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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2020

Open Access 01-12-2020 | Research article

Bone impaction grafting with trabecular metal augments in large defects in young patients: unravelling a new perspective in surgical technique

Authors: Basilio De la Torre-Escuredo, Eva Gómez-García, Salvador Álvarez-Villar, Julia Bujan, Miguel A. Ortega

Published in: BMC Musculoskeletal Disorders | Issue 1/2020

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Abstract

Background

Acetabular reconstruction with bone impaction grafting in large defects has yielded conflicting results.

Methods

This was a retrospective study of a case series of five patients with a young age (≤50 years) at the time of surgery who had large acetabular defects reconstructed by bone impaction grafting and trabecular metal augments. The mean follow-up was 79 months. We describe the surgical technique in detail.

Results

Improvement was significant on the WOMAC and SF-36 scales (p < 0.05). The radiographs taken at the last follow-up examination showed no migration of the polyethylene cup (p = 0.31) or differences in the abduction angle (p = 0.27) compared to the radiographs from the immediate postoperative period. One patient presented two dislocation episodes as a complication.

Conclusion

The combination of trabecular metal augments with the bone impaction grafting technique in young patients with large acetabular defects provides satisfactory results in the long term and restores the bone stock.
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Metadata
Title
Bone impaction grafting with trabecular metal augments in large defects in young patients: unravelling a new perspective in surgical technique
Authors
Basilio De la Torre-Escuredo
Eva Gómez-García
Salvador Álvarez-Villar
Julia Bujan
Miguel A. Ortega
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2020
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-020-03591-w

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