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In addressing an acetabular defect, it is critical to have an intimate understanding of the relevant anatomy and etiology of failure. Preoperative planning is key, and utilizing a scheme, such as the AAOS or Paprosky classification, is helpful in describing acetabular deficiency and planning for revision surgery. These problems are daunting and pose a significant burden on the patient, surgeon, and healthcare system. However, nearly all cases can be effectively addressed when paired with a correctly indicated surgical technique. In this chapter, the popular evidence-based reconstructive options will be presented, including hemispherical cups, reconstruction rings, structural allograft, modular porous metal augments, cages, and custom triflange acetabular components.

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Reconstruction of Acetabular Defects (i.e., Augments, Bone Grafts, Cups, and Cages)

  • 章节

  • 发表日期：

    2025年

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  • John K. Cordero,
  • Brett L. Hayden

摘要

In addressing an acetabular defect, it is critical to have an intimate understanding of the relevant anatomy and etiology of failure. Preoperative planning is key, and utilizing a scheme, such as the AAOS or Paprosky classification, is helpful in describing acetabular deficiency and planning for revision surgery. These problems are daunting and pose a significant burden on the patient, surgeon, and healthcare system. However, nearly all cases can be effectively addressed when paired with a correctly indicated surgical technique. In this chapter, the popular evidence-based reconstructive options will be presented, including hemispherical cups, reconstruction rings, structural allograft, modular porous metal augments, cages, and custom triflange acetabular components.