TOTBİD Dergisi

TOTBİD Dergisi

2021, Cilt 20, Sayı, 6     (Sayfalar: 729-733)

Treatment options after failed hip revision surgery

Hakan Kocaoğlu 1

1 Ankara Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji Ana Bilim Dalı, Ankara

DOI: 10.14292/totbid.dergisi.2021.109
Görüntüleme: 55
İndirme : 36

With the new developments in hip arthroplasty surgery, the success in surgical results has been increasing recently. Secondary revisions in hip arthroplasty are surgeries that have serious technical difficulties and the results obtained often do not adequately meet the expectations of the patient. Despite many breakthroughs such as improvements in surgical techniques and implant designs, and preoperative assessment of patient risk, there still exist unsuccessful revision surgeries. It is not possible to follow a standard method in the treatment of these cases, and it is necessary to develop a special approach for each case. Constrained systems, large femoral heads, or dual mobility cups are commonly used to prevent recurrent dislocations which are the most common causes of failure. Jumbo cups, metal cages, cone or LUMIC® type acetabular systems, trabecular metal or custom-made implants can be used in cases with bone defects in the acetabulum, and where it is necessary for the femur, options such as tumor prostheses or total femur may also be utilized.

Anahtar Kelimeler : revision hip arthroplasty; mechanical loosening; periprosthetic infection; bone loss