Research progress in Cup-cage reconstruction for patients with chronic pelvic discontinuity after total hip arthroplasty_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

PU Xingxiao , WANG Qiuru , LI Qianhao , CAI Lijun , HAN Guangtao ,  KANG Pengde

Department of Orthopedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P. R. China;

Corresponding author：

KANG Pengde, Email: kangpd@163.com

Keywords：

Cup-cage renconstruction; total hip arthroplasty; chronic pelvic discontinuity

DOI：

10.7507/1002-1892.202408064

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To summarize research progress on application of Cup-cage reconstruction in revision of chronic pelvic discontinuity (CPD) in patients undergoing total hip arthroplasty (THA). Methods Relevant literature at home and abroad in recent years was reviewed to summarize the principles of the Cup-cage reconstruction, preoperative patient assessment, intraoperative skills, clinical and radiological effectiveness, limitations, and postoperative complications. Results For the treatment of CPD, the Cup-cage reconstruction achieved long-term acetabular cup bone ingrowth, CPD healing, and biologic fixation of the prosthesis by restoring pelvic continuity. Preoperative evaluation of the surgical site and general condition is necessary. The main intraoperative objectives are to reconstruct pelvic continuity, restore the center of rotation of the hip, and avoid neurovascular injury. Current studies have demonstrated significant clinical and radiological effectiveness as well as acceptable prosthesis survival rates after operation. Nevertheless, there is a lack of evidence regarding the staging of CPD, the optimal surgical approach and internal fixation, and the factors influencing postoperative prosthesis survival remain undefined. Conclusion Cup-cage reconstruction can be an effective treatment for CPD after THA, but there is still a need to explore CPD staging, Cup-cage approach and internal fixation, and influencing factors on prosthesis survival.

Citation： PU Xingxiao, WANG Qiuru, LI Qianhao, CAI Lijun, HAN Guangtao, KANG Pengde. Research progress in Cup-cage reconstruction for patients with chronic pelvic discontinuity after total hip arthroplasty. Chinese Journal of Reparative and Reconstructive Surgery, 2024, 38(12): 1530-1536. doi: 10.7507/1002-1892.202408064 Copy

1.
2.
3.
4.
5.
6.
7.	Tarabichi S, Baker CM, Lizcano JD, et al. Porous metal augments have comparable outcomes to other constructs for severe acetabular bone loss at mid-term follow-up. J Arthroplasty, 2024.
8.	Chaudhry F, Daud A, Greenberg A, et al. Cup-cage constructs in revision total hip arthroplasty for pelvic discontinuity. Bone Joint J, 2024, 106-B(5 Supple B): 66-73.
9.
10.	Callary SA, Broekhuis D, Barends J, et al. Virtual biomechanical assessment of porous tantalum and custom triflange components in the treatment of patients with acetabular defects and pelvic discontinuity. Bone Joint J, 2024, 106-B(5 Supple B): 74-81.
11.	Mu W, Xu B, Wahafu T, et al. What are the functional, radiographic, and survivorship outcomes of a modified cup-cage technique for pelvic discontinuity? Clin Orthop Relat Res, 2024.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.	Wassilew GI, Zimmerer A, Fischer M, et al. Reconstruction of Paprosky ⅢB acetabular defects with porous tantalum shells and augments using the footing technique. Bone Joint J, 2024, 106-B(5 Supple B): 54-58.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.	Rhee I, Tirosh O, Ho A, et al. Do certain patient cohorts benefit from different surgical approaches in total hip arthroplasty? J Arthroplasty, 2023, 38(8): 1545-1550.
35.
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
48.
49.
50.
51.	Ballester Alfaro JJ, Sueiro Fernández J. Trabecular metal buttress augment and the trabecular metal cup-cage construct in revision hip arthroplasty for severe acetabular bone loss and pelvic discontinuity. Hip Int, 2010, 20 Suppl 7: S119-S127.
52.
53.
54.
55.

1.
2.
3.
4.
5.
6.
7. Tarabichi S, Baker CM, Lizcano JD, et al. Porous metal augments have comparable outcomes to other constructs for severe acetabular bone loss at mid-term follow-up. J Arthroplasty, 2024.
8. Chaudhry F, Daud A, Greenberg A, et al. Cup-cage constructs in revision total hip arthroplasty for pelvic discontinuity. Bone Joint J, 2024, 106-B(5 Supple B): 66-73.
9.
10. Callary SA, Broekhuis D, Barends J, et al. Virtual biomechanical assessment of porous tantalum and custom triflange components in the treatment of patients with acetabular defects and pelvic discontinuity. Bone Joint J, 2024, 106-B(5 Supple B): 74-81.
11. Mu W, Xu B, Wahafu T, et al. What are the functional, radiographic, and survivorship outcomes of a modified cup-cage technique for pelvic discontinuity? Clin Orthop Relat Res, 2024.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23. Wassilew GI, Zimmerer A, Fischer M, et al. Reconstruction of Paprosky ⅢB acetabular defects with porous tantalum shells and augments using the footing technique. Bone Joint J, 2024, 106-B(5 Supple B): 54-58.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34. Rhee I, Tirosh O, Ho A, et al. Do certain patient cohorts benefit from different surgical approaches in total hip arthroplasty? J Arthroplasty, 2023, 38(8): 1545-1550.
35.
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
48.
49.
50.
51. Ballester Alfaro JJ, Sueiro Fernández J. Trabecular metal buttress augment and the trabecular metal cup-cage construct in revision hip arthroplasty for severe acetabular bone loss and pelvic discontinuity. Hip Int, 2010, 20 Suppl 7: S119-S127.
52.
53.
54.
55.

Chinese Journal of Reparative and Reconstructive Surgery

Research progress in Cup-cage reconstruction for patients with chronic pelvic discontinuity after total hip arthroplasty

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content