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CASE REPORT
Year : 2009  |  Volume : 43  |  Issue : 2  |  Page : 218-221

Acetabular revision using a total acetabular allograft


Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Vijay Kumar
Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi -110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5413.50860

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The most challenging aspect of an acetabular revision is the management of severe bone loss, which compromises implant fixation and stability. We present a case of failed acetabular revision with extensive bone loss (Paprosky Type 3b) in a 50-year-old woman with rheumatoid arthritis, which was treated using total acetabular allograft. At a follow-up of 1 year and 3 months, the allograft had united with the host bone. This is the first report of the use of a total acetabular allograft for revision total hip arthroplasty in India. The total acetabular allograft allows the placement of the component closer to the normal hip center, provides initial stability for the acetabular component, and restores bone stock to the host pelvis.


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