This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow [Supplementary Material]
Right arrow Letters to the Editor: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Letters to the Editor are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow Rights and Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Spangehl, M. J.
Right arrow Articles by Cabanela, M. E.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Spangehl, M. J.
Right arrow Articles by Cabanela, M. E.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Facebook   Add to Technorati   Add to Twitter  
What's this?
The Journal of Bone and Joint Surgery (American) 83:1484-1489 (2001)
© 2001 The Journal of Bone and Joint Surgery, Inc.

Scientific Article

Uncemented Acetabular Components with Bulk Femoral Head Autograft for Acetabular Reconstruction in Developmental Dysplasia of the Hip

Results at Five to Twelve Years

Mark J. Spangehl, MD, FRCS(C), Daniel J. Berry, MD, Robert T. Trousdale, MD and Miguel E. Cabanela, MD

Investigation performed at the Mayo Clinic, Rochester, Minnesota

Background: Anterolateral acetabular bone deficiency is one of the technical problems associated with total hip arthroplasty in patients with developmental hip dysplasia. The purpose of this study was to evaluate the results of one method of acetabular reconstruction for hip dysplasia—placement of an uncemented socket in conjunction with a bulk femoral head autograft.

Methods: Forty-four hips in thirty-five patients (twenty-nine female and six male; average age, thirty-nine years) with developmental hip dysplasia were treated with primary total hip arthroplasty with use of an uncemented porous-coated titanium cup fixed with screws and an autogenous bulk femoral head graft. The patients were followed clinically in a prospective fashion for five to 12.3 years (mean, 7.5 years), and radiographs were analyzed retrospectively.

Results: Four acetabular components were revised: two, because of severe polyethylene wear and osteolysis; one, because of aseptic loosening; and one, because of fracture of the acetabular shell. The mean Harris hip score for the unrevised hips improved from 51 points preoperatively to 91 points postoperatively. No unrevised socket had definite radiographic evidence of loosening. Forty-three of the forty-four hips had no radiographic evidence of resorption of the graft or had radiographic evidence of resorption limited to the nonstressed area of the graft lateral to the edge of the cup.

Conclusions: This method of reconstruction provided reliable acetabular fixation and appeared to restore acetabular bone stock in patients with developmental hip dysplasia. We use this technique for patients with moderate anterolateral acetabular bone deficiency requiring total hip arthroplasty.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Facebook Facebook   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 JBJSHome page
H. C. Amstutz, J. T. Antoniades, and M. J. Le Duff
Results of Metal-on-Metal Hybrid Hip Resurfacing for Crowe Type-I and II Developmental Dysplasia
J. Bone Joint Surg. Am., February 1, 2007; 89(2): 339 - 346.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
C. Hendrich, I. Mehling, U. Sauer, S. Kirschner, and J.M. Martell
Cementless Acetabular Reconstruction and Structural Bone-Grafting in Dysplastic Hips
J. Bone Joint Surg. Am., February 1, 2006; 88(2): 387 - 394.
[Abstract] [Full Text] [PDF]

Home page
 J Bone Joint Surg BrHome page
P. T. de Jong, D. Haverkamp, H. M. van der Vis, and R. K. Marti
Total hip replacement with a superolateral bone graft for osteoarthritis secondary to dysplasia: A LONG-TERM FOLLOW-UP
J Bone Joint Surg Br, February 1, 2006; 88-B(2): 173 - 178.
[Abstract] [Full Text] [PDF]

Home page
 J Bone Joint Surg BrHome page
J.-N. Argenson, E. Ryembault, X. Flecher, N. Brassart, S. Parratte, and J.-M. Aubaniac
Three-dimensional anatomy of the hip in osteoarthritis after developmental dysplasia
J Bone Joint Surg Br, September 1, 2005; 87-B(9): 1192 - 1196.
[Abstract] [Full Text] [PDF]

Home page
 J Bone Joint Surg BrHome page
M. Ikeuchi, T. Kawakami, K. Kitaoka, Y. Okanoue, and T. Tani
Total hip arthroplasty with a sliding iliac graft for acetabular dysplasia
J Bone Joint Surg Br, May 1, 2005; 87-B(5): 635 - 639.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
Z. Rozkydal, P. Janicek, and Z. Smid
Total Hip Replacement with the CLS Expansion Shell and a Structural Femoral Head Autograft for Patients with Congenital Hip Disease
J. Bone Joint Surg. Am., April 1, 2005; 87(4): 801 - 807.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
A.S. Klapach, J.J. Callaghan, K.A. Miller, D.D. Goetz, P.M. Sullivan, D.R. Pedersen, and R.C. Johnston
Total Hip Arthroplasty with Cement and without Acetabular Bone Graft for Severe Hip Dysplasia. A Concise Follow-Up, At a Minimum of Twenty Years, of a Previous Report
J. Bone Joint Surg. Am., February 1, 2005; 87(2): 280 - 285.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
S. Kobayashi, N. Saito, M. Nawata, H. Horiuchi, R. Iorio, and K. Takaoka
Total Hip Arthroplasty with Bulk Femoral Head Autograft for Acetabular Reconstruction in Developmental Dysplasia of the Hip
J. Bone Joint Surg. Am., March 31, 2003; 85(4): 615 - 621.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
M. H. Huo
What's New in Hip Arthroplasty
J. Bone Joint Surg. Am., October 10, 2002; 84(10): 1894 - 1905.
[Full Text] [PDF]