Long-term clinical outcome following the use of hydroxyapatite/β-tricalcium phosphate to fill bone defects in revision hip arthroplasty: A case report

Ruta Jakušonoka, Sandris Petronis, Viktors Ļiņovs, Andris Jumtiņš, Zane Pavāre, Alexander Lerner

Research output: Contribution to conferenceAbstract

Abstract

Introduction: With the increasing number of primary total hip joint replacements, a substantial increase in the number of revision operations is to be expected. During arthroplasty revision, bone defects should be filled. In case of femoral bone defects during revisions, there are no metal augments for filling these defects.
Case report: The authors present the case of the use of biphasic calcium phosphate (BCP) ceramic granules with hydroxyapatite/β-tricalcium phosphate (HAp/β-TCP) filling bone defects during hip arthroplasty revisions and eight years follow-up. A 59-year-old female suffered infected loosening of the left hip non-cemented endoprosthesis. During arthroplasty revisions bone defects occurred which were filled with HAp/β-TCP. Patient had periprosthetic fracture of the distal third of the femur one year after revision arthroplasty. Osteosynthesis of periprosthetic fracture with blade plate and two cerclage wires was performed and BCP ceramic granules with HAp/β-TCP were used to fill the bone defect. Patient returned to previous work and activities.
Discussion and conclusion: This case highlights the possibilities of alternative method, which might be used to fill femoral bone defects during revision arthroplasty. We suggest that BCP ceramic granules with HAp/β-TCP can be used for filling bone defects, as BCP ceramic granules transplant is adjusted to meet the demands of the bone defect anatomy. Further studies are recommended
Original languageEnglish
Number of pages1
Publication statusPublished - 2020
Event40th Israeli Association of Orthopedics Annual Virtual Congress - Tel-Aviv, Israel
Duration: 3 Dec 20204 Feb 2021
Conference number: 40

Congress

Congress40th Israeli Association of Orthopedics Annual Virtual Congress
CountryIsrael
CityTel-Aviv
Period3/12/204/02/21

Field of Science

  • 3.2 Clinical medicine

Publication Type

  • 3.4. Other publications in conference proceedings (including local)

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