79-year-old male patient

Re-Revision, Treatment with MP Reconstruction System, MobileLink including Dual Mobility und TrabecuLink Augment

Dr. Steffen Brodt

Head of Department Hip
Waldklinken Eisenberg
Germany

Case Description

  • Low-grade infection of the right hip joint and metallosis

  • 2007: THA right side

  • 2008: Stem replacement with aseptic loosening

  • Multiple dislocations

  • 2011: Revision of inlay and head due to detected bacteria (proprioni)

  • 2012: Re-Revision of inlay and head due to detected staph. capitis and proprioni

 

Course of Treatment

X-ray Girdlestone, December 2020

X-ray Girdlestone (lateral), December 2020

  • 12/2020: Explantation THA right, debridement, spacer
  • Defect acetabulum: Paprosky IIB
  • Defect femur: IIIB with femoral fracture
  • 02/2021: Reimplantation of a THA right 
  • Components: 
    • MP Reconstruction System Stem: cementless, length 210 mm, prox. diameter 16 mm Neck Segment: XXL,
      length 65 mm,  CCD 126°
    • TrabecuLink Augment size 54 mm, depth 10 mm
    • MobileLink Acetabular Cup System Shell: size 62 mm, TiCaP coated Dual Mobility Insert: size F, Dual Mobility Liner
    • Bone Screw 6.5 mm x 25 mm
    • Prosthesis Head A ø 28 mm, CoCr, size M

Conclusion

X-ray postoperative, February 2021 

X-ray postoperative (lateral), February 2021

  • In this case, the LINK revision portfolio enabled a secure, cementless restoration of the complex revision case.
  • The MP Reconstruction System allowed the defect zone in the proximal femur to be safely bridged. Even in a rather short femoral segment, the cementless MP provided secure support without sintering of the stem. Due to the modularity in the area of the neck segment, the length could be individually adjusted.
  • The large defect in the area of the acetabular rim was covered with an augment. This created optimum stability. Thus, a "normal" press-fit cup could be implanted. 
  • Despite the extensive defect zones, a stable and safe revision THA was successfully be implanted with the LINK Hip Revision Systems.

Dr. Pablo Sanz-Ruiz

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Madrid, Spain

  • 69-year-old female patient

  • Revision, Treatment with MobileLink, MEGASYSTEM-C & Endo Model

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Dr. Steffen Brodt

Patient Case from
Eisenberg, Germany

  • 56-year-old male patient

  • Re-Revision, Treatment with MP Reconstruction System
     

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Dr. Russell T. Nevins

Patient Case from
Las Vegas, USA

  • 69-year-old male patient

  • Re-Revision, Treatment with MP Reconstruction System
     

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Dr. Rafael J. Sierra

Patient Case from
Minnesota, USA

  • 67-year-old female patient

  • Revision, Treatment with MP Reconstruction System
     

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Dr. Steffen Brodt

Patient Case from
Eisenberg, Germany

  • 79-year-old male patient

  • Re-Revision, Treatment with MP Reconstruction System, MobileLink, TrabecuLink Augment

View Full Case