Acetabular revision surgery revisited: do changing indications influence bone defect management? A comprehensive review
Abstract
Modern bearings have changed reasons for revision hip surgery; however, acetabular bone defects are still a challenging condition. Advanced imaging techniques, including newer 3D preoperative planning, have improved the understanding of bone stock. Current acetabular tools reduce the bone loss during implant removal and are reliable to predict the new reconstruction. Although bone allograft is useful in younger patients with a high lifetime risk for revision, some limitations have been reported for segmental large defects and pelvic discontinuity. Encouraging results are obtained with porous metal augments and custom-made implants in combination or not with bone grafts, but long-term results and cost-effectiveness are controversial. In this review, we aimed to address the best rationale to this complex topic 25 years after the introduction of highly cross-linked polyethylene. Furthermore, we sought to identify whether the lower prevalence of osteolysis eases acetabular revision surgery within the increasing number of re-revision surgeries.
Related
- Patient-specific management in high-risk revision total hip arthroplasty: mid-term outcomes of a next-generation constrained acetabular liner.
- Minimally invasive management of pediatric hereditary spherocytosis: severity-stratified biliary risk and indications for simultaneous cholecystectomy and biliary intervention at laparoscopic splenectomy – a single-center retrospective study
- Osteosarcopenia revisited: from mechanisms to management
- Editorial: Innovating public mental health: integrating digital therapeutics for comprehensive mood disorder management
- Influence of coronary artery calcium scores on hypertension management decision-making
BibTeX
@article{garciarey2026acetabular,
title = {{Acetabular revision surgery revisited: do changing indications influence bone defect management? A comprehensive review}},
author = {Eduardo García-Rey and Sebastien Lustig and Theofilos Karachalios and Luigi Zagra},
journal = {EFORT Open Reviews},
year = {2026},
month = oct,
doi = {10.1530/eor-2026-0029},
url = {https://hal.science/hal-05778367v1},
note = {CC BY},
}
RIS
TY - JOUR
TI - Acetabular revision surgery revisited: do changing indications influence bone defect management? A comprehensive review
AU - Eduardo García-Rey
AU - Sebastien Lustig
AU - Theofilos Karachalios
AU - Luigi Zagra
PY - 2026
DA - 2026/10/01
JO - EFORT Open Reviews
DO - 10.1530/eor-2026-0029
UR - https://hal.science/hal-05778367v1
AB - Modern bearings have changed reasons for revision hip surgery; however, acetabular bone defects are still a challenging condition. Advanced imaging techniques, including newer 3D preoperative planning, have improved the understanding of bone stock. Current acetabular tools reduce the bone loss during implant removal and are reliable to predict the new reconstruction. Although bone allograft is useful in younger patients with a high lifetime risk for revision, some limitations have been reported for segmental large defects and pelvic discontinuity. Encouraging results are obtained with porous metal augments and custom-made implants in combination or not with bone grafts, but long-term results and cost-effectiveness are controversial. In this review, we aimed to address the best rationale to this complex topic 25 years after the introduction of highly cross-linked polyethylene. Furthermore, we sought to identify whether the lower prevalence of osteolysis eases acetabular revision surgery within the increasing number of re-revision surgeries.
SN - 2396-7544
ER -