Total hip replacement and femoral-head bone-grafting for severe acetabular deficiency in adults

Untreated congenital and posttraumatic high dislocation of the hip treated by replacement in adult age22 hips in 16 patients followed for 18 years

“…Mini-or micro-mini versions of cemented standard stem prostheses have been used by many authors (Dunn and Hess 1976, Harris et al 1977, Fredin and Unander-Scarin 1980, Woolson and Harris 1983, Hartofilakidis et al 1998, Di Fazio et al 2002. In our opinion, such designs have serious drawbacks.…”

Short-term results of total hip replacement due to acetabular fractures

“…On investigating primary postoperative surgical complications and the 31 months (range, 24-36 months) functional outcome average after prosthesis implantation according to the HHS, [10,11] the preoperative HHS score was 42 (range, 16-58) on the average, which increased to 81 (range, 52-96) after surgery (Table II).…”

Bone grafting in total hip arthroplasty for insufficient acetabulum

“…Because of the insufficient acetabulum in CDH, most surgeons agree that arthroplasties in these patients require supplementation with bone grafts (Ritter andTrancik 1985, Wolfgang 1990). While the use of bone grafts is an accepted procedure by most surgeons, some doubts remain regarding the bulky cortical cancellous bone grafts, particularly in terms of their long-term behavior (Harris et al 1977, Kwong et al 1993, Hooten et al 1996, Hartofilakidis et al 1996.…”