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Adult Reconstruction
intermediate
X-Type

Revision Hip Arthroplasty Bone Loss

Revision Arthroplasty

A 72-year-old woman presents with progressive groin pain 15 years after primary total hip arthroplasty. Radiographs show significant acetabular osteolysis with migration of the cup, disruption of the Kohler line, and a failed anterior column. The ischium remains intact. The femoral stem shows proximal bone loss but the diaphysis is intact. Regarding classification and management of bone loss in revision hip arthroplasty:

Mark each as TRUE or FALSE

A

The Paprosky acetabular classification grades bone loss: Type I (supportive rim, intact columns), Ty...

B

Acetabular reconstruction options include hemispheric cups with screw augmentation (Type I-II with g...

C

Type I Paprosky has the most bone loss; the Kohler line violation indicates intact medial wall; Type...

D

The Paprosky femoral classification grades bone loss: Type I (minimal metaphyseal damage, intact dia...

E

Femoral reconstruction options match bone loss: Type I-II can use extensively porous-coated stems or...

Answer the questions to see explanations

Click T (True) or F (False) for each option