The Diagnosis and Treatment of Acetabular Bone Loss in Revision Hip Arthroplasty: An International Consensus Symposium. Issue 1 (February 2022)

• Record Type: Journal Article
• Authors: Sculco, Peter K.; Wright, Timothy; Malahias, Michael-Alexander; Gu, Alexander; Bostrom, Mathias; Haddad, Fares; Jerabek, Seth; Bolognesi, Michael; Fehring, Thomas; Gonzalez DellaValle, Alejandro; Jiranek, William; Walter, William; Paprosky, Wayne; Garbuz, Donald; Sculco, Thomas
• Other Names: Abdel Matthew non-byline-author.; Boettner Friedrich non-byline-author.; Benazzo Francesco non-byline-author.; Buttaro Martin non-byline-author.; Choi Daniel non-byline-author.; Engh Charles Anderson non-byline-author.; Garcia-Cimbrelo Eduardo non-byline-author.; Garcia-Rey Eduardo non-byline-author.; Gehrke Thorsten non-byline-author.; Griffin William L. non-byline-author.; Hansen Erik non-byline-author.; Hozack William J. non-byline-author.; Jones Stephen non-byline-author.; Lee Gwo-Chin non-byline-author.; Lipman Joe non-byline-author.; Manktelow Andrew non-byline-author.; McLaren Alex C. non-byline-author.; Nelissen Rob non-byline-author.; O'Hara Lawrence non-byline-author.; Perka Carsten non-byline-author.; Sporer Scott non-byline-author.
• Is Part Of: HSS journal. Volume 18:Issue 1(2022)
• Page Start: 8
• Page End: 41
• Publication Date: 2022-02
• Subjects: acetabular bone loss -- revision total hip arthroplasty -- acetabular component revision -- consensus; Musculoskeletal system -- Surgery -- Periodicals; Orthopedic surgery -- Periodicals; Musculoskeletal System -- surgery -- Periodicals; Orthopedic Procedures -- Periodicals; Orthopédie -- Périodiques; Appareil locomoteur -- Maladies -- Périodiques; Appareil locomoteur -- Maladies -- Patients -- Réadaptation -- Périodiques; 617.47005
• DOI: 10.1177/15563316211034850
• Languages: English
• ISSNs: 1556-3316

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.