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Treatment of Pelvic Osteolysis

Treatment of Pelvic Osteolysis. The Clinical Perspective Nicholas Ramey. The Goal. The Problem. THA components present bio-compatibility issues resulting in pelvic osteolysis. The Solutions. The Maloney Approach tries to deliver The CIS Team takes the challenge. Component Background.

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Treatment of Pelvic Osteolysis

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  1. Treatment of Pelvic Osteolysis The Clinical Perspective Nicholas Ramey

  2. The Goal

  3. The Problem THA components present bio-compatibility issues resulting in pelvic osteolysis.

  4. The Solutions • The Maloney Approach tries to deliver • The CIS Team takes the challenge

  5. Component Background • Acetabular Component • Materials • Mechanics • Interfaces

  6. Osteolysis Background • Biological Response • Radiographic Description • Role of Component Interfaces

  7. 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. 1628-1634.

  8. Expert Approach: Methods • Retrospective Analysis • Initial Assessments • Systematic Treatment • Determined Resolution

  9. Expert Approach: Results • Osteolytic Path Description • Confirmed Successes

  10. Expert Approach: Discussion • Polyethylene factor • Patient pain levels • Extensiveness of debridement • Suggestions

  11. Personal Assessment • Clear Background • Appropriate Study Type • Vague/Confusing Result Report • Understandably Inexhaustive Conclusions

  12. Next Step • Surgical CAD/CAM with S. Prasad, M. Li, N. Ramey • Assessment

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