Individualized megaimplants in acetabular revision arthroplasty: what have we learned in the last 15 years?

IF 4.3 2区 医学 Q1 ORTHOPEDICS Efort Open Reviews Pub Date : 2024-05-10 DOI:10.1530/EOR-24-0064
Thorsten Gehrke, Mustafa Citak, Mustafa Akkaya
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Abstract

Acetabular revision arthroplasty, a demanding field of reconstructive hip surgery, calls for innovative strategies to deal with challenging bone defects and implant failure seen in revision cases. Conventional implant solutions might fall short of adequately addressing severe bone loss and ensuring stable fixation, highlighting the necessity of customized strategies. Personalized megaimplants, distinguished by their tailor-made design and large-scale construction, present a viable option to overcome these challenges. The present article provides an elaborate analysis of custom-made megaimplants in acetabular revision arthroplasty, shedding light on the underlying principles, design complexities, manufacturing methods, applications in the clinical setting, and outcome assessment. The aim of this review is to present a comprehensive insight into personalized megaimplants and their contribution to the advancement of orthopedic surgery.

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髋臼翻修关节置换术中的个性化巨型植入物:过去 15 年我们学到了什么?
髋臼翻修关节置换术是髋关节重建手术中要求较高的一个领域,需要创新的策略来应对翻修病例中出现的骨缺损和植入失败等难题。传统的植入物解决方案可能无法充分解决严重的骨缺损问题,也无法确保稳定的固定,这就凸显了定制化策略的必要性。个性化巨型种植体以其量身定制的设计和大规模的建造而与众不同,为克服这些挑战提供了一种可行的选择。本文详细分析了髋臼翻修关节置换术中的定制巨型植入物,阐明了其基本原理、设计复杂性、制造方法、临床应用和结果评估。本综述旨在全面介绍个性化巨型假体及其对骨科手术发展的贡献。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Efort Open Reviews
Efort Open Reviews Medicine-Orthopedics and Sports Medicine
CiteScore
6.60
自引率
2.90%
发文量
101
审稿时长
13 weeks
期刊介绍: EFORT Open Reviews publishes high-quality instructional review articles across the whole field of orthopaedics and traumatology. Commissioned, peer-reviewed articles from international experts summarize current knowledge and practice in orthopaedics, with the aim of providing systematic coverage of the field. All articles undergo rigorous scientific editing to ensure the highest standards of accuracy and clarity. This continuously published online journal is fully open access and will provide integrated CME. It is an authoritative resource for educating trainees and supports practising orthopaedic surgeons in keeping informed about the latest clinical and scientific advances. One print issue containing a selection of papers from the journal will be published each year to coincide with the EFORT Annual Congress. EFORT Open Reviews is the official journal of the European Federation of National Associations of Orthopaedics and Traumatology (EFORT) and is published in partnership with The British Editorial Society of Bone & Joint Surgery.
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