Impaction Bone Grafting Combined with Titanium Mesh for Acetabular Bone Defects Reconstruction in Total Hip Arthroplasty Revision: A Retrospective and Mini‐Review Study

Orthopaedic Surgery

Chu‐heng Wu¹  Ming Fu¹  Bai‐qi Pan¹  Xiao‐yu Wu¹  Xiang Li¹  Pu‐yi Sheng¹  Wei‐ming Liao¹ 

[1] Department of Orthopaedic The First Affiliated Hospital of Sun Yat‐Sen University Guangzhou China;

关键词: Acetabular defects;    Bone mineral density;    Impaction bone grafting;    Revision;    Total hip arthroplasty;   

DOI  :  10.1111/os.13262

来源: DOAJ

【 摘 要 】

Objective To investigate the application of impaction bone grafting (IBG) combined with Ti‐alloy mesh for acetabular bone defect reconstruction in total hip arthroplasty (THA) revision and follow up the clinical outcomes and imaging findings. Methods The clinical and imaging data of patients who were admitted to our hospital from January 2000 to December 2020 and underwent acetabular bone defects reconstruction using IBG combined with titanium mesh were retrospectively analyzed. Preoperative and post‐revision Oxford and Harris scores, and post‐revision complications were evaluated. Radiographs were used to determine center of rotation (COR) of the hip joint, transparency line, bone graft fusion, and bone mineral density (BMD) around the hip joint. Results Significant improvement was observed in both Oxford and Harris scores (P < 0.05). The radiographs taken at the last follow‐up examination showed no significant differences in the acetabulum COR, offsets, inclination angle, mean ratio of vertical value, and BMD analysis between the post‐revision side and contralateral side (P > 0.05). The follow‐up data showed restoration of the mesh implant and graft bone fusion. Conclusions The application of IBG combined with titanium‐alloy mesh in revision THA patients with acetabular defects was found to provide satisfactory outcomes. However, large‐scale studies are still needed to further elucidate the long‐term outcomes.

【 授权许可】

Unknown