{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T09:55:28Z","timestamp":1790934928709,"version":"4.1.0"},"reference-count":45,"publisher":"Bioscientifica","issue":"10","license":[{"start":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T00:00:00Z","timestamp":1790899200000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.bioscientifica.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Modern bearings have changed reasons for revision hip surgery; however, acetabular bone defects are still a challenging condition. Advanced imaging techniques, including newer 3D preoperative planning, have improved the understanding of bone stock. Current acetabular tools reduce the bone loss during implant removal and are reliable to predict the new reconstruction. Although bone allograft is useful in younger patients with a high lifetime risk for revision, some limitations have been reported for segmental large defects and pelvic discontinuity. Encouraging results are obtained with porous metal augments and custom-made implants in combination or not with bone grafts, but long-term results and cost-effectiveness are controversial. In this review, we aimed to address the best rationale to this complex topic 25 years after the introduction of highly cross-linked polyethylene. Furthermore, we sought to identify whether the lower prevalence of osteolysis eases acetabular revision surgery within the increasing number of re-revision surgeries.<\/jats:p>","DOI":"10.1530\/eor-2026-0029","type":"journal-article","created":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T09:13:03Z","timestamp":1790932383000},"page":"1064-1072","update-policy":"https:\/\/doi.org\/10.1530\/crossmarkpolicy-16","source":"Crossref","is-referenced-by-count":0,"title":["Acetabular revision surgery revisited: do changing indications influence bone defect management? A comprehensive review"],"prefix":"10.1530","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8378-8096","authenticated-orcid":true,"given":"Eduardo","family":"Garc\u00eda-Rey","sequence":"first","affiliation":[{"name":"Department of Orthopedic and Traumatology, La Paz University Hospital-IdiPaz 1 , ,","place":["Madrid, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastien","family":"Lustig","sequence":"additional","affiliation":[{"name":"Orthopaedics Surgery and Sports Medicine Department FIFA Medical Centre of Excellence, Croix-Rousse Hospital Lyon University Hospital Lyon France 2 , ,","place":["Lyon, France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theofilos","family":"Karachalios","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Musculoskeletal Trauma, University General Hospital of Larissa, School of Health Sciences, Faculty of Medicine, University of Thessaly 3 , , ,","place":["Larissa, Thessalia Sterea Ellada, Greece"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6687-2029","authenticated-orcid":true,"given":"Luigi","family":"Zagra","sequence":"additional","affiliation":[{"name":"Hip Department, IRCCS Istituto Ortopedico Galeazzi 4 , ,","place":["Milan, Italy"]},{"name":"Universit\u00e0 Vita-Salute San Raffaele 5 , ,","place":["Milan, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"416","published-online":{"date-parts":[[2026,10,1]]},"reference":[{"key":"2026100205125722700_bib1","doi-asserted-by":"crossref","first-page":"1119","DOI":"10.2106\/00004623-199274080-00001","article-title":"Early and late loosening of the acetabular cup after low-friction arthroplasty","volume":"74","author":"Garc\u00eda-Cimbrelo","year":"1992","journal-title":"J Bone Joint Surg Am"},{"key":"2026100205125722700_bib2","doi-asserted-by":"crossref","first-page":"1767","DOI":"10.1016\/j.arth.2015.04.018","article-title":"The outcome of 241 charnley total hip arthroplasties performed by one surgeon 30 to 40 years ago","volume":"30","author":"Hartofilakidis","year":"2015","journal-title":"J Arthroplast"},{"key":"2026100205125722700_bib3","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1097\/00003086-200112000-00007","article-title":"Wear and periprosthetic osteolysis: the problem","volume":"393","author":"Harris","year":"2001","journal-title":"Clin Orthop Relat Res"},{"key":"2026100205125722700_bib4","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1302\/0301-620X.101B4.BJJ-2018-1223.R1","article-title":"Outcome of a hemispherical porous-coated acetabular component with a proximally hydroxyapatite-coated anatomical femoral component: an update at 23 to 26 years\u2019 follow-up","volume":"101-B","author":"Garc\u00eda-Rey","year":"2019","journal-title":"Bone Joint Lett J"},{"key":"2026100205125722700_bib5","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1302\/0301-620X.98B1.36527","article-title":"Highly cross-linked polyethylene decreases the rate of revision of total hip arthroplasty compared with conventional polyethylene at 13 years\u2019 follow-up","volume":"98-B","author":"Hanna","year":"2016","journal-title":"Bone Joint Lett J"},{"key":"2026100205125722700_bib6","doi-asserted-by":"crossref","first-page":"1032","DOI":"10.1302\/0301-620X.104B9.BJJ-2022-0434.R1","article-title":"New polyethylenes in total hip arthroplasty: a 20- to 22-year follow-up study","volume":"104-B","author":"Garc\u00eda-Rey","year":"2022","journal-title":"Bone Joint Lett J"},{"key":"2026100205125722700_bib7","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1016\/j.arth.2024.08.015","article-title":"Choice of bearings influences the implant survival of total hip arthroplasty in patients who have osteoarthritis aged 55 years or older: results of 158,044 patients from the nordic arthroplasty register association from 2005 to 2017","volume":"40","author":"Pakarinen","year":"2025","journal-title":"J Arthroplast"},{"key":"2026100205125722700_bib8","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1302\/2058-5241.5.200002","article-title":"Global diversity in bearings in primary THA","volume":"5","author":"Tsikandylakis","year":"2020","journal-title":"EFORT Open Rev"},{"key":"2026100205125722700_bib9","volume-title":"The Swedish Arthroplasty Register","author":"Annual report 2024"},{"key":"2026100205125722700_bib10","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1007\/s12570-010-0020-z","article-title":"Porous metallic structures for orthopaedic applications: a short review of materials and technologies","volume":"1","author":"Marin","year":"2010","journal-title":"Eur Orthopaedics Traumatol"},{"key":"2026100205125722700_bib11","doi-asserted-by":"crossref","first-page":"S48","DOI":"10.5301\/hipint.5000170","article-title":"Treatment of failures related to articulation material in THA. 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