Hip revision cup: treatment

Position, incision:

• lateral position, we used the previous posterolateral incision, removed the screws, the augment and the rotated cup.
• local situation: severe posterior column defect and severe superolateral defect. Anterior column thinned, but intact.

Procedure:

• application of 3.5 reconstruction plate (DePuy-Synthes) in titan from the ischium to the ilium in the superolateral position, used to restore the posterior column and the lateral border.
• bone substitutes with growth factors
• Application of Lima revision cup 

We restored the leg length, postoperative time: no limitation of movement, absence of full weigth bearing for about 6 weeks.

Link: turn to the case presentation

Please open the discussion and give us your comments: alternative incision, position and revision cup?