🔍 Key Findings

Population: 9 dogs underwent revision of osteointegrated acetabular cups after total hip arthroplasty (THA)

Revision Indications:

• 7 luxations (5 ventral, 2 craniodorsal)
• 1 femoral stem fracture
• 1 aseptic stem loosening

Implants:

• 8 BFX cups, 1 Helica; all revised to BFX
• 7/9 required a larger cup than original

Cup removal: Required sectioning with a high-speed burr and modular osteotome; removal fragments extracted

Complications:

• 1 recurrent luxation
• 1 low-grade infection with possible metallic debris-associated osteolysis
• 2 femoral fissures managed intraoperatively

Outcomes:

• Good to excellent function in 6/6 dogs available at median 621 days
• Minimal complications with success in re-osteointegration of new cup

Clinical takeaway: Revision of stable, ingrown cups is feasible and offers an alternative to pelvic osteotomies; typically requires upsizing