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Copyright ©2012 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Orthop. Jul 18, 2012; 3(7): 95-100
Published online Jul 18, 2012. doi: 10.5312/wjo.v3.i7.95
Reconstruction options for acetabular revision
Erica D Taylor, James A Browne
Erica D Taylor, James A Browne, Department of Orthopaedic Surgery, University of Virginia, Charlottesville, VA 22908, United States
Author contributions: Taylor ED performed research; and Taylor ED and Browne JA wrote the paper.
Correspondence to: James A Browne, MD, Department of Orthopaedic Surgery, University of Virginia, PO Box 800159, 400 Ray C Hunt Drive, Suite 330, Charlottesville, VA 22908, United States.
Telephone: +1-434-9430278 Fax: +1-434-2430242
Received: January 30, 2012
Revised: May 31, 2012
Accepted: July 10, 2012
Published online: July 18, 2012

This article summarizes reconstruction options available for acetabular revision following total hip arthroplasty. A thoughtful methodology to the evaluation and treatment of patients with implant failure after joint replacement is essential to guarantee accurate diagnoses, appropriate triage to reconstruction options, and optimal clinical outcomes. In the majority of patients who undergo acetabular revision, factors such as bone loss and pelvic discontinuity provide a challenge in the selection and implementation of the proper reconstruction option. With advanced evaluation algorithms, imaging techniques, and implant designs, techniques have evolved to rebuild the compromised acetabulum at the time of revision surgery. However, clinical outcomes data for these techniques continue to lag behind the exponential increase in revision hip arthroplasty cases predicted to occur over the next several years. We encourage those involved in the treatment of patients undergoing hip replacement surgery to participate in well-designed clinical studies to enhance evidence-based knowledge regarding revision acetabular reconstruction options.

Keywords: Hip, Arthoplasty, Revision, Acetabulum, Tantalum