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Major acetabular defects: outcomes of first revision total hip arthroplasty using Kerboull cross-plate with allograft and cemented dual mobility cup at a maximum follow-up of fourteen years

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Abstract

Background

The use of dual mobility cups (DMC) has been shown to reduce hip instability after revision surgery. For severe acetabular bone loss, reconstruction with a Kerboull cross-plate and bone allograft would contribute to restoring native hip position and bone stock. Only two papers reported on the combination of Kerboull cross-plate with bone allograft and cemented DMC in revision total hip arthroplasty (THA).

Methods

This is a monocentric retrospective study (28 cases) of first-time revision THA using such a construct in American Association of Orthopaedic Surgeons (AAOS) grade III and IV acetabular bone defect. Detailed demographic, clinical and radiographic results were recorded and evaluated.

Results

With a mean follow-up of six ± 3.63 years, no case of instability was reported. The modified Harris Hip Score (mHHS) was 88.4 ± 10.1. No hook fracture or mechanical failure was observed. Non-progressive radiolucent lines were recorded. Osteointegration of the allografts was observed in all cases with a mean Grodet score of 7.9 ± 0.97.

Conclusions

In first revision THA, the use of a Kerboull cross-plate with allograft and a cemented DMC in AAOS grade III and IV acetabular bone defects demonstrated excellent clinical and radiological outcomes with no recorded cases of dislocation or mechanical failure.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Lebanese American University Medical Center-Rizk Hospital, Lebanese American University School of Medicine, Beirut, Lebanon

    Chahine Assi, Jad Mansour, Karl Boulos, Camille Samaha, Elie El-Kayyem & Kaissar Yammine

  2. Center of Evidence-Based Anatomy, Sports & Orthopedic Research, Beirut, Lebanon

    Chahine Assi

  3. Institut de Chirurgie Orthopédique, Lyon, France

    Jacques Caton & Kaissar Yammine

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  1. Chahine Assi
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  2. Jad Mansour
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  4. Jacques Caton
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  7. Kaissar Yammine
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Contributions

CA and KY designed the study, JM and KB extracted the data, KY analyzed the data, all authors contributed to the discussion and revised the manuscript.

Corresponding author

Correspondence to Kaissar Yammine.

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The Lebanese American University’s ethical committee approved the study. This retrospective chart review study involving human participants was in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The Human Investigation Committee (IRB) of medical center approved this study. Informed consent was obtained from all individual participants included in the study.

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Patients signed informed consent regarding publishing their data and photographs.

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The authors declare no competing interests.

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Assi, C., Mansour, J., Boulos, K. et al. Major acetabular defects: outcomes of first revision total hip arthroplasty using Kerboull cross-plate with allograft and cemented dual mobility cup at a maximum follow-up of fourteen years. International Orthopaedics (SICOT) 46, 2539–2546 (2022). https://doi.org/10.1007/s00264-022-05556-1

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