Treatment of Pelvic Osteolysis

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Presentation transcript:

Treatment of Pelvic Osteolysis The Clinical Perspective Nicholas Ramey

The Goal

The Problem THA components present bio-compatibility issues resulting in pelvic osteolysis.

The Solutions The Maloney Approach tries to deliver The CIS Team takes the challenge

Component Background Acetabular Component Materials Mechanics Interfaces

Osteolysis Background Biological Response Radiographic Description Role of Component Interfaces

Expert Approach Maloney, W.J. M.D. “Treatment of Pelvic Osteolysis Associated with a Stable Acetabular Component Inserted without Cement as Part of a Total Hip Replacement.” J. Bone and Joint Surg. 79-A, November 1997, pp. 1628-1634.

Expert Approach: Methods Retrospective Analysis Initial Assessments Systematic Treatment Determined Resolution

Expert Approach: Results Osteolytic Path Description Confirmed Successes

Expert Approach: Discussion Polyethylene factor Patient pain levels Extensiveness of debridement Suggestions

Personal Assessment Clear Background Appropriate Study Type Vague/Confusing Result Report Understandably Inexhaustive Conclusions

Next Step Surgical CAD/CAM with S. Prasad, M. Li, N. Ramey Assessment