Case Report: Double trabecular metal cup without auxiliary screws for severe acetabular bone defects
BackgroundAcetabular reconstruction is often challenging in revision hip arthroplasty, especially in the face of moderate to severe acetabular bone deficiency. In some severe bone defects, double-metal tantalum cups can improve the contact area between bone and implants, increase the surface area fo...
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Frontiers Media S.A.
2025-08-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1655804/full |
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| author | Ming Xia Dongbo Li Chunquan Zhu Lihui Sun Dongsong Li |
| author_facet | Ming Xia Dongbo Li Chunquan Zhu Lihui Sun Dongsong Li |
| author_sort | Ming Xia |
| collection | DOAJ |
| description | BackgroundAcetabular reconstruction is often challenging in revision hip arthroplasty, especially in the face of moderate to severe acetabular bone deficiency. In some severe bone defects, double-metal tantalum cups can improve the contact area between bone and implants, increase the surface area for bone ingrowth, and better restore the anatomical position of the acetabulum. Furthermore, with a good press-fit, the auxiliary screw has a minimal effect on acetabular cup stability.Case presentationWe report a case of a 63-year-old male patient who was diagnosed with loosening prosthesis after total hip arthroplasty and whose preoperative radiograph suggested a large bone defect in the acetabulum. Due to the large amount of purulent fluid found in the joint cavity during the first revision surgery, a decision was made to stage-1spacer placement followed by a second-stage revision. In the second-stage revision, we utilized a double-cup technique to fill the large acetabular bone defect.ConclusionsIn the revision total hip arthroplasty, if the acetabular bone defect is severe, a double-metal tantalum cup structure can be used to reconstruct the acetabular structure, restore the center of rotation of the hip joint. Under good press-fit conditions, the metal tantalum cup can obtain initial stability of sufficient strength even without screw fixation, and achieve secondary stability through bone growth. |
| format | Article |
| id | doaj-art-ac8e9806790e4e1dbc70d8493bebe20b |
| institution | Kabale University |
| issn | 2296-875X |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj-art-ac8e9806790e4e1dbc70d8493bebe20b2025-08-22T14:38:16ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2025-08-011210.3389/fsurg.2025.16558041655804Case Report: Double trabecular metal cup without auxiliary screws for severe acetabular bone defectsMing XiaDongbo LiChunquan ZhuLihui SunDongsong LiBackgroundAcetabular reconstruction is often challenging in revision hip arthroplasty, especially in the face of moderate to severe acetabular bone deficiency. In some severe bone defects, double-metal tantalum cups can improve the contact area between bone and implants, increase the surface area for bone ingrowth, and better restore the anatomical position of the acetabulum. Furthermore, with a good press-fit, the auxiliary screw has a minimal effect on acetabular cup stability.Case presentationWe report a case of a 63-year-old male patient who was diagnosed with loosening prosthesis after total hip arthroplasty and whose preoperative radiograph suggested a large bone defect in the acetabulum. Due to the large amount of purulent fluid found in the joint cavity during the first revision surgery, a decision was made to stage-1spacer placement followed by a second-stage revision. In the second-stage revision, we utilized a double-cup technique to fill the large acetabular bone defect.ConclusionsIn the revision total hip arthroplasty, if the acetabular bone defect is severe, a double-metal tantalum cup structure can be used to reconstruct the acetabular structure, restore the center of rotation of the hip joint. Under good press-fit conditions, the metal tantalum cup can obtain initial stability of sufficient strength even without screw fixation, and achieve secondary stability through bone growth.https://www.frontiersin.org/articles/10.3389/fsurg.2025.1655804/fullacetabular bone defectsrevision total hip arthroplastydouble-cup techniquescrew fixationcase report |
| spellingShingle | Ming Xia Dongbo Li Chunquan Zhu Lihui Sun Dongsong Li Case Report: Double trabecular metal cup without auxiliary screws for severe acetabular bone defects Frontiers in Surgery acetabular bone defects revision total hip arthroplasty double-cup technique screw fixation case report |
| title | Case Report: Double trabecular metal cup without auxiliary screws for severe acetabular bone defects |
| title_full | Case Report: Double trabecular metal cup without auxiliary screws for severe acetabular bone defects |
| title_fullStr | Case Report: Double trabecular metal cup without auxiliary screws for severe acetabular bone defects |
| title_full_unstemmed | Case Report: Double trabecular metal cup without auxiliary screws for severe acetabular bone defects |
| title_short | Case Report: Double trabecular metal cup without auxiliary screws for severe acetabular bone defects |
| title_sort | case report double trabecular metal cup without auxiliary screws for severe acetabular bone defects |
| topic | acetabular bone defects revision total hip arthroplasty double-cup technique screw fixation case report |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1655804/full |
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