Functional and radiological outcome of periprosthetic femoral fractures after hip arthroplasty.

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Abstract

[Indexed for MEDLINE] 9. HSS J. 2022 Feb;18(1):8-41. doi: 10.1177/15563316211034850. Epub 2021 Sep 28. The Diagnosis and Treatment of Acetabular Bone Loss in Revision Hip Arthroplasty: An International Consensus Symposium. Sculco PK(1), Wright T(1), Malahias MA(1), Gu A(2), Bostrom M(1), Haddad F(3), Jerabek S(1), Bolognesi M(4), Fehring T(5), Gonzalez DellaValle A(1), Jiranek W(4), Walter W(6), Paprosky W(7), Garbuz D(8), Sculco T(1). Author information: (1)Hospital for Special Surgery, New York, NY, USA. (2)George Washington University School of Medicine & Health Sciences, Washington, DC, USA. (3)University College London Hospitals NHS Foundation Trust and Institute of Sport, Exercise & Health, London, UK. (4)Duke University Health System, Durham, NC, USA. (5)OrthoCarolina, Charlotte, NC, USA. (6)Royal North Shore Hospital, St. Leonards, NSW, Australia. (7)Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA. (8)Department of Orthopaedics, The University of British Columbia, Vancouver, BC, Canada. Despite growing evidence supporting the evaluation, classification, and treatment of acetabular bone loss in revision hip replacement, advancements have not been systematically incorporated into a single document, and therefore, a comprehensive review of the treatment of severe acetabular bone loss is needed. The Stavros Niarchos Foundation Complex Joint Reconstruction Center at Hospital for Special Surgery held an Acetabular Bone Loss Symposium on June 21, 2019, to answer the following questions: What are the trends, emerging technologies, and areas of future research related to the evaluation and management of acetabular bone loss in revision hip replacement? What constitutes the optimal workup and management strategies for acetabular bone loss? The 36 international experts convened were divided into groups, each assigned to discuss 1 of 4 topics: (1) preoperative planning and postoperative assessment; (2) implant selection, management of osteolysis, and management of massive bone loss; (3) the treatment challenges of pelvic discontinuity, periprosthetic joint infection, instability, and poor bone biology; and (4) the principles of reconstruction and classification of acetabular bone loss. Each group came to consensus, when possible, based on an extensive literature review. This document provides an overview of these 4 areas, the consensus each group arrived at, and directions for future research. © The Author(s) 2021. DOI: 10.1177/15563316211034850 PMCID: PMC8753540