Drs Kandel, Rivkin, Friedman, Segal, Liebergall, and Mattan are from the Hadassah-Hebrew University Medical Center, Jerusalem, Israel.Drs Kandel, Rivkin, Friedman, Segal, Liebergall, and Mattan have no relevant financial relationships to disclose.
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abstractFull article available online at OrthoSuperSite.com/view.asp?rID=41917Osteolysis around a cementless acetabular component can lead to severe bone loss. This study examined whether osteolysis should be treated while still asymptomatic. Thirtyseven liner cementation revisions were performed in 34 patients. Mean patient age was 61 years, and mean time elapsed after index surgery was 85 months (range, 36-168 months). Patients were evaluated by Harris Hip Score (HHS), and mean follow-up was 5 years (range, 43-82 months). Average HHS was 87 with a pain component of 39. In asymptomatic patients, both the HHS and the pain score were significantly higher: 95 and 43, respectively (P<.01). One patient with extensive bone loss had a fracture of the acetabulum and underwent revision at another institution. Revision of the polyethylene liner and cementation of a new one is a useful technique in patients with a stable acetabular shell. This is especially true for asymptomatic patients with osteolysis and thus should be performed early; however, high dislocation rate is still a concern.