Skip to main content
Top
Published in: International Orthopaedics 9/2016

Open Access 01-09-2016 | Original Paper

Long-term results of acetabular reconstruction using three bulk bone graft techniques in cemented total hip arthroplasty for developmental dysplasia

Authors: Kenichi Oe, Hirokazu Iida, Hiroshi Kawamura, Narumi Ueda, Tomohisa Nakamura, Naofumi Okamoto, Yusuke Ueda

Published in: International Orthopaedics | Issue 9/2016

Login to get access

Abstract

Purpose

The aims of this retrospective study were to firstly introduce three practical bulk bone graft techniques based on acetabular morphology for dysplasia and secondly evaluate the long-term durability of acetabular reconstruction using those techniques combined with cemented total hip arthroplasty (THA).

Methods

The study comprised 101 consecutive THAs with a minimum follow-up of ten years; these procedures were categorised as being L shape (n = 58), Wall (n = 33) and D shape (n = 10) types.

Results

At the last follow-up, all bone grafts acquired trabecular reorientation, and no evidence of revision for aseptic or radiological loosening was noted.

Conclusions

These bone graft techniques will be effective for improving the management of dysplasia in cemented THA by providing both acetabular reconstruction and cement containment.
Literature
1.
go back to reference Charnley J, Feagin JA (1973) Low-friction arthroplasty in congenital subluxation of the hip. Clin Orthop Relat Res 91:98–113CrossRefPubMed Charnley J, Feagin JA (1973) Low-friction arthroplasty in congenital subluxation of the hip. Clin Orthop Relat Res 91:98–113CrossRefPubMed
2.
go back to reference Johnston RC, Brand RA, Crowninshield RD (1979) Reconstruction of the hip. A mathematical approach to determine optimum geometric relationships. J Bone Joint Surg Am 61:639–652PubMed Johnston RC, Brand RA, Crowninshield RD (1979) Reconstruction of the hip. A mathematical approach to determine optimum geometric relationships. J Bone Joint Surg Am 61:639–652PubMed
3.
go back to reference Yoder SA, Brand RA, Pedersen DR, O’Gorman TW (1988) Total hip acetabular component position affects component loosening rates. Clin Orthop Relat Res 228:79–87PubMed Yoder SA, Brand RA, Pedersen DR, O’Gorman TW (1988) Total hip acetabular component position affects component loosening rates. Clin Orthop Relat Res 228:79–87PubMed
4.
go back to reference Dorr LD, Wolf AW, Chandler R, Conaty JP (1983) Classification and treatment of dislocations of total hip arthroplasty. Clin Orthop Relat Res 173:151–158 Dorr LD, Wolf AW, Chandler R, Conaty JP (1983) Classification and treatment of dislocations of total hip arthroplasty. Clin Orthop Relat Res 173:151–158
5.
go back to reference Harris WH, Crothers O, Oh I (1977) Total hip replacement and femoral-head bone-grafting for severe acetabular deficiency in adults. J Bone Joint Surg Am 59:752–759PubMed Harris WH, Crothers O, Oh I (1977) Total hip replacement and femoral-head bone-grafting for severe acetabular deficiency in adults. J Bone Joint Surg Am 59:752–759PubMed
6.
go back to reference Iida H, Matsusue Y, Kawanabe K, Okumura H, Yamamuro T, Nakamura T (2000) Cemented total hip arthroplasty with acetabular bone graft for developmental dysplasia. Long-term results and survivorship analysis. J Bone Joint Surg (Br) 82:176–184CrossRef Iida H, Matsusue Y, Kawanabe K, Okumura H, Yamamuro T, Nakamura T (2000) Cemented total hip arthroplasty with acetabular bone graft for developmental dysplasia. Long-term results and survivorship analysis. J Bone Joint Surg (Br) 82:176–184CrossRef
7.
