
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