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Observation only
0%
1/939
Nonsteroidal anti-inflammatory drugs and protected weight bearing
1%
6/939
Revision of the acetabular component with a jumbo cup with screws
11%
101/939
Revision of the acetabular component with a reinforcement cage and bone grafting
88%
824/939
Resection arthroplasty
3/939
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Current literature supports the use of reinforcement cages for the reconstruction of failed, loosened acetabular components associated with major bone loss as seen in this patient. Although results of revision using the so-called jumbo cup with screws generally have been good, the amount of bone loss and medial wall penetration shown here and the likelihood of pelvic discontinuity precludes the use of that technique. With either technique, bone grafting of remaining defects is recommended.
2.4
(8)
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