go back to reference Wolfgang GL (1990) Femoral head autografting with total hip arthroplasty for lateral acetabular dysplasia. A 12-year experience. Clin Orthop Relat Res 255:173–185PubMed Wolfgang GL (1990) Femoral head autografting with total hip arthroplasty for lateral acetabular dysplasia. A 12-year experience. Clin Orthop Relat Res 255:173–185PubMed
8.
go back to reference Bobak P, Wroblewski BM, Siney PD, Fleming PA, Hall R (2000) Charnley low-friction arthroplasty with an autograft of the femoral head for developmental dysplasia of the hip. The 10- to 15-year results. J Bone Joint Surg (Br) 82:508–511CrossRef Bobak P, Wroblewski BM, Siney PD, Fleming PA, Hall R (2000) Charnley low-friction arthroplasty with an autograft of the femoral head for developmental dysplasia of the hip. The 10- to 15-year results. J Bone Joint Surg (Br) 82:508–511CrossRef
9.
go back to reference Akiyama H, Kawanabe K, Iida H, Haile P, Goto K, Nakamura T (2010) Long-term results of cemented total hip arthroplasty in developmental dysplasia with acetabular bulk bone grafts after improving operative techniques. J Arthroplasty 25:716–720CrossRefPubMed Akiyama H, Kawanabe K, Iida H, Haile P, Goto K, Nakamura T (2010) Long-term results of cemented total hip arthroplasty in developmental dysplasia with acetabular bulk bone grafts after improving operative techniques. J Arthroplasty 25:716–720CrossRefPubMed
10.
go back to reference Sugano N, Nishii T, Nakata K, Masuhara K, Takaoka K (1995) Polyethylene sockets and alumina ceramic heads in cemented total hip arthroplasty. A ten-year study. J Bone Joint Surg (Br) 77:548–556 Sugano N, Nishii T, Nakata K, Masuhara K, Takaoka K (1995) Polyethylene sockets and alumina ceramic heads in cemented total hip arthroplasty. A ten-year study. J Bone Joint Surg (Br) 77:548–556
11.
go back to reference Crowe JF, Mani VJ, Ranawat CS (1979) Total hip replacement in congenital dislocation and dysplasia of the hip. J Bone Joint Surg Am 61:15–23 Crowe JF, Mani VJ, Ranawat CS (1979) Total hip replacement in congenital dislocation and dysplasia of the hip. J Bone Joint Surg Am 61:15–23
12.
go back to reference Iida H, Yamamuro T, Kasai R, Matsusue Y, Matsuda Y (1993) Computed simulation for the planning of total hip replacement: Improvement of the simulation system. In: Imura S, Akamatsu N, Azume H, Sawai K, Tanaka S (eds) Hip Biomechanics. Springer-Verlag, Tokyo, pp 139–147CrossRef Iida H, Yamamuro T, Kasai R, Matsusue Y, Matsuda Y (1993) Computed simulation for the planning of total hip replacement: Improvement of the simulation system. In: Imura S, Akamatsu N, Azume H, Sawai K, Tanaka S (eds) Hip Biomechanics. Springer-Verlag, Tokyo, pp 139–147CrossRef
13.
go back to reference Hartofilakidis G, Stamos K, Karachalios T, Ioannidis TT, Zacharakis N (1996) Congenital hip disease in adults. Classification of acetabular deficiencies and operative treatment with acetabuloplasty combined with total hip arthroplasty. J Bone Joint Surg Am 78:683–692PubMed Hartofilakidis G, Stamos K, Karachalios T, Ioannidis TT, Zacharakis N (1996) Congenital hip disease in adults. Classification of acetabular deficiencies and operative treatment with acetabuloplasty combined with total hip arthroplasty. J Bone Joint Surg Am 78:683–692PubMed
14.
go back to reference Knight JL, Fujii K, Atwater R, Grothaus L (1993) Bone-grafting for acetabular deficiency during primary and revision total hip arthroplasty. A radiographic and clinical analysis. J Arthroplasty 8:371–382CrossRefPubMed Knight JL, Fujii K, Atwater R, Grothaus L (1993) Bone-grafting for acetabular deficiency during primary and revision total hip arthroplasty. A radiographic and clinical analysis. J Arthroplasty 8:371–382CrossRefPubMed
