@article{Rivera_Bardelli_Maniscalco_Giolitti_2020, title={Acetabular de-escalation in hip revision}, volume={91}, url={https://mattioli1885journals.com/index.php/actabiomedica/article/view/9552}, DOI={10.23750/abm.v91i4-S.9552}, abstractNote={<p class="p1"><span class="s5">B</span><span class="s1">a</span><span class="s5">ck</span><span class="s1">g</span><span class="s2">r</span><span class="s5">ound:</span> <span class="s5">The</span> <span class="s5">idea</span> <span class="s5">of</span> <span class="s10">‘</span><span class="s11">‘</span><span class="s5">de-es</span><span class="s1">c</span><span class="s5">alati</span><span class="s2">o</span><span class="s12">n</span><span class="s10">’</span><span class="s5">’</span> <span class="s5">(DE)</span> <span class="s5">indi</span><span class="s1">c</span><span class="s5">ates</span> <span class="s5">an</span> <span class="s5">a</span><span class="s1">r</span><span class="s5">th</span><span class="s2">r</span><span class="s5">oplas</span><span class="s1">t</span><span class="s5">y</span> <span class="s2">r</span><span class="s1">e</span><span class="s5">visi</span><span class="s2">o</span><span class="s5">n</span> <span class="s5">pe</span><span class="s1">r</span><span class="s5">fo</span><span class="s1">r</span><span class="s5">med</span> <span class="s5">by </span><span class="s14">c</span>hanging a <span class="s16">r</span><span class="s14">e</span>visi<span class="s16">o</span>n c<span class="s16">o</span>mp<span class="s16">o</span>nent by a p<span class="s14">r</span>ima<span class="s17">r</span>y c<span class="s16">o</span>mp<span class="s16">o</span>nent. Aim of this study is to <span class="s14">v</span>e<span class="s14">r</span>ify if this te<span class="s14">c</span>hnique <span class="s14">c</span>an <span class="s16">r</span>ep<span class="s16">r</span>esent an opti<span class="s16">o</span>n in <span class="s14">c</span>ase of <span class="s14">c</span>age or <span class="s14">r</span>ing failu<span class="s16">r</span>e. Methods: <span class="s21">W</span>e obse<span class="s22">r</span><span class="s14">v</span>ed fi<span class="s14">v</span>e<span class="s14"> c</span>ases of <span class="s16">r</span><span class="s14">e</span>visi<span class="s16">o</span>n hip <span class="s14">c</span>age loosening with c<span class="s16">o</span>mplete a<span class="s14">l</span>log<span class="s14">r</span>a<span class="s24">f</span>t c<span class="s16">o</span>nsolidati<span class="s16">o</span>n. This g<span class="s16">r</span>oup of patients we<span class="s16">r</span>e <span class="s16">r</span><span class="s14">e</span>vised with use of a p<span class="s14">r</span>ima<span class="s17">r</span>y cup and we<span class="s16">r</span>e specifi<span class="s14">c</span>a<span class="s14">ll</span>y fo<span class="s14">l</span>l<span class="s16">o</span>wed in ours instituti<span class="s16">o</span>ns offices. <span class="s26">P</span>atients we<span class="s16">r</span>e <span class="s24">c</span>lini<span class="s14">c</span>a<span class="s14">ll</span>y and<span class="s14"> r</span>adiologi<span class="s14">c</span>a<span class="s14">ll</span>y fo<span class="s14">l</span>l<span class="s16">o</span>wed <span class="s14">ev</span>e<span class="s17">r</span>y 6 m<span class="s16">o</span>nths for the next <span class="s14">t</span>wo <span class="s14">y</span>ears and then annua<span class="s14">ll</span>y Results:<span class="s16"> A</span>t final fo<span class="s14">l</span>l<span class="s16">o</span>w-up (15-2 <span class="s14">y</span>ears, mean 6 <span class="s14">y</span>ears) four patients (80%) sh<span class="s16">o</span>wed a <span class="s16">g</span>ood <span class="s16">r</span>ec<span class="s16">o</span><span class="s14">v</span>e<span class="s17">r</span>y of their l<span class="s14">ev</span>els of activi<span class="s14">t</span><span class="s29">y</span>. The mean Har<span class="s14">r</span>is hip sco<span class="s16">r</span>e imp<span class="s16">ro</span><span class="s14">v</span>ed f<span class="s16">ro</span>m 20 points (<span class="s14">r</span>ang<span class="s16">e</span>,7-38 points) p<span class="s16">r</span>eope<span class="s14">r</span>ati<span class="s14">v</span>e<span class="s14">l</span>y to 48 points (<span class="s14">r</span>ang<span class="s16">e</span>, 16-88 points). <span class="s16">A</span>t final <span class="s14">r</span>adiologi<span class="s14">c</span>al fo<span class="s14">l</span>l<span class="s16">o</span>w-up acetabular c<span class="s16">o</span>mp<span class="s16">o</span>nents we<span class="s16">r</span>e <span class="s14">r</span>adiog<span class="s14">r</span>a<span class="s16">p</span>hi<span class="s14">c</span>a<span class="s14">ll</span>y stable at the last fo<span class="s14">l</span>l<span class="s16">o</span>w-u<span class="s25">p</span>. One patient (20%) at <span class="s14">t</span>wo<span class="s14"> y</span>ears fo<span class="s14">l</span>l<span class="s16">o</span>w-u<span class="s25">p</span>, was unable to walk without c<span class="s14">r</span>ut<span class="s14">c</span>hies due to hip pain. X-<span class="s14">r</span><span class="s16">a</span><span class="s14">y</span>s sh<span class="s16">o</span>wed cup loosening in a<span class="s14">l</span>l th<span class="s16">r</span>ee <span class="s14">z</span><span class="s16">o</span>nes. <span class="s26">P</span>atient was dissatisfied. <span class="s25">P</span><span class="s14">r</span>ima<span class="s17">r</span>y cup was <span class="s16">r</span><span class="s14">e</span>vised with a Bu<span class="s16">r</span><span class="s14">c</span>h S<span class="s14">c</span>hneider <span class="s14">c</span>age. Conclusions: De-es<span class="s14">c</span>alati<span class="s16">o</span>n te<span class="s14">c</span>hnique is a surgi<span class="s14">c</span>al opti<span class="s16">o</span>n to c<span class="s16">o</span>nsider in <span class="s14">c</span>ase of <span class="s16">y</span>oung patients, limited number of p<span class="s16">r</span><span class="s14">e</span>vious <span class="s16">r</span><span class="s14">e</span>visi<span class="s16">o</span>ns and mo<span class="s16">r</span>e than th<span class="s16">r</span>ee <span class="s14">y</span>ears su<span class="s22">r</span>vivorship of loosened acetabular <span class="s14">c</span>age.</p>}, number={4-S}, journal={Acta Biomedica Atenei Parmensis}, author={Rivera, Fabrizio and Bardelli, Alessandro and Maniscalco, Pietro and Giolitti, Andrea}, year={2020}, month={May}, pages={110–114} }