Acetabular roof reconstruction with pedicled iliac graft: early clinical experience

Delimar, Domagoj; Bićanić, Goran; Pećina, Marko; Koržinek, Krešimir

doi:10.1007/s00264-004-0555-0

Cited by 13 publications

(11 citation statements)

References 5 publications

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“…It is not always possible to implant the endoprosthesis in the ideal COR in patients with secondary hip arthritis due to hip dysplasia. Medialisation or proximalisation of the acetabular cup as well as various techniques for lateral bone graft augmentation can help during total hip replacement [2,3,5,6,20]. Soft tissue imbalance and leg length discrepancy even require special approaches and techniques [4].…”

Section: Discussionmentioning

confidence: 99%

“…It can be a demanding procedure in patients with hip dysplasia [7,20]. To obtain sufficient acetabular cup coverage during hip arthroplasty in patients with hip dysplasia, we usually put the cup more medially, then more proximally, and eventually, we use superolateral bone grafting [5,6,20]. Such an algorithm is proposed based on the clinical results, supportive biomechanical analyses and dysplasia grades [3,8,11,13,14,20,25].…”

Section: Introductionmentioning

confidence: 99%

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Influence of the acetabular cup position on hip load during arthroplasty in hip dysplasia

Bićanić

Delimar

et al. 2008

International Orthopaedics (SICOT)

137

110

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Placement of the acetabular cup during total hip arthroplasty is of great importance because usually every deviation from the ideal centre of rotation negatively influences endoprosthesis survival, polyethylene wear and hip load. Here we present hip load change in respect to various acetabular cup positions in female patients who underwent total hip replacement surgery due to hip dysplasia. The calculation suggests that, in the majority of cases, for every millimeter of lateral displacement of the acetabular cup (relative to the ideal centre of rotation) an increase of 0.7% in hip load should be expected and for every millimeter of proximal displacement an increase of 0.1% in hip load should be expected (or decreased if displacement is medial or distal). Also, for every millimeter of neck length increase, 1% decrease is expected and for every millimeter of lateral offset, 0.8% decrease is expected. Altogether, hip load decreases when the cup is placed more medially or distally and when the femoral neck is longer or lateral offset is used.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Influence of the acetabular cup position on hip load during arthroplasty in hip dysplasia

Bićanić

Delimar

et al. 2008

International Orthopaedics (SICOT)

137

110

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“…It allows superior acetabular exposure and proper cup placement. Several additional techniques can be used for cup placement in the true acetabulum such as cotyloplasty or acetabular roof reconstruction [7,8,11]. This approach also enables substantial lower extremity elongation [11] while preserving muscle continuity.…”

Section: Discussionmentioning

confidence: 99%

Femoral Shortening During Hip Arthroplasty Through a Modified Lateral Approach

Delimar

Bićanić

Koržinek

2008

Clin Orthop Relat Res

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We describe a modification of the direct lateral approach to the hip that provides excellent femoral and acetabular exposure and an easy way to shorten the proximal femur and equalize leg length. The approach also is useful for lower extremity elongation while preserving muscle continuity and minimizing postoperative complications. The exact amount of shortening can be calculated and planned preoperatively and measured and corrected intraoperatively if necessary. It avoids the necessity for osteotomies of the trochanter and transverse cuts or detachment of abductor muscles.

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“…Total hip arthroplasty (THA) is an effective procedure for hip dysplasia [1][2][3]; however, it is sometimes difficult to complete for severe cases because of femoral head dislocation, dysplasia of the acetabulum and the femur, disparity in limb length, soft tissue contraction, and muscular atrophy [4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

The techniques of soft tissue release and true socket reconstruction in total hip arthroplasty for patients with severe developmental dysplasia of the hip

Lou

et al. 2012

International Orthopaedics (SICOT)

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Purpose Total hip arthroplasty (THA) is an effective procedure for developmental dysplasia of the hip (DDH); however, it is sometimes difficult to complete for severe cases because of femoral head dislocation, dysplasia of the acetabulum and the femur, disparity in limb length, soft tissue contraction, and muscular atrophy. We aimed at exploring the efficiency of the techniques of release and balance of soft tissues and reconstruction of true socket THA for patients with severe DDH.

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Acetabular roof reconstruction with pedicled iliac graft: early clinical experience

Cited by 13 publications

References 5 publications

Influence of the acetabular cup position on hip load during arthroplasty in hip dysplasia

Influence of the acetabular cup position on hip load during arthroplasty in hip dysplasia

Femoral Shortening During Hip Arthroplasty Through a Modified Lateral Approach

The techniques of soft tissue release and true socket reconstruction in total hip arthroplasty for patients with severe developmental dysplasia of the hip

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