Total hip arthroplasty with bulk femoral head autograft for acetabular reconstruction in developmental dysplasia of the hip
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 3, Pages 5866-5871
AbstractIntroduction: The long-term outcome of the total hip arthroplasty which is performed
with cement and with the use of a bulk autograft for acetabular reconstruction in
patients reported with developmental dysplasia involving hip have considerably varied.
The focus on achieving union and stability of the autogenous graft has been keenly
identified as key determinants of a successful outcome with this procedure.
Materials and Methodology: The proposed study period was estimated to be around
October 2019 to March 2021, 16 patients who were reported to be managed with
autologous bone graft in combination with an iliac osteotomy at the Department of
Orthopaedics, IGIMS, Patna. Patients who were maintaining a minimum of 12 months
were eligible to be included in the study.
Results: All grafts were united by one year on follow-up radiographs. At latest followup,
all hips were functioning well with no clinical signs of loosening and no revisions
had been performed. There was no discernible graft resorption or collapse and no
patient had acetabular loosening according to our criteria.
Conclusion: This study has represented that this technical variation which combines an
iliac osteotomy with the bulk autograft in the cases of developmental hip dysplasia has
enabled early stability and reliable graft incorporation which when combined together
with satisfactory clinical and radiological outcomes in the relatively short term.
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