Component selection in revision total hip arthroplasty

Orthop Clin North Am. 2014 Jul;45(3):275-86. doi: 10.1016/j.ocl.2014.03.001.

Abstract

Component selection for revision total hip arthroplasty is important for creating a stable hip, providing offset to maximize joint mechanics, and restoring appropriate leg lengths. On the femoral side, fully porous coated stems, modular tapered stems, and proximal femoral replacements can be used depending on the level of bone loss. For the acetabulum, smaller defects can be contained using second-generation porous coating hemispherical cups, whereas larger acetabular defects can be contained with cup cages, cages, or custom triflange implants. In addition, acetabular liners can improve stability through altered cup version, dual mobility, or constraint of the femoral head.

Keywords: Acetabular augments; Cages; Fully porous coated stems; Modular components; Revision total hip arthroplasty; Trabecular metal.

Publication types

  • Review

MeSH terms

  • Acetabulum / surgery
  • Allografts
  • Arthroplasty, Replacement, Hip*
  • Cementation
  • Coated Materials, Biocompatible
  • Fracture Fixation, Internal / methods
  • Hip Prosthesis*
  • Humans
  • Prosthesis Design*
  • Prosthesis Failure
  • Reoperation

Substances

  • Coated Materials, Biocompatible