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Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2025, vol. 31, issue3
Subject Area: Medicine
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DOI: 10.5272/jimab.2025313.6386
Published online: 12 August 2025
Review article
J of IMAB. 2025 Jul-Sep;31(3):6386-6393
MEDIUM-TERM RESULTS OF THE USE OF CEMENTLESS, PLASMA-COATED WITH DISPERSED TITANIUM POWDER AND HYDROXYAPATITE, ANATOMICAL ACETABULAR CAGES
Hristo Petrichev
, Spas Radev, Valentin Petrov, Petko Ganev, Valeri Stavrev
,
Department of Orthopedics and Traumatology, Faculty of Medicine, Medical University Plovdiv, Bulgaria.
ABSTRACT:
Background: The purpose of this study is to report the medium-term clinical and radiographic results of Paprosky type II and III acetabular bone defects revised with a cementless anatomical cage and cemented lipped acetabular cup.
Methods: We retrospectively analyzed 58 patients who underwent revision hip arthroplasty with cementless anatomical cages and lipped cemented acetabular cups between April 2009 and December 2013. We registered the following bone defects: Paprosky type IIA - 12 patients, Paprosky type IIB – 15 patients, 14 patients were with Paprosky type IIIA - 14 patients and with Paprosky type IIIB – 17 patients (pelvic discontinuity). Clinical assessment included Harris Hip Score (HHS) and Short Form-12 (SF-12). The radiographic assessment included the center of rotation, cage migration, and osteointegration of the implant.
Results: We followed up the patients included in our series with a mean follow-up of 89.5 months (range 38–141), The Harris Hip Score (HHS) improved from 29.5 (12–41) points preoperatively to 87.7 (57–96) points during the last follow-up, and the Short Form – 12 (SF–12) also increased. In 1 patient we did revision due to cage loosening and broken screw 57 months after surgery. In 2 patients we registered non-progressive radiolucency in the AP and Lateral radiographs without any clinical complaints.
Conclusion: The cementless anatomical cage combined with a cemented lipped acetabular cup achieves a good result with a high osteointegration rate in Paprosky type II and III acetabular bone defects.
Keywords: Cementless acetabular cage, revision hip arthroplasty, acetabular bone defects,
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Please cite this article as: Petrichev H, Radev S, Petrov V, Ganev P, Stavrev V. Medium-term results of the use of cementless, plasma-coated with dispersed titanium powder and hydroxyapatite, anatomical acetabular cages. J of IMAB. 2025 Jul-Sep;31(3):6386-6393. [Crossref - 10.5272/jimab.2025313.6386]
Correspondence to: Valeri Stavrev, Department of Orthopedics and Traumatology, Medical Faculty, Medical University – Plovdiv; 66. Peshtersko shose Blvd., floor 5. 4002 Plovdiv, Bulgaria; E-mail: vstavrev@yahoo.com
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Received: 30 December 2024
Published online: 12 August 2025