Role of bone grafting in correction of protrusio acetabuli by total hip arthroplasty

Ranawat, Chitranjan S.; Zahn, Michael G.

doi:10.1016/s0883-5403(86)80051-1

Cited by 44 publications

(25 citation statements)

References 5 publications

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“…The finding was confirmed by Poss et al, who found cup migration only in cases with protrusio [21]. Transplanted bone seems to heal in, and strengthen, the floor of the acetabulum within 1 year [14,23]. Concern that the implanted bone would later become packed, and hence lead to cup loosening, has led to attempts involving a so called bipolar prosthesis in protrusion.…”

Section: Results Of Surgical Treatmentmentioning

confidence: 83%

The hip

2000

Acta Orthopaedica Scandinavica

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Arthritis of the hip may appear at any time during the course of chronic inflammatory joint disease.Using modern methods, favorable results can be expected from cemented hip prostheses.Often, rheumatic patients are young at the time of surgery, hence creating a risk that the prosthesis will wear out and loosen.Wear-related problems in a prosthesis may be decreased by using articular heads that are smaller and of higher quality.

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Section: Results Of Surgical Treatmentmentioning

confidence: 83%

The hip

2000

Acta Orthopaedica Scandinavica

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“…Various methods of bone grafting have been reported. 3,5,8,14,15 The type of bone varied from solid bone to spongious chip bone. Good results have been obtained with all types of bone graft.…”

Section: Discussionmentioning

confidence: 99%

Total hip arthroplasty with bone graft for acetabular protrusion in rheumatoid arthritis

Kondo

Asai

Tsukamoto

2002

Modern Rheumatology

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Twenty-five hips in 19 rheumatoid arthritis (RA) patients with protrusio acetabuli were followed up, both clinically and radiographically, for more than 9 years after total hip arthroplasty (THA), that was performed with a bone graft to reinforce the medial acetabular wall. Radiographs were taken preoperatively and every 6 months postoperatively. Clinical assessments of pain, gait, and range of motion of the hips were obtained preoperatively and every year postoperatively using the Japanese Orthopaedic Association hip-scoring system. Radiographs showed that bony union had occurred in all cases. Six acetabular components were loose, but no femoral components became loose during the 9-year period. The clinical evaluation showed that relief of pain was very significant. The range of motion of the hip joints also improved from 12 points to 16.6 points after 9 years. Walking ability improved, but is becoming worse as time goes by. The radiographic results were compared with the results of a THA group with RA that had not had a bone graft. The rate of loosening of the THA without a bone graft was significantly higher than that of THA with a bone graft. We concluded that bone grafting for protrusio acetabuli was a very useful procedure.

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“…Harris et al reported poor results with cement fixation augmented by mesh, although this technique was satisfactory in patients with mild protrusio [8][9][10]13]. Several authors have recommended the use of medial graft [11,12,14,15,19,25]; and use of this technique enables the socket to be placed in a more anatomical position, thereby preventing further progression of the protrusio. The technique may be augmented by the use of a support ring, or cement.…”

Section: Discussionmentioning

confidence: 99%

Cementless cup supporter for protrusio acetabuli in patients with rheumatoid arthritis

Matsuno

Yasuda

Yudoh

et al. 2000

International Orthopaedics

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The MC cup supporter is an acetabular reinforcement ring for the Harris-Galante (HG) cementless porous-coated socket. This supporting ring has been used with autogenous bone graft since 1991 in the management of protrusio acetabuli in patients with rheumatoid arthritis (RA). We have reviewed 15 hips in 13 patients at an average of 53.6 months (range 24-84 months) after operation. The clinical results of total hip arthroplasty (THA) in protrusio acetabuli using this ring were satisfactory. All grafts appeared to have united radiologically with no radiolucent lines between graft and acetabulum.

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Role of bone grafting in correction of protrusio acetabuli by total hip arthroplasty

Cited by 44 publications

References 5 publications

The hip

The hip

Total hip arthroplasty with bone graft for acetabular protrusion in rheumatoid arthritis

Cementless cup supporter for protrusio acetabuli in patients with rheumatoid arthritis

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