Acetabular revisions using trabecular metal cups and augments.

The purpose of this study is to evaluate the efficacy of trabecular metal (TM) shells and augments in acetabular revisions with significant pelvic bone loss. We retrospectively reviewed 97 cases of consecutive loose total hip arthroplasty with a minimum of Paprosky grade IIA pelvic bone loss treated with a TM revision acetabular component with or without modular augments. The average Harris hip score improved from 55 preoperatively to 76 postoperatively. At the most recent radiographic evaluation, 88 cups demonstrated no lucent lines, 1 cup had lucent lines but remained well fixed, and 8 cups underwent resection arthroplasty for infection. One cup was revised for chronic instability. There were no aseptic failures in this series. Trabecular metal acetabular cups and shells with or without the use of modular augments can be effectively used to revise failed acetabular components in patients with substantial pelvic bone loss.