Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Arthroplasty - Hip
Abstract number: 24989
POSSIBILITIES OF ACETABULAR RECONSTRUCTION IN THE ABSENCE OF
OSSEOUS GRAFT
Catalin CIRSTOIU, Dan POPESCU, Razvan ENE
Orthopaedics & Traumatology Clinic of the Bucharest Emergency Universitary
Hospital, Bucharest (ROMANIA)
Purpose: The use of some acetabular revision components in the hip revision
arthroplasty involving severe acetabular loosening, allowing the recovery of the
local relief in the absence of bone grafts, followed by early mobilization with full
bearing.Material and method: In the Orthopaedics & Traumatology Clinic of the
Bucharest Emergency Universitary Hospital, between 2007 - 2009, 22 surgical
operations of revision of some heap prosthetic appliances with no use of bone graft
for the recovery of the acetabular bone deficiency were effected. Ages: between 68
and 83. Sex ratio: M/F=9/13. We used many types of acetabular implants, cemented,
uncemented, locked or unlocked. In all cases there was a preoperative planning to
use the most adapted implant for the local bone quality. Femoral components were
cemented or uncemented. Results: These types of prosthetic appliances of revision
of the acetabular component offer a good primary stability, permitting an early post -
operatory mobilisation of the patient. The varying design of these prosthetic
appliances, with the extension piece located at the upper pole, offers the possibility of
elimination of the cavities formed by the degradation of the prosthetic appliances
previously inserted. The decision of fixing by screws or by cimentation is taken
according to the quality of the remaining bone. Conclusions: The use of special
revision prosthetic appliances in the cases with big acetabular distruction, with poor
bony capital allows the obtaining of a very good post-operatory result even in the
absence of osseous graft.
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