1. Treatment of Pelvic Osteolysis
The Clinical Perspective
Nicholas Ramey

2. The Goal

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

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

5. Component Background Acetabular Component Materials Mechanics
Interfaces

6. Osteolysis Background
Biological Response
Radiographic Description
Role of Component Interfaces

7. 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

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

9. Expert Approach: Results
Osteolytic Path Description
Confirmed Successes

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

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

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