Cemented liner exchange with bone grafting halts the progression of periacetabular osteolysis.

Abstract

The aims of this were to examine the effect of acetabular liner exchange and intra-operative bone grafting surgery on peri-prosthetic osteolysis. Seven patients with well-fixed Harris-Galante-1 acetabular components received cemented exchange liners for worn liners associated with pre-operatively CT-quantified osteolysis. During surgery, accessible osteolytic lesions were debrided and bone-grafted. Except for one patient with recurrent dislocation and acetabular component revision, the other patients had CT scans at a median of 4 months and at approximately 4 years after surgery. None of the pre-operative lesions increased in volume during the post-operative reporting period and no new lesions were detected. These results show that cemented liner exchange surgery can halt the progression of osteolysis and that bone grafting has the potential to restore bone.

• Authors: Roumen Stamenkov, Susan D Neale, Timothy Kane, David M Findlay, David J Taylor, Donald W Howie
• Journal: The Journal of arthroplasty (J Arthroplasty) Vol. 29 Issue 4 Pg. 822-6 (Apr 2014) ISSN: 1532-8406 [Electronic] United States
• PMID: 24074890 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
• Copyright: © 2014 Elsevier Inc. All rights reserved.

Chemical References

• Biocompatible Materials
• Polyethylene

Topics

• Acetabulum (diagnostic imaging, surgery)
• Aged
• Arthroplasty, Replacement, Hip
• Biocompatible Materials
• Bone Transplantation
• Cementation
• Female
• Hip Prosthesis
• Humans
• Male
• Middle Aged
• Osteolysis (surgery)
• Polyethylene
• Prosthesis Failure
• Tomography, X-Ray Computed