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Trabecular metal™ is a well-established and well-described material used to supplement deficient bone stock in surgery of the spine, hip, and knee.
The deficient bone stock and posterior comminution play a significant role in biological failure to unite the fracture.
Different studies report the need to restore the acetabular anatomy and the anatomical center of rotation of the hip in order to obtain stable fixation of the prosthetic components, especially in revision surgery in cases with deficient bone stock [21, 40].
Revision arthroplasty often requires anchoring of prostheses to poor-quality or deficient bone stock.
What does one do when the prosthesis fails with deficient bone stock?
In revision joint arthroplasty, the surgeon is often confronted with deficient bone stock and must attempt to bridge bone defects when grafting is not feasible.
However, recent studies have investigated the efficacy of revision TAA (Espinosa and Wirth 2013, Hintermann et al. 2013, Zgonis 2013) but most of them have not specifically addressed the problem of deficient bone stock.
Bim-deficient (B6.129S1-Bcl2l11tm1.1Ast/J stock number: 004525) and LPR (B6.MRL-Faslpr/J stock number: 000482) mice (both backcrossed onto a C57BL/6 background for >20 generations) were purchased from Jackson Labs.
Cav1-deficient mice (STOCK Cav1tm1Mls/J; Razani et al, 2001a) and WT B6129SF2/J controls were from The Jackson Laboratory (USA) and were used for in vivo and ex vivo experiments.
A commonly cited contraindication to reverse total shoulder arthroplasty is deficient glenoid bone stock.
The most difficult cases involve a loose prosthesis coupled with deficient metaphyseal bone stock rendering a basic revision procedure impossible.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com