Instructional Course Lecture   |    
Advances in Acetabular Reconstruction in Revision Total Hip ArthroplastyMaximizing Function and Outcomes After Treatment of Periacetabular Osteolysis Around the Well-Fixed Shell
Adam Hall, MD1; Mark Eilers, MD1; Rachel Hansen, BSc1; Brooke S. Robinson, MPH1; William J. Maloney, MD2; Wayne G. Paprosky, MD3; Michael D. Ries, MD4; Khaled J. Saleh, BSc, MD, MSc, FRCS(C), MHCM1
1 Division of Orthopaedics, Department of Surgery, Southern Illinois University School of Medicine, P.O. Box 19679, Springfield, IL 62794-9679. E-mail address for K.J. Saleh: ksaleh@siumed.edu
2 Stanford Medicine Outpatient Center, 450 Broadway Street, Redwood City, CA 94063
3 Midwest Orthopaedics, 25 North Winfield Road, Winfield, IL 60190
4 Department of Orthopaedic Surgery, University of California San Francisco, 1500 Owens Street, San Francisco, CA 94158
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An Instructional Course Lecture, American Academy of Orthopaedic Surgeons

Look for this and other related articles in Instructional Course Lectures, Volume 63, which will be published by the American Academy of Orthopaedic Surgeons in March 2014:

“Advances in Acetabular Osteolysis: Biomarkers, Imaging, and Pharmacologic Management,” by Kenneth D. Illingworth, MD, Nathan Wachter, BS, William J. Maloney, MD, Wayne G. Paprosky, MD, Michael D. Ries, MD, and Khaled J. Saleh, BSc, MD, MSc, FRCS(C), MHCM

Printed with permission of the American Academy of Orthopaedic Surgeons. This article, as well as other lectures presented at the Academy’s Annual Meeting, will be available in March 2014 in Instructional Course Lectures, Volume 63. The complete volume can be ordered online at www.aaos.org, or by calling 800-626-6726 (8 a.m.-5 p.m., Central time).

Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. One or more of the authors, or his or her 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. Also, one or more of the authors has had another relationship, or has engaged in another activity, 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.

Copyright © 2013 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2013 Sep 18;95(18):1709-1718. doi: 10.2106/JBJS.9518icl
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As the numbers of primary and revision hip arthroplasties increase, a comprehensive approach to acetabular revision is needed. A substantial number of patients with radiographic osteolysis in the hip after a total hip arthroplasty have a well-fixed acetabular shell. The purpose of this paper was to describe the classification and treatment of these patients, including the exposure of the acetabular component with a retained, well-functioning femoral component; access to osteolytic lesions; bone-grafting; liner fixation; and when to make the decision to remove the well-fixed acetabular shell.
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