Revision of Acetabular Component with a Debonded Porous Coating in an Elderly Patient

Geriatrics

卷:5

Goran Bicanic¹  Stjepan Dokuzovic²  Katarina Barbaric Starcevic³  Domagoj Delimar³  Damir Starcevic⁴ 

[1] Al Zahra Hospital Dubai, Department of Orthopaedic Surgery, 00000 Dubai, UAE;

[2] Clinic for Traumatology, University Hospital Centre Sisters of Charity, Draškovićeva 19, 10000 Zagreb, Croatia;

[3] Department of Orthopaedic Surgery, University Hospital Centre Zagreb, Salata 6, 10000 Zagreb, Croatia;

[4] Special Hospital for orthopedic surgery “Akromion”, Ljudevita Gaja 2, 49217 Krapinske Toplice, Croatia;

关键词: revision;    total hip arthroplasty;    debonding;    acetabular component;    porous coating;    elderly patient;   

DOI  :  10.3390/geriatrics5040073

来源: DOAJ

【 摘 要 】

Debonding of the porous coating from the acetabular component of a total hip endoprosthesis is a rare complication. Revision total hip arthroplasty for an unstable acetabular component with a debonded porous coating strongly fixed to the bone can be challenging, especially in elderly patients of poor overall health. In such patients, revision procedures should be as simple and safe as possible. We present our technique of solving that problem in a case of an 82-year-old female with bad general condition and unstable acetabular component of hip endoprosthesis. Because of extremely deficient bone stock, a well-fixed porous coating was left in acetabulum to serve as a “cage“, allowing cemented acetabular component placement. This procedure can reduce the risk of intraoperative bone fracture, blood loss, and duration of surgery, which is important in elderly patients with poor overall health.

【 授权许可】

Unknown