15.
go back to reference Gerber SD, Harris WH (1986) Femoral head autografting to augment acetabular deficiency in patients requiring total hip replacement. A minimum five-year and an average seven-year follow-up study. J Bone Joint Surg Am 68:1241–1248PubMed Gerber SD, Harris WH (1986) Femoral head autografting to augment acetabular deficiency in patients requiring total hip replacement. A minimum five-year and an average seven-year follow-up study. J Bone Joint Surg Am 68:1241–1248PubMed
16.
go back to reference DeLee JG, Charnley J (1976) Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop Relat Res 121:20–32PubMed DeLee JG, Charnley J (1976) Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop Relat Res 121:20–32PubMed
17.
go back to reference Hodgkinson JP, Shelley P, Wroblewski BM (1988) The correlation between the roentgenographic appearance and operative findings at the bone-cement junction of the socket in Charnley low friction arthroplasties. Clin Orthop Relat Res 228:105–109PubMed Hodgkinson JP, Shelley P, Wroblewski BM (1988) The correlation between the roentgenographic appearance and operative findings at the bone-cement junction of the socket in Charnley low friction arthroplasties. Clin Orthop Relat Res 228:105–109PubMed
18.
go back to reference Jingushi S, Ohfuji S, Sofue M, Hirota Y, Itoman M, Matsumoto T et al (2010) Multiinstitutional epidemiological study regarding osteoarthritis of the hip in Japan. J Orthop Sci 15:626–631CrossRefPubMed Jingushi S, Ohfuji S, Sofue M, Hirota Y, Itoman M, Matsumoto T et al (2010) Multiinstitutional epidemiological study regarding osteoarthritis of the hip in Japan. J Orthop Sci 15:626–631CrossRefPubMed
19.
go back to reference Kosuge D, Yamada N, Azegami S, Achan P, Ramachandran M (2013) Management of developmental dysplasia of the hip in young adults: current concepts. Bone Joint J 95:732–737CrossRefPubMed Kosuge D, Yamada N, Azegami S, Achan P, Ramachandran M (2013) Management of developmental dysplasia of the hip in young adults: current concepts. Bone Joint J 95:732–737CrossRefPubMed
20.
go back to reference Busch VJ, Clement ND, Mayer PF, Breusch SJ, Howie CR (2012) High survivorship of cemented sockets with roof graft for severe acetabular dysplasia. Clin Orthop Relat Res 470:3032–3040CrossRefPubMedPubMedCentral Busch VJ, Clement ND, Mayer PF, Breusch SJ, Howie CR (2012) High survivorship of cemented sockets with roof graft for severe acetabular dysplasia. Clin Orthop Relat Res 470:3032–3040CrossRefPubMedPubMedCentral
21.
go back to reference Inao S, Matsuno T (2000) Cemented total hip arthroplasty with autogenous acetabular bone grafting for hips with developmental dysplasia in adults: the results at a minimum of ten years. J Bone Joint Surg (Br) 82:375–377CrossRef Inao S, Matsuno T (2000) Cemented total hip arthroplasty with autogenous acetabular bone grafting for hips with developmental dysplasia in adults: the results at a minimum of ten years. J Bone Joint Surg (Br) 82:375–377CrossRef
22.
go back to reference de Jong PT, Haverkamp D, van der Vis HM, Marti RK (2006) Total hip replacement with a superolateral bone graft for osteoarthritis secondary to dysplasia: a long-term follow-up. J Bone Joint Surg (Br) 88:173–178CrossRef de Jong PT, Haverkamp D, van der Vis HM, Marti RK (2006) Total hip replacement with a superolateral bone graft for osteoarthritis secondary to dysplasia: a long-term follow-up. J Bone Joint Surg (Br) 88:173–178CrossRef
23.
