Uncemented Acetabular Components with Femoral Head Autograft for Acetabular Reconstruction in Developmental Dysplasia of the Hip A Concise Follow-up Report at a Mean of Twenty Years

被引:37
作者
Abdel, Matthew P. [1 ]
Stryker, Louis S. [1 ]
Trousdale, Robert T. [1 ]
Berry, Daniel J. [1 ]
Cabanela, Miguel E. [1 ]
机构
[1] Mayo Clin, Dept Orthoped Surg, Rochester, MN 55905 USA
关键词
LOW-FRICTION ARTHROPLASTY; CONGENITAL DISLOCATION; AUTOGENOUS GRAFTS; BONE-GRAFTS; REPLACEMENT; DEFICIENCY; CEMENT; ADULTS; PLACEMENT; MINIMUM;
D O I
10.2106/JBJS.N.00061
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
100224 [整形外科学];
摘要
We previously reported the five to twelve-year results of total hip arthroplasty with an uncemented acetabular component and an autogenous femoral head graft in forty-four consecutive hips with developmental dysplasia. The goal of the present study was to report the implant survival rate, status of bone grafts, and clinical outcomes in thirty-five of these hips (in twenty-nine patients) followed for a mean of 21.3 years. Functional, radiographic, and survivorship results were examined. Radiographic analysis revealed an average cup inclination angle of 43 degrees and a mean arc of cup coverage by the graft of 30 degrees. The twenty-year survivorship free from acetabular revision was 66% (twelve acetabular revisions; eight since our previous report). Of the twelve revisions, nine were for liner wear and/or osteolysis, one was for a liner fracture, one was for aseptic loosening, and one was for instability. All bone grafts healed to the pelvis. The graft facilitated revision cup placement as no additional structural grafts or metal augments were required. We concluded that an uncemented porous-coated socket used in conjunction with a bulk femoral head autograft provides good long-term fixation and restores bone stock.
引用
收藏
页码:1878 / 1882
页数:5
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