Three-Dimensional Models in Planning of Revision Hip Arthroplasty with Complex Acetabular Defects

Background Careful preoperative planning in revision cases with complex acetabular defects is crucial for optimal surgery outcome. However, in many cases, computed tomography (CT) scans cannot give a clear understanding of the pelvic destruction. Three-dimensional (3D) models-based on CT data can he...

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Bibliographic Details
Published in:Indian journal of orthopaedics 2018-11, Vol.52 (6), p.625-630
Main Authors: Kavalerskiy, Gennadiy M., Murylev, Valeriy Y., Rukin, Yaroslav A., Elizarov, Pavel M., Lychagin, Alexey V., Tselisheva, Evgeniya Y.
Format: Article
Language:English
Subjects:
3-D printers
Arthritis
Conservative Orthopedics
Defects
Joint surgery
Medical imaging
Medicine & Public Health
Original
Original Article
Orthopedics
Surgical Orthopedics
Titanium
Transplants & implants
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Summary:Background Careful preoperative planning in revision cases with complex acetabular defects is crucial for optimal surgery outcome. However, in many cases, computed tomography (CT) scans cannot give a clear understanding of the pelvic destruction. Three-dimensional (3D) models-based on CT data can help surgeon in planning of complex acetabular reconstruction. Materials and Methods We used 3D plaster pelvic models in 17 revision cases. There were 5 patients with Paprosky II C acetabular defects, 2 patients with Paprosky IIIA defects, and 10 patients with Paprosky IIIB defects (3 patients among them with pelvic discontinuity). We used 3D printer and digital 3D models based on CT scan data for 3D models printing. In 3 cases with Paprosky IIIB defects, we implanted custom-made acetabular components with the porous coating, also printed on the 3D printer. Results In 14 cases, we used trabecular metal (TM) augments with TM cups. In 100% of cases, number and type of planned and used augments were same. In 9 (64.3%) cases, size of planned and used cups was same. In other cases, the difference was not >2 mm. Conclusions Use of 3D plaster models for the revision hip arthroplasty planning with complex acetabular defects has shown high accuracy in the clear understanding of acetabular bone deficiency.
ISSN:0019-5413
1998-3727
DOI:10.4103/ortho.IJOrtho_556_16