Cementless Total Hip Arthroplasty With Autologous Bone Grafting for Hip Dysplasia

Hasegawa, Yukiharu; Iwata, Hiroji; Iwase, Toshiki; Kawamoto, Kouichi; Iwasada, Seiki

doi:10.1097/00003086-199603000-00021

Cited by 28 publications

(11 citation statements)

References 14 publications

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“…6 The authors reported a high rate of failure, despite the small cover of the graft (mean 20.0%) with loosening of the cup in 18 of 36 hips (50%) and revision surgery in 7 of 36 hips (19.4%). Although the shortand mid-term results of cementless THA with a bone graft have been encouraging and similar to those of cemented THA with a bone graft, 14,24,[27][28][29][30][31] the long-term results may be worse than those for cemented THA with a bone graft. We believe that rapid and complete incorporation of the graft in cementless THA is more important than in cemented THA since there is no cement to provide early fixation.…”

Section: Discussionmentioning

confidence: 95%

Total hip arthroplasty with a sliding iliac graft for acetabular dysplasia

Ikeuchi¹,

Kawakami²,

Kitaoka³

et al. 2005

The Journal of Bone and Joint Surgery. British volume

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We describe a new technique of reconstruction of the deficient acetabulum in cementless total hip arthroplasty. The outer iliac table just above the deficient acetabulum is osteotomised and slid downwards. We have termed this an iliac sliding graft. Between October 1997 and November 2001, cementless total hip arthroplasty with an iliac sliding graft was performed on 19 patients (19 hips) with acetabular dysplasia. The mean follow-up was 3.4 years (2 to 6). The mean pre-operative Harris hip score was 45.1 which improved significantly to 85.3 at the time of the final follow-up. No patient had post-operative abductor dysfunction. Incorporation of the graft was seen after two to three months in all patients. Resorption of the graft and radiolucencies were infrequent. This technique is a useful alternative to femoral head autografting when the patient's own femoral head cannot be used.

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Section: Discussionmentioning

confidence: 95%

Total hip arthroplasty with a sliding iliac graft for acetabular dysplasia

Ikeuchi¹,

Kawakami²,

Kitaoka³

et al. 2005

The Journal of Bone and Joint Surgery. British volume

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“…Numerous bone-grafting techniques have been reported, and autologous grafts have been found to be superior to homologous grafts. However, the amount of available autologous graft is limited, and homologous grafts often are used, particularly in revision procedures [2,6,10,20,21,24,26].…”

Section: Introductionmentioning

confidence: 99%

Acetabular roof reconstruction with pedicled iliac graft

Delimar

Čičak

Klobučar

et al. 2002

International Orthopaedics

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Reconstruction of the acetabular roof in patients with hip dysplasia shows disappointing mid-term results due to insufficient incorporation and collapse of the bone graft. We have developed a new reconstructive method using a pedicled iliac graft. We simulated surgical reconstruction of the acetabular roof in ten cadaver specimens. The purpose was to evaluate whether the deep circumflex artery was long enough to allow transfer of the graft without requiring micro-vascular anastomosis. In all cadavers, the length of the pedicle was sufficient to reach any desired position of the acetabular roof. The use of such a pedicled structural graft may provide good primary stability and allow local bony remodelling and incorporation under load.

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“…They reported that all grafts had united at a mean follow-up of 11 years and no revisions were needed. Hasegawa et al 28 showed, in a series of 25 patients, that the grafted femoral head had incorporated seven months after surgery and had remodelled completely by 18 months, although the grafted bone had reduced in size significantly. Bal, Maurer and Harris 29 showed that a healed bulk graft which had been used at the primary operation provided valuable bone stock for the support of an acetabular component during revision THR.…”

Section: Discussionmentioning

confidence: 99%

Outcome of revision hip arthroplasty in patients with a previous total hip replacement for developmental dysplasia of the hip

Morag

Zalzal

Liberman

et al. 2005

The Journal of Bone and Joint Surgery. British volume

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Our aim was to determine if the height of the cup, lateralisation or the abduction angle correlated with functional outcome or survivorship in revision total hip replacement in patients with a previous diagnosis of developmental dysplasia of the hip. A retrospective investigation of 51 patients (63 hips) who had undergone revision total hip replacement was performed. The mean duration of follow-up was 119 months. Forty-one patients (52 hips) were available for both determination of functional outcome and survivorship analysis. Ten patients (11 hips) were only available for survivorship analysis. The height of the cup was found to have a statistically significant correlation with functional outcome and a high hip centre correlated with a worse outcome score. Patients with a hip centre of less than 3.5 cm above the anatomical level had a statistically better survivorship of the cup than those with centres higher than this. Restoration of the height of the centre of the hip to as near the anatomical position as possible improved functional outcome and survivorship of the cup.

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Cementless Total Hip Arthroplasty With Autologous Bone Grafting for Hip Dysplasia

Cited by 28 publications

References 14 publications

Total hip arthroplasty with a sliding iliac graft for acetabular dysplasia

Total hip arthroplasty with a sliding iliac graft for acetabular dysplasia

Acetabular roof reconstruction with pedicled iliac graft

Outcome of revision hip arthroplasty in patients with a previous total hip replacement for developmental dysplasia of the hip

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