The Diagnosis and Treatment of Acetabular Bone Loss in Revision Hip Arthroplasty: An International Consensus Symposium

Peter K. Sculco, Timothy Wright, Michael Alexander Malahias, Alexander Gu, Mathias Bostrom, Fares Haddad, Seth Jerabek, Michael Bolognesi, Thomas Fehring, Alejandro Gonzalez DellaValle, William Jiranek, William Walter, Wayne Paprosky, Donald Garbuz, Thomas Sculco, Matthew Abdel, Friedrich Boettner, Francesco Benazzo, Martin Buttaro, Daniel ChoiCharles Anderson Engh, Eduardo Garcia-Cimbrelo, Eduardo Garcia-Rey, Thorsten Gehrke, William L. Griffin, Erik Hansen, William J. Hozack, Stephen Jones, Gwo Chin Lee, Joe Lipman, Andrew Manktelow, Alex C. McLaren, Rob Nelissen, Lawrence O’Hara, Carsten Perka, Scott Sporer

Research output: Contribution to journalReview articlepeer-review

Abstract

Despite growing evidence supporting the evaluation, classification, and treatment of acetabular bone loss in revision hip replacement, advancements have not been systematically incorporated into a single document, and therefore, a comprehensive review of the treatment of severe acetabular bone loss is needed. The Stavros Niarchos Foundation Complex Joint Reconstruction Center at Hospital for Special Surgery held an Acetabular Bone Loss Symposium on June 21, 2019, to answer the following questions: What are the trends, emerging technologies, and areas of future research related to the evaluation and management of acetabular bone loss in revision hip replacement? What constitutes the optimal workup and management strategies for acetabular bone loss? The 36 international experts convened were divided into groups, each assigned to discuss 1 of 4 topics: (1) preoperative planning and postoperative assessment; (2) implant selection, management of osteolysis, and management of massive bone loss; (3) the treatment challenges of pelvic discontinuity, periprosthetic joint infection, instability, and poor bone biology; and (4) the principles of reconstruction and classification of acetabular bone loss. Each group came to consensus, when possible, based on an extensive literature review. This document provides an overview of these 4 areas, the consensus each group arrived at, and directions for future research.

Original languageEnglish (US)
JournalHSS Journal
DOIs
StateAccepted/In press - 2021

Keywords

  • acetabular bone loss
  • acetabular component revision
  • consensus
  • revision total hip arthroplasty

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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