Rossmann M, Ansorge C, Lausmann C, Suero EM, Gehrke T, Citak M. An alternative treatment option for Paprosky Type IIIb acetabular defect using multiple
tantalum wedges - A case report.
J Clin Orthop Trauma 2020;
11:70-72. [PMID:
32001988 PMCID:
PMC6985178 DOI:
10.1016/j.jcot.2018.10.015]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/03/2018] [Revised: 10/07/2018] [Accepted: 10/24/2018] [Indexed: 11/26/2022] Open
Abstract
The treatment of severe acetabular defects in revision total hip arthroplasty (Paprosky type IIIa and IIIb) is demanding and choosing the appropriate surgical technique remains controversial. The introduction of trabecular metal augments has led to a variety of new treatment options. The authors present a case of a Paprosky Type IIIb acetabular defect due to eight subsequent revisions of the left hip. The patient was treated with an alternative treatment option using multiple tantalum wedges. Anatomical reconstruction was achieved and at 12 months follow-up, the patient was pain free and was able to walk without walking aids.
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