The Journal of Bone and Joint Surgery (American). 2006;88:2231-2236.
doi:10.2106/JBJS.E.00247
© 2006 The Journal of Bone and Joint Surgery, Inc.
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 Adult Hip Reconstruction Test 22: Winter 2007 (publication date February 15...
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High Placement of Noncemented Acetabular Components in Revision Total Hip Arthroplasty

A Concise Follow-Up, at a Minimum of Fifteen Years, of a Previous Report*

Kelly J. Hendricks, MD1 and William H. Harris, MD, DSc2

1 Kelly J. Hendricks, MD Department of Orthopaedic Surgery, University of Kansas Medical Center, MS 3017, 3905 Rainbow Boulevard, Kansas City, KS 66210. E-mail address for K.J. Hendricks: kchendri2002{at}yahoo.com
2 William H. Harris, MD, DSc Harris Orthopaedic Biomechanics and Biomaterials Laboratory, Massachusetts General Hospital, 55 Fruit Street GRJ 1126, Boston, MA, 02114. E-mail address for W.H. Harris: wharris.obbl{at}partners.org

Investigation performed at the Department of Orthopaedic Surgery and the Harris Orthopaedic Biomechanics and Biomaterials Laboratory, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts

Dearborn JT, Harris WH. High placement of an acetabular component inserted without cement in a revision total hip arthroplasty. Results after a mean of ten years. J Bone Joint Surg Am. 1999;81:469-80.

In support of their research for or preparation of this manuscript, one or more of the authors received grants or outside funding from the William H. Harris Foundation. In addition, one or more of the authors received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity (Zimmer, Inc.). Also, a commercial entity (Zimmer, Inc.) paid or directed, or agreed to pay or direct, benefits to a research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.

* Original Publication

We previously reported the average ten-year results associated with the use of porous-coated noncemented acetabular shells that were placed at a high hip center at the time of revision total hip arthroplasty in thirty-four patients (thirty-six hips) with severe acetabular bone loss. We now report the average 16.8-year results for twenty-one patients (twenty-three hips). Of the original cohort of forty-four patients (forty-six hips), thirty-nine patients (forty-one hips; 89%) retained the shell. Two shells (4.3%) were revised because of aseptic loosening, and three (6.5%) were revised because of infection. Six femoral components were revised because of femoral osteolysis, and seven were revised because of aseptic loosening without osteolysis. On the basis of our results after an average duration of follow-up of 16.8 years, we believe that the placement of an uncemented acetabular component at a high hip center continues to be an excellent technique for revision total hip arthroplasty in selected patients with severe acetabular bone loss.

Level of Evidence: Therapeutic Level IV. See Instructions to Authors for a complete description of levels of evidence.


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D. K. Park, C. J. Della Valle, L. Quigley, M. Moric, A. G. Rosenberg, and J. O. Galante
Revision of the Acetabular Component without Cement. A Concise Follow-up, at Twenty to Twenty-four Years, of a Previous Report
J. Bone Joint Surg. Am., February 1, 2009; 91(2): 350 - 355.
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