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Current Concepts Review   |    
Management of Acetabular Bone Loss in Revision Total Hip Arthroplasty
Gregory K. Deirmengian, MD1; Benjamin Zmistowski, BS1; Joseph T. O'Neil, BA1; William J. Hozack, MD1
1 Rothman Institute of Orthopaedics, Thomas Jefferson University Medical School, 925 Chestnut Street, Philadelphia, PA 19107
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Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his institution), from a third party in support of any aspect of this work. One or more of the authors, or his institution, has had a financial relationship, in the thirty-six months prior to submission of this work, with an entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. No author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

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Investigation performed at the Rothman Institute of Orthopaedics, Thomas Jefferson University Medical School, Philadelphia, Pennsylvania

Copyright © 2011 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2011 Oct 05;93(19):1842-1852. doi: 10.2106/JBJS.J.01197
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Abstract

Most acetabular revisions can be managed with a hemispherical component with screw fixation.

Areas of segmental bone loss that preclude acetabular component stability may be managed with structural allograft or second-generation porous metal augments.

Acetabular cages have a limited application but can be a useful tool in the management of massive bone loss and pelvic discontinuity.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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