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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 The Clinical Perspective Nicholas Ramey
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 • Acetabular Component • Materials • Mechanics • Interfaces
Osteolysis Background • Biological Response • Radiographic Description • Role of Component Interfaces
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.
Expert Approach: Methods • Retrospective Analysis • Initial Assessments • Systematic Treatment • Determined Resolution
Expert Approach: Results • Osteolytic Path Description • Confirmed Successes
Expert Approach: Discussion • Polyethylene factor • Patient pain levels • Extensiveness of debridement • Suggestions
Personal Assessment • Clear Background • Appropriate Study Type • Vague/Confusing Result Report • Understandably Inexhaustive Conclusions
Next Step • Surgical CAD/CAM with S. Prasad, M. Li, N. Ramey • Assessment