CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo)
DOI: 10.1055/s-0041-1735142
Relato de Caso

Custom-Made Trabecular Metal Acetabular Component in Total Hip Revision

Article in several languages: português | English
1   Serviço de Ortopedia e Traumatologia do Hospital do Servidor Público Estadual de São Paulo, São Paulo, SP, Brasil
,
1   Serviço de Ortopedia e Traumatologia do Hospital do Servidor Público Estadual de São Paulo, São Paulo, SP, Brasil
2   Serviço de Ortopedia e Traumatologia, Santa Casa de Misericórdia de Marília, São Paulo, SP, Brasil
,
1   Serviço de Ortopedia e Traumatologia do Hospital do Servidor Público Estadual de São Paulo, São Paulo, SP, Brasil
3   Serviço de Ortopedia e Traumatologia, Irmandade Santa Casa de Londrina – ISCAL, Londrina, PR, Brasil
› Author Affiliations

Abstract

The following case report aims to demonstrate a total hip arthroplasty revision surgery (THARS) using a custom-made trabecular metal acetabular component for correction of a severe acetabular defect. Currently, in the literature, there are few complete descriptions of surgical planning and procedures involving customized prostheses. This is due to the inherent technical difficulty of the surgical procedure and the high costs related to the planning and materials.

Financial Support

The present study received no financial support from either public, commercial, or not-for-profit sources.


Work developed in the Orthopedics and Traumatology Unit at the Hospital do Servidor Público Estadual de São Paulo- IAMSPE, São Paulo, SP, Brazil




Publication History

Received: 20 March 2021

Accepted: 13 May 2021

Article published online:
05 September 2022

© 2022. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 
  • Referências

  • 1 Paprosky WG, Perona PG, Lawrence JM. Acetabular defect classification and surgical reconstruction in revision arthroplasty. A 6-year follow-up evaluation. J Arthroplasty 1994; 9 (01) 33-44
  • 2 Canale ST, Beaty JH. Campbell cirurgia ortopédica. 12ª. ed.. Rio de Janeiro: Elsevier; 2017
  • 3 Van Kleunen JP, Lee GC, Lementowski PW, Nelson CL, Garino JP. Acetabular revisions using trabecular metal cups and augments. J Arthroplasty 2009; 24 (6, Suppl): 64-68
  • 4 Beckmann NA, Weiss S, Klotz MC, Gondan M, Jaeger S, Bitsch RG. Loosening after acetabular revision: comparison of trabecular metal and reinforcement rings. A systematic review. J Arthroplasty 2014; 29 (01) 229-235
  • 5 Tack P, Victor J, Gemmel P, Annemans L. DDo custom 3D-printed revision acetabular implants provide enough value to justify the additional costs? The health-economic comparison of a new porous 3D-printed hip implant for revision arthroplasty of Paprosky type 3B acetabular defects and its closest alternative. Orthop Traumatol Surg Res 2021 Feb;107(01):102600. DOI: 10.1016/j.otsr.2020.03.012. Epub 2020 May 11. PMID: 32409268a
  • 6 Burasteco G, Cavagnaro L, Chiarlone F, Innocenti B, Felli L. A case report: custom made porous titanium implants in revision: a new option for complex issueas. Open Orthop J 2018; 12: 525-535
  • 7 Baauw M, van Hellemondt GG, Spruit M. A custom-made acetabular implant for Paprosky type 3 defects. Orthopedics 2017; 40 (01) e195-e198
  • 8 Li H, Qu X, Mao Y, Dai K, Zhu Z. Custom acetabular cages offer stable fixation and improved hip scores for revision THA with severe bone defects. Clin Orthop Relat Res 2016; 474 (03) 731-740
  • 9 Kavalerskiy GM, Murylev VY, Rukin YA, Elizarov PM, Lychagin AV, Tselisheva EY. Three-Dimensional Models in Planning of Revision Hip Arthroplasty with Complex Acetabular Defects. Indian J Orthop 2018; 52 (06) 625-630
  • 10 Chiarlone F, Zanirato A, Cavagnaro L, Alessio-Mazzola M, Felli L, Burastero G. Acetabular custom-made implants for severe acetabular bone defect in revision total hip arthroplasty: a systematic review of the literature. Arch Orthop Trauma Surg 2020; 140 (03) 415-424
  • 11 Beckmann NA, Bitsch RG, Bormann T, Braun S, Jaeger S. Titanium Acetabular Component Deformation under Cyclic Loading. Materials (Basel) 2019 Dec 20; 13(01):52. Doi: 10.3390/ma13010052 PMID: 31861893; PMCID: PMC6981461