PRACTICE PEARLS: Use of a Triflange Cup in Revision THA

    The goals of revision total hip arthroplasty are to:

    • Restore bone stock
    • Achieve component stability
    • Restore the hip center of rotation

    Acetabular bone loss – particularly in Paprosky 3A and 3B defects and pelvic dissociation – jeopardizes these goals, however, compromising the success of the revision procedure.

    Fortunately, Harold E. Cates, MD, from the Tennessee Orthopaedic Clinics in Knoxville, has a solution: the use of triflange cups, which he has found to provide reliable fixation for even the most complex acetabular deficiencies.

    In addition, the cup he prefers has a standard locking mechanism that allows him to employ a variety of liners.

    Dr. Cates has used triflange cups in dozens of procedures in which the patient had too much bone loss to support a traditional cementless cup. At ICJR’s Pan Pacific Orthopaedic Congress, Dr. Cates reviewed the lessons he has learned, as well as provided his top surgical pearls.

    Click the image above to watch Dr. Cates present on triflange cups.


    Dr. Cates has no disclosures relevant to this article.