{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T17:11:12Z","timestamp":1787505072424,"version":"build-2736575974"},"reference-count":39,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"2","license":[{"start":{"date-parts":[[2015,2,1]],"date-time":"2015-02-01T00:00:00Z","timestamp":1422748800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":["online.boneandjoint.org.uk"],"crossmark-restriction":true},"short-container-title":["The Bone &amp; Joint Journal"],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:p>Conventional cemented acetabular components are reported to have a high rate of failure when implanted into previously irradiated bone. We recommend the use of a cemented reconstruction with the addition of an acetabular reinforcement cross to improve fixation.<\/jats:p>\n                  <jats:p>We reviewed a cohort of 45 patients (49 hips) who had undergone irradiation of the pelvis and a cemented total hip arthroplasty (THA) with an acetabular reinforcement cross. All hips had received a minimum dose of 30 Gray (Gy) to treat a primary nearby tumour or metastasis. The median dose of radiation was 50 Gy (Q1 to Q3: 45 to 60; mean: 49.57, 32 to 72).<\/jats:p>\n                  <jats:p>The mean follow-up after THA was 51 months (17 to 137). The cumulative probability of revision of the acetabular component for a mechanical reason was 0% (0 to 0%) at 24 months, 2.9% (0.2 to 13.3%) at 60 months and 2.9% (0.2% to 13.3%) at 120 months, respectively. One hip was revised for mechanical failure and three for infection.<\/jats:p>\n                  <jats:p>Cemented acetabular components with a reinforcement cross provide good medium-term fixation after pelvic irradiation. These patients are at a higher risk of developing infection of their THA.<\/jats:p>\n                  <jats:p>Cite this article: Bone Joint J 2015;97-B:177\u201384.<\/jats:p>","DOI":"10.1302\/0301-620x.97b2.34545","type":"journal-article","created":{"date-parts":[[2015,1,27]],"date-time":"2015-01-27T10:12:29Z","timestamp":1422353549000},"page":"177-184","update-policy":"https:\/\/doi.org\/10.1302\/crossmark-policy","source":"Crossref","is-referenced-by-count":25,"title":["A cemented acetabular component with a reinforcement cross provides excellent medium-term fixation in total hip arthroplasty after pelvic irradiation"],"prefix":"10.1302","volume":"97-B","author":[{"given":"A.","family":"Felden","sequence":"first","affiliation":[{"name":"H\u00f4pital Cochin, 27\rrue du Faubourg Saint-Jacques, 75014, Paris, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Vaz","sequence":"additional","affiliation":[{"name":"Pavillon T de l'H\u00f4pital Edouard Herriot, Hospices\rCivils de Lyon, place d\u2019Arsonval, 69003\rLyon, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Kreps","sequence":"additional","affiliation":[{"name":"H\u00f4pital Europ\u00e9en Georges Pompidou, 20\rRue Leblanc, 75015 Paris, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Anract","sequence":"additional","affiliation":[{"name":"H\u00f4pital Cochin, 27\rrue du Faubourg Saint-Jacques, 75014, Paris, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Hamadouche","sequence":"additional","affiliation":[{"name":"H\u00f4pital Cochin, 27\rrue du Faubourg Saint-Jacques, 75014, Paris, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. 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