Acetabular Revision Arthroplasty: Using the Hastings Bipolar Head to Enable Retention of a Well-Fixed Monoblock Stem
McLoughlin L, Leonard M, Curtin W.Hip
Abstract
We describe a novel technique of combining the Hastings bipolar head, matched in size to the acetabular cup liner, with a fixed, cemented monoblock stem allowing for isolated uncemented acetabular revision arthroplasty.
Aim
To assess patient clinical and radiological outcomes after isolated uncemented acetabular revision arthroplasty using the Hastings bipolar head.
Methods
Clinical outcome was assessed with the Oxford and WOMAC hip scores.
Radiographs were assessed pre-operatively for acetabular defects. Post operative osseointegration of the acetabular cup was then classified and the femoral stem was examined for signs of loosening.
Results
Nine acetabular components were revised in eight patients. Pre-Operative acetabular defects ranged from Paprosky type 1 to 3A. There were no significant intra or postoperative complications. At a mean final follow-up of 15 months, the Oxford hip score improved from an average of 17.5 pre-operatively to 44.1, and the WOMAC score had improved from 44.1 to 90.9. Eight acetabular cups demonstrated three or more signs of osseointegration with the remaining cup showing two signs. There were no signs of loosening of the retained femoral stems.
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