Reconstruction of the acetabulum in THA using femoral head autografts in developmental dysplasia of the hip

Journal of Orthopaedic Surgery and Research

Ulrich Boudriot¹  Thomas J Heyse²  Jan Schmitt²  Thomas Pressel²  Markus D Schofer² 

[1] Department of Orthopaedic, Sankt Elisabeth Hospital, Gütersloh, Germany;Department of Orthopaedics and Rheumatology, University Hospital Marburg, Germany

关键词: THA;    primary total hip arthroplasty;    developmental dysplasia of the hip;    Bone graft;   

Others  :  823638
DOI  :  10.1186/1749-799X-6-32

 received in 2010-08-06, accepted in 2011-06-22,  发布年份 2011

【 摘 要 】

Background

Severe acetabular deficiencies in cases of developmental dysplasia of the hip (DDH) often require complex reconstructive procedures in total hip arthroplasty (THA). The use of autologous femoral head grafts for acetabular reconstruction has been described, but few data is available about clinical results, the rates of non-union or aseptic loosening of acetabular components.

Methods

In a retrospective approach, 101 patients with 118 THA requiring autologous femoral head grafts to the acetabulum because of DDH were included. Six patients had died, another 6 were lost to follow-up, and 104 hips were available for clinical and radiological evaluation at a mean of 68 ± 15 (13 to 159) months.

Results

The average Merle d'Aubigné hip score improved from 9 to 16 points. Seven implants had to be revised due to aseptic loosening (6.7%). The revisions were performed 90 ± 34 (56 to 159) months after implantation. The other hips showed a stable position of the sockets without any signs of bony non-union, severe radiolucencies at the implant-graft interface or significant resorption of the graft.

Conclusion

The use of autologous femoral head grafts with cementless cups in primary THA can achieve promising short- to midterm results in patients with dysplastic hips.

【 授权许可】

   
2011 Schofer et al; licensee BioMed Central Ltd.

【 图 表 】

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