Acetabular roof reconstruction with pedicled iliac graft

Delimar, Domagoj; Čičak, Nikola; Klobučar, Hrvoje; Pećina, Marko; Koržinek, Krešimir

doi:10.1007/s00264-002-0381-1

Cited by 30 publications

(23 citation statements)

References 22 publications

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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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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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“…To date, there have been few reports in the literature on the accuracy and reliability of digital templating in THA patients with dysplastic hips. THA is technically demanding in patients with dysplastic hips, especially the acetabular reconstruction; however, combining medialisation or proximalisation of the acetabular cup with various techniques for superolateral bone grafting can be helpful during total hip replacement for patients with dysplastic hips [6,7,17]. Bicanic et al reported that hip load decreased when the cup was placed more medially or distally in THA in patients with dysplastic hips [2].…”

Section: Discussionmentioning

confidence: 99%

The utility of digital templating in Total Hip Arthroplasty with Crowe type II and III dysplastic hips

Zhao

Zhu

Zhao

et al. 2010

International Orthopaedics (SICOT)

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With the superiority of digital imaging, conventional preoperative acetate templating is gradually being replaced by digital templating in total hip arthroplasty (THA). The purpose of this study was to assess the utility of digital templating for patients with Crowe type II and III dysplastic hips. In this study, 41 THA patients with Crowe type II or III dysplastic hips and 48 THA patients with other primary diseases were retrospectively reviewed. All patients were fitted with cementless prostheses in 2008. For the THA patients with dysplastic hips, we attempted to restore their hip centres to the position of the true acetabulum. Digital templating was the method chosen to achieve hip centre restoration. The prosthesis prediction accuracy (within ± one size using digital templating) was 20 (48.8%) for the cup size and 30 (73.2%) for the stem size. Meanwhile, for patients with other primary diseases, the accuracy for the cup size within ± one size was 34 (70.8%) and for the stem size accuracy was within ± one size in 38 (79.2%). Between the two patient groups, there was a significant difference in the predicted cup size. In patients with dysplastic hips, the low accuracy of the predicted cup size may have resulted from difficulty in predicting the vertical location of the hip centre. Despite this limitation, preoperative planning using digital templating is a convenient technique for THA patients with Crowe type II and III dysplastic hips.

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“…For higher types of dysplastic hips, he recommend a structural bone autograft and use of an uncemented socket. Delimar et al [22] developed a new reconstruction method using a pedicle iliac graft after verifying that the deep circumflex artery was long enough to transfer this graft without resorting to micro-vascular anastomosis. Rozkydal et al [23] reported 43 cases of dysplastic hips treated with a CLS Expansion shell and a structural femoral head autograft.…”

Section: Discussionmentioning

confidence: 99%

Total hip replacement with an uncemented Wagner cone stem for patients with congenital hip dysplasia

Torres-Claramunt

Marqués

León

et al. 2011

International Orthopaedics (SICOT)

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Purpose The purpose of this study was to review retrospectively the cases operated upon in our department in recent years with a Wagner stem and a small socket in cases of Crowe I or II dysplastic hips. Methods We conducted a retrospective clinical radiological review of 30 hips diagnosed with hip dysplasia Crowe I or II treated in our centre between 2002 and 2008. All of them were treated with a Wagner cone stem and a small Trilogy acetabulum (Zimmer ®). Results There were 15 men and 11 women with 13 left and 17 right femurs. Mean follow-up was 43.44 months (range 14-87). Eight patients were Crowe I type and 22 were Crowe II type. Merlé d'Aubigne score pre-operatively was 12.23 and at the last follow-up was 15.54. Mean leg length inequality was 1.79 and after surgery it was 0.69 cm. Complications included three infection and three dislocations (two of them in the same patient). Conclusions The use of a Wagner stem is a good option to correct the different deformities in the proximal femur in these cases. A small socket allows a correct relocation of the acetabulum in a dysplastic socket with good bone coverage.

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Acetabular roof reconstruction with pedicled iliac graft

Cited by 30 publications

References 22 publications

Femoral Shortening During Hip Arthroplasty Through a Modified Lateral Approach

Femoral Shortening During Hip Arthroplasty Through a Modified Lateral Approach

The utility of digital templating in Total Hip Arthroplasty with Crowe type II and III dysplastic hips

Total hip replacement with an uncemented Wagner cone stem for patients with congenital hip dysplasia

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