The Journal of Bone and Joint Surgery (American). 2006;88:559-563.
doi:10.2106/JBJS.E.00389
© 2006 The Journal of Bone and Joint Surgery, Inc.
Revision of Failed Acetabular Components with Use of So-Called Jumbo Noncemented Components
A Concise Follow-Up of a Previous Report*
Kelly J. Hendricks, MD1 and
William H. Harris, MD, DSc2
1 University of Kansas Medical Center, MS 3017 3905 Rainbow Boulevard, Kansas
City, KS 66210. E-mail address:
kchendri2002{at}yahoo.com
2 Orthopaedic Biomechanics and Biomaterials Laboratory, Massachusetts General
Hospital, 55 Fruit Street, GRJ 1126, Boston, MA 02114. E-mail address:
wharris.obbl{at}partners.org
Investigation performed at the Department of Orthopaedic Surgery and
the Orthopaedic Biomechanics and Biomaterials Laboratory, Massachusetts
General Hospital and Harvard Medical School, Boston, Massachusetts
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, MD, 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
Dearborn JT, Harris WH. Acetabular
revision arthroplasty using socalled jumbo cementless components: an average
7-year follow-up study. J Arthroplasty.2000
;15:8-15.[CrossRef][Medline]
Acetabular revision in the presence of major bone-stock deficiency is a
difficult clinical and surgical problem. Of an original pool of twenty-four
consecutive patients treated with an acetabular revision with a so-called
jumbo (>65-mm) cementless hemispherical acetabular component, fifteen were
followed for an average of seven years in our previous study. The current
report presents the results for the twelve patients in this group who were
alive at a minimum of twelve years (mean, 13.9 years) postoperatively and
agreed to return for follow-up. The average final Harris hip score was 79
points. No acetabular shell had been revised because of aseptic loosening, and
none was loose as seen radiographically. The complication rate was high but
was largely related to infection. In the patients without infection, the
fixation of these large sockets remained excellent at the time of long-term
follow-up.
Level of Evidence: Therapeutic Level IV. See Instructions
to Authors for a complete description of levels of evidence.

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