TY - JOUR
T1 - The Diagnosis and Treatment of Acetabular Bone Loss in Revision Hip Arthroplasty
T2 - An International Consensus Symposium
AU - Sculco, Peter K.
AU - Wright, Timothy
AU - Malahias, Michael Alexander
AU - Gu, Alexander
AU - Bostrom, Mathias
AU - Haddad, Fares
AU - Jerabek, Seth
AU - Bolognesi, Michael
AU - Fehring, Thomas
AU - Gonzalez DellaValle, Alejandro
AU - Jiranek, William
AU - Walter, William
AU - Paprosky, Wayne
AU - Garbuz, Donald
AU - Sculco, Thomas
AU - Abdel, Matthew
AU - Boettner, Friedrich
AU - Benazzo, Francesco
AU - Buttaro, Martin
AU - Choi, Daniel
AU - Engh, Charles Anderson
AU - Garcia-Cimbrelo, Eduardo
AU - Garcia-Rey, Eduardo
AU - Gehrke, Thorsten
AU - Griffin, William L.
AU - Hansen, Erik
AU - Hozack, William J.
AU - Jones, Stephen
AU - Lee, Gwo Chin
AU - Lipman, Joe
AU - Manktelow, Andrew
AU - McLaren, Alex C.
AU - Nelissen, Rob
AU - O’Hara, Lawrence
AU - Perka, Carsten
AU - Sporer, Scott
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The Acetabular Bone Loss Work Group and HSS Journal received financial support for the research, writing, and publication of this article from the Stavros Niarchos Foundation Complex Joint Reconstruction Center at Hospital for Special Surgery.
Publisher Copyright:
© The Author(s) 2021.
PY - 2022/2
Y1 - 2022/2
N2 - Despite growing evidence supporting the evaluation, classification, and treatment of acetabular bone loss in revision hip replacement, advancements have not been systematically incorporated into a single document, and therefore, a comprehensive review of the treatment of severe acetabular bone loss is needed. The Stavros Niarchos Foundation Complex Joint Reconstruction Center at Hospital for Special Surgery held an Acetabular Bone Loss Symposium on June 21, 2019, to answer the following questions: What are the trends, emerging technologies, and areas of future research related to the evaluation and management of acetabular bone loss in revision hip replacement? What constitutes the optimal workup and management strategies for acetabular bone loss? The 36 international experts convened were divided into groups, each assigned to discuss 1 of 4 topics: (1) preoperative planning and postoperative assessment; (2) implant selection, management of osteolysis, and management of massive bone loss; (3) the treatment challenges of pelvic discontinuity, periprosthetic joint infection, instability, and poor bone biology; and (4) the principles of reconstruction and classification of acetabular bone loss. Each group came to consensus, when possible, based on an extensive literature review. This document provides an overview of these 4 areas, the consensus each group arrived at, and directions for future research.
AB - Despite growing evidence supporting the evaluation, classification, and treatment of acetabular bone loss in revision hip replacement, advancements have not been systematically incorporated into a single document, and therefore, a comprehensive review of the treatment of severe acetabular bone loss is needed. The Stavros Niarchos Foundation Complex Joint Reconstruction Center at Hospital for Special Surgery held an Acetabular Bone Loss Symposium on June 21, 2019, to answer the following questions: What are the trends, emerging technologies, and areas of future research related to the evaluation and management of acetabular bone loss in revision hip replacement? What constitutes the optimal workup and management strategies for acetabular bone loss? The 36 international experts convened were divided into groups, each assigned to discuss 1 of 4 topics: (1) preoperative planning and postoperative assessment; (2) implant selection, management of osteolysis, and management of massive bone loss; (3) the treatment challenges of pelvic discontinuity, periprosthetic joint infection, instability, and poor bone biology; and (4) the principles of reconstruction and classification of acetabular bone loss. Each group came to consensus, when possible, based on an extensive literature review. This document provides an overview of these 4 areas, the consensus each group arrived at, and directions for future research.
KW - acetabular bone loss
KW - acetabular component revision
KW - consensus
KW - revision total hip arthroplasty
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U2 - 10.1177/15563316211034850
DO - 10.1177/15563316211034850
M3 - Review article
AN - SCOPUS:85116252247
SN - 1556-3316
VL - 18
SP - 8
EP - 41
JO - HSS Journal
JF - HSS Journal
IS - 1
ER -