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Treatment of Pelvic Osteolysis
The Clinical Perspective Nicholas Ramey
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The Goal
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The Problem THA components present bio-compatibility issues resulting in pelvic osteolysis.
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The Solutions The Maloney Approach tries to deliver
The CIS Team takes the challenge
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Component Background Acetabular Component Materials Mechanics
Interfaces
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Osteolysis Background
Biological Response Radiographic Description Role of Component Interfaces
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Expert Approach Maloney, W.J. M.D. “Treatment of Pelvic Osteolysis Associated with a Stable Acetabular Component Inserted without Cement as Part of a Total Hip Replacement.” J. Bone and Joint Surg. 79-A, November 1997, pp
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Expert Approach: Methods
Retrospective Analysis Initial Assessments Systematic Treatment Determined Resolution
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Expert Approach: Results
Osteolytic Path Description Confirmed Successes
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Expert Approach: Discussion
Polyethylene factor Patient pain levels Extensiveness of debridement Suggestions
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Personal Assessment Clear Background Appropriate Study Type
Vague/Confusing Result Report Understandably Inexhaustive Conclusions
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Next Step Surgical CAD/CAM with S. Prasad, M. Li, N. Ramey Assessment
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