Trabecular metal used for major bone loss in acetabular hip. Aug 31, 20 the supporting structures of the acetabulum used by the paprosky classification as seen on routine ap radiographs of the pelvis include the teardrop medial wall, red arrow, hip center migration superior walldome, green bracket, the kohler line anterior columnmedial wall, blue line, and the presence or absence of ischial lysis posterior columnposterior wall, yellow square. Femur is characterized by a nonsupportive metaphysis. Paprosky classification of acetabular bone loss jessica j. Paprosky key points successful reconstruction of the acetabulum during revision total hip arthroplasty requires a thorough understanding of host bone defects. Acetabular defect classification and surgical reconstruction in revision arthroplasty. In the paprosky type 3b hips included in this study, bone loss was so severe that alternative modalities were thought to have a high risk of failure because of insufficient bone stock. Please vote below and help us build the most advanced adaptive learning platform in. Read, highlight, and take notes, across web, tablet, and phone. Reconstruction for pelvic discontinuity and massive.
Documents similar to defectos cristalinos superficiales y dislocaciones carousel previous carousel next. Gee, md department of orthopaedics and sports medicine, university of washington, 1959 ne pacific street, box 3565000, seattle, wa 98195 usa. Revision of a cemented acetabular component to a cementless acetabular compo nent. Femur is similar to the femur in a primary total hip arthroplasty type 2a. Classification of acetabular defects in revison total hip. Chapter 89 acetabular reconstruction classification of bone defects and treatment options geoffrey wright and wayne g. Aug 31, 20 many different classification schemes have been proposed to describe the extent of periacetabular bone loss in revision tha including those proposed by paprosky et al.
Pinzamiento femoroacetabular by luis saavedra on prezi. Tibia nail il system instruments quantity pin 19500509e 195005 ioe 19500511e 19500512e 19600810e 19600807e 195005e 19600816e 19600900e 1960e. Oct 15, 2014 in the paprosky type 3b hips included in this study, bone loss was so severe that alternative modalities were thought to have a high risk of failure because of insufficient bone stock. All acetabular prostheses were ringloc triflange acetabular components biomet inc, warsaw, in, usa. Classifications used in total hip arthroplasty intechopen. Revision hip arthroplasty classification and algorithmic. Pdf radiographic evaluation of 19 patients with paprosky. Defect has calcar bone loss that does not extend to the subtrochanteric level, which is fairly supportive type 2b. Please vote below and help us build the most advanced adaptive learning platform in medicine. Reconstruccion osea acetabular con cotilos no cementados y.
Save up to 80% by choosing the etextbook option for isbn. Purpose revision tha commonly results in some degree of bone loss at the time of implant removal. Femur is characterized by loss of the anterolateral region of the subtrochanteric bone of the metaphysis type 2c. Tipo i columnas continentes, sin osteolisis ni migracion. Paprosky femoral defects classification orthopaedicsone. Paprosky classification for acetabular defects the acetabular classification system of paprosky is commonly used to assist in preoperative planning and is based upon the severity of bone loss and the ability to obtain stability of the revision component with a cementless acetabular component for a given pattern of bone loss 4. Protesis y ortesis ortopedicas by pepita castillo on prezi. May 22, 2016 paprosky classification for acetabular defects the acetabular classification system of paprosky is commonly used to assist in preoperative planning and is based upon the severity of bone loss and the ability to obtain stability of the revision component with a cementless acetabular component for a given pattern of bone loss 4.