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Journal of Orthopaedic Surgery and Research

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Open Access 01-12-2011 | Research article

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

Authors: Markus D Schofer, Thomas Pressel, Jan Schmitt, Thomas J Heyse, Ulrich Boudriot

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2011

Abstract

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.

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Title: Reconstruction of the acetabulum in THA using femoral head autografts in developmental dysplasia of the hip
Authors: Markus D Schofer
Thomas Pressel
Jan Schmitt
Thomas J Heyse
Ulrich Boudriot
Publication date: 01-12-2011
Publisher: BioMed Central
Published in: Journal of Orthopaedic Surgery and Research / Issue 1/2011
Electronic ISSN: 1749-799X
DOI: https://doi.org/10.1186/1749-799X-6-32

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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