go back to reference Kobayashi S, Saito N, Nawata M, Horiuchi H, Iorio R, Takaoka K (2003) Total hip arthroplasty with bulk femoral head autograft for acetabular reconstruction in developmental dysplasia of the hip. J Bone Joint Surg Am 85:615–621PubMed Kobayashi S, Saito N, Nawata M, Horiuchi H, Iorio R, Takaoka K (2003) Total hip arthroplasty with bulk femoral head autograft for acetabular reconstruction in developmental dysplasia of the hip. J Bone Joint Surg Am 85:615–621PubMed
24.
go back to reference Zahar A, Papik K, Lakatos J, Cross MB (2014) Total hip arthroplasty with acetabular reconstruction using a bulk autograft for patients with developmental dysplasia of the hip results in high loosening rates at mid-term follow-up. Int Orthop 38:947–951CrossRefPubMedPubMedCentral Zahar A, Papik K, Lakatos J, Cross MB (2014) Total hip arthroplasty with acetabular reconstruction using a bulk autograft for patients with developmental dysplasia of the hip results in high loosening rates at mid-term follow-up. Int Orthop 38:947–951CrossRefPubMedPubMedCentral
25.
go back to reference Engesaeter LB, Furnes O, Havelin LI (2008) Developmental dysplasia of the hip -good results of later total hip arthroplasty: 7135 primary total hip arthroplasties after developmental dysplasia of the hip compared with 59774 total hip arthroplasties in idiopathic coxarthrosis followed for 0 to 15 years in the Norwegian Arthroplasty Register. J Arthroplasty 23:235–240CrossRefPubMed Engesaeter LB, Furnes O, Havelin LI (2008) Developmental dysplasia of the hip -good results of later total hip arthroplasty: 7135 primary total hip arthroplasties after developmental dysplasia of the hip compared with 59774 total hip arthroplasties in idiopathic coxarthrosis followed for 0 to 15 years in the Norwegian Arthroplasty Register. J Arthroplasty 23:235–240CrossRefPubMed
26.
go back to reference Toossi N, Adeli B, Timperley AJ, Haddad FS, Maltenfort M, Parvizi J (2013) Acetabular components in total hip arthroplasty: is there evidence that cementless fixation is better? J Bone Joint Surg Am 95:168–174CrossRefPubMed Toossi N, Adeli B, Timperley AJ, Haddad FS, Maltenfort M, Parvizi J (2013) Acetabular components in total hip arthroplasty: is there evidence that cementless fixation is better? J Bone Joint Surg Am 95:168–174CrossRefPubMed
27.
go back to reference Tikhilov R, Shubnyakov I, Burns S, Shabrov N, Kuzin A, Mazurenko A, Denisov A (2015) Experimental study of the installation acetabular component with uncoverage in arthroplasty patients with severe developmental hip dysplasia. Int Orthop. doi:10.1007/s00264-015-2951-z Tikhilov R, Shubnyakov I, Burns S, Shabrov N, Kuzin A, Mazurenko A, Denisov A (2015) Experimental study of the installation acetabular component with uncoverage in arthroplasty patients with severe developmental hip dysplasia. Int Orthop. doi:10.​1007/​s00264-015-2951-z
28.
go back to reference Sarmiento A, Ebramzadeh E, Gogan WJ, McKellop HA (1990) Cup containment and orientation in cemented total hip arthroplasties. J Bone Joint Surg (Br) 72:996–1002 Sarmiento A, Ebramzadeh E, Gogan WJ, McKellop HA (1990) Cup containment and orientation in cemented total hip arthroplasties. J Bone Joint Surg (Br) 72:996–1002
Metadata
Title
Long-term results of acetabular reconstruction using three bulk bone graft techniques in cemented total hip arthroplasty for developmental dysplasia
Authors
Kenichi Oe
Hirokazu Iida
Hiroshi Kawamura
Narumi Ueda
Tomohisa Nakamura
Naofumi Okamoto
Yusuke Ueda
Publication date
01-09-2016
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 9/2016
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-015-3039-5

Other articles of this Issue 9/2016

International Orthopaedics 9/2016 Go to the issue