Twenty-Year Survival of a Cementless Revision Hip Arthroplasty Using a Press-Fit Bulk Acetabular Allograft for Pelvic Discontinuity: A Case Report

Gul, Rehan; Jeer, Parminder J.S.; Oakeshott, R. D.

doi:10.1177/230949900801600126

Cited by 9 publications

(5 citation statements)

References 9 publications

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“…Garbuz15 also advocated the use of cage along with acetabular allograft for better results. A survival of as long as 20 years with an excellent functional outcome with radiographic evidence of graft incorporation and no signs of loosening has been shown by Gul et al 12. The acetabular allograft showed evidence of union at a follow-up of 15 months in our case; however, a longer follow-up is needed to evaluate the tendency of some of these massive allografts to resorb in the long term.…”

Section: Discussionsupporting

confidence: 62%

Acetabular revision using a total acetabular allograft

Malhotra¹,

Kumar²

2009

Indian J Orthop

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The most challenging aspect of an acetabular revision is the management of severe bone loss, which compromises implant fixation and stability. We present a case of failed acetabular revision with extensive bone loss (Paprosky Type 3b) in a 50-year-old woman with rheumatoid arthritis, which was treated using total acetabular allograft. At a follow-up of 1 year and 3 months, the allograft had united with the host bone. This is the first report of the use of a total acetabular allograft for revision total hip arthroplasty in India. The total acetabular allograft allows the placement of the component closer to the normal hip center, provides initial stability for the acetabular component, and restores bone stock to the host pelvis.

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Section: Discussionsupporting

confidence: 62%

Acetabular revision using a total acetabular allograft

Malhotra¹,

Kumar²

2009

Indian J Orthop

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“…Reconstruction of supportive columns and the posterior wall with auto and/or allografts favors the use of cementless components, which have been associated with better outcomes [5] Reconstruction options include reinforcement rings and cages [6] , multihole acetabular shell and. Cementless implants are preferred on the acetabular side when the posterior column can be stabilized and at least 50% host bone-implant contact can be achieved [7] The center of rotation of the hip was not restored in our case. Because of acetabular defect, we could not put the hip in the proper position but acetabular cup was stable intraoperatively.…”

Section: Discussionmentioning

confidence: 67%

Primary complex total hip replacement in 13 months old neglected Pelvi-acetabular fracture

Verma¹,

Kumar²,

Saurabh³

et al. 2020

Int. J. Orthop. Sci.

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Old pelvi-acetabular fracture are very difficult to operate in terms of achievement of anatomical reduction. Although two staged procedures are still treatment of choice(first stage acetabular osteosynthesis then THR if complication occurs) but neglected cases(more than 3 weeks old untreated fractures)can also treated by total hip replacement. Our case is A 35 years old patient sustained railway traffic accident. He had crush injury left lower limb severe abdominal and chest trauma, bilateral sacroiliac join disruption, iliac wing fracture left side and pelvi-acetabular fracture right side.at that time patient was treated at other hospital where above knee amputation of left lower limb done, abdominal and chest injury managed but pelvi-acetabular fracture was treated conservatively. After 1 year patient presented to us with pain and restriction of movement of right hip and inability to sit also. we performed primary complex total hip replacement using multi-hole acetabular cup and un-cemented femoral stem with metal on ultra high molecular polyethylene bearing and bone graft. results are satisfactory with fair range of motion at hip and modfied harris hip score. So primary complex total hip replacement is viable option for old pelvi-acetabular fracture cases where anatomical and biological reduction of fracture is not possible.

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“…Reconstruction options include bone cement ( 12 ), autografts or allografts ( 6 , 7 ), and reinforcement rings and cages ( 13 ). Cementless implants are preferred on the acetabular side when the posterior column can be stabilized and at least 50% host bone-implant contact can be achieved ( 14 ).…”

Section: Discussionmentioning

confidence: 99%

Uncemented Total Hip Replacement After Two Years of Neglected Hip Dislocation With Fracture of Posterior Column and Wall of the Acetabulum

Ramanath

Grover

et al. 2016

Trauma Mon

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IntroductionPosterior hip dislocation of the hip with acetabular fracture is a challenging problem to treat. Such dislocations are associated with avascular necrosis of the femoral head if neglected. Managing such conditions with total hip replacement (THR) is very difficult because of associated altered anatomy.Case PresentationWe hereby report a two-year neglected hip dislocation with associated acetabular fracture successfully treated with uncemented THR. The patient was successfully treated with uncemented THR and experienced significant improvement in his functional status, with a Harris hip score of 82 at the two-year follow up. Radiologically, there were no radiolucent areas or osteolysis, with good consolidation of the bone graft.ConclusionsA neglected hip dislocation with acetabular fracture can be managed satisfactorily with uncemented THR. Bone reconstruction using chunk grafts and use of cementless components ensures long-term survival and also preserves adequate bone stock for revision, especially in young patients.

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Twenty-Year Survival of a Cementless Revision Hip Arthroplasty Using a Press-Fit Bulk Acetabular Allograft for Pelvic Discontinuity: A Case Report

Cited by 9 publications

References 9 publications

Acetabular revision using a total acetabular allograft

Acetabular revision using a total acetabular allograft

Primary complex total hip replacement in 13 months old neglected Pelvi-acetabular fracture

Uncemented Total Hip Replacement After Two Years of Neglected Hip Dislocation With Fracture of Posterior Column and Wall of the Acetabulum

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