Lily Dongxia Xiao
As the number of primary total hip arthroplasty (THA) procedures
performed continues to rise, the burden of revision THA procedures is
also expected to increase. With patients undergoing THA at younger ages
and living longer, revision patients are presenting with greater bone loss
at the time of revision surgery. The proper evaluation and treatment of
acetabular bone loss at the time of revision surgery is complex and is
further complicated in the face of a chronic pelvic discontinuity. Identifying
proper pre-operative patient assessment in conjunction with detailed preoperative
planning is essential for obtaining favorable clinical results.
Appropriate radiographs are critical in assessing acetabular bone loss,
and specific classification schemes can identify bone loss patterns and
guide available treatment options. The presentation reviews the surgical
decision making and clinical results of different surgical options for the
treatment of acetabular bone loss, and introduces a novel technique for
the treatment of a chronic pelvic discontinuity.
