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      The Double-Cup Construct: A Novel Treatment Strategy for the Management of Paprosky IIIA and IIIB Acetabular Defects.

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          Abstract

          Treatment of massive acetabular bone loss in revision total hip arthroplasty is complex, and various treatment strategies have been described. We describe a novel technique of using a Trabecular Metal Revision Shell as a buttress augment creating a "double-cup" construct rather than the use of custom triflanges or cup-cage constructs for Paprosky types IIIA and IIIB acetabular defects.

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          Author and article information

          Journal
          J Arthroplasty
          The Journal of arthroplasty
          Elsevier BV
          1532-8406
          0883-5403
          September 2017
          : 32
          : 9S
          Affiliations
          [1 ] Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts; Department of Orthopedic Surgery, Mayo Clinic Health System Eau Claire, Eau Claire, Wisconsin.
          [2 ] Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts; Department of Orthopedic Surgery and Rehabilitation, Fort Belvoir Community Hospital, Orthopaedics and Podiatry Service, Fort Belvoir, Virginia.
          [3 ] Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts; Department of Adult Reconstruction, Florida Orthopaedic Institute, Tampa, Florida.
          [4 ] Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts; Department of Orthopaedics and Sports Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire.
          [5 ] Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts.
          Article
          S0883-5403(17)30339-X
          10.1016/j.arth.2017.04.017
          28529110

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