An alternative treatment option for Paprosky Type IIIb acetabular defect using multiple tantalum wedges – A case report

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 au...

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Bibliographic Details
Published in:Journal of clinical orthopaedics and trauma 2020-01, Vol.11 (1), p.70-72
Main Authors: Rossmann, Markus, Ansorge, Christian, Lausmann, Christian, Suero, Eduardo M, Gehrke, Thorsten, Citak, Mustafa
Format: Article
Language:English
Subjects:
Acetabular defect
Alternative treatment
Case Report
Orthopedics
Paprosky classification
Revision hip arthroplasty
Tantalum wedges
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Summary: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.
ISSN:0976-5662
2213-3445
DOI:10.1016/j.jcot.2018.10.015