The Direct Anterior Approach for Acetabular Augmentation in Primary Total Hip Arthroplasty

Overview

Journal Arthroplast Today

Publisher Elsevier

Date 2018 Mar 22

PMID 29560393

Citations 1

Authors

Erin Honcharuk

Stephen Kayiaros

Lee E Rubin

Affiliations

Soon will be listed here.

Abstract

Addressing acetabular bone defects can be difficult and depends on the amount of bone loss. Augments, either with bone or highly porous metals, are options that still allow the use of a hemispherical cup. Almost all previous research and publication on acetabular augments have focused on revision hip arthroplasty utilizing either a modified lateral or a posterolateral surgical approach. We describe 3 cases of augmenting acetabular bone defects through a direct anterior approach for primary total hip arthroplasty. We achieved proper cup placement, alignment, and augment incorporation while reconstructing complex acetabular deficiencies. All patients had complete pain relief and a satisfactory clinical outcome with stable radiographs at follow-up. With appropriate training, acetabular augmentation can be performed safely and efficiently with excellent clinical results through this approach.

Citing Articles

Triflange acetabular reconstruction for pelvic discontinuity through a direct anterior approach.

Ramsey R, Peyton R, Siddiqi A, George N Arthroplast Today. 2019; 5(4):407-412.

PMID: 31886380 PMC: 6920714. DOI: 10.1016/j.artd.2019.08.011.

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