J Arthroplasty. 1990 Sep;5(3):231-40.

Cementless total hip arthroplasty with femoral head bone grafting for hip dysplasia.

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Anderson Orthopaedic Research Institute, National Hospital for Orthopaedics and Rehabilitation, Arlington, Virginia 22206.

Abstract

Femoral head bone grafting was required to augment acetabular bone stock in 19 cases of hip dysplasia treated with cementless total hip arthroplasty. All acetabular grafts provided mechanical support for the cementless acetabular component. Radiographic evaluation of the fixation of the femoral components at an average of 3 years after surgery revealed an optimum appearance in all cases. All porous-coated acetabular components remained stable, but only one of six (17%) nonporous threaded acetabular components maintained stability. One threaded acetabular component has been revised for symptomatic loosening. Acetabular graft healing was suspected in 18 of 19 cases (95%). Significant graft resorption was observed only in the cases with unstable threaded acetabular components. The clinical scores were high. Cementless total hip arthroplasty with structural acetabular grafting and porous acetabular components appears to produce satisfactory short-term results.

PMID:: 2230819; [PubMed - indexed for MEDLINE]

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Bone Cements

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Medical

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Related citations in PubMed

Revision of the acetabular component without cement after a previous acetabular reconstruction with use of a bulk femoral head graft in patients who had congenital dislocation or dysplasia. A follow-up note. [J Bone Joint Surg Am. 1999]
Revision of the acetabular component without cement after a previous acetabular reconstruction with use of a bulk femoral head graft in patients who had congenital dislocation or dysplasia. A follow-up note.
Bal BS, Maurer T, Harris WH. J Bone Joint Surg Am. 1999 Dec; 81(12):1703-6.
High long-term survival of bulk femoral head autograft for acetabular reconstruction in cementless THA for developmental hip dysplasia. [Clin Orthop Relat Res. 2010]
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Kim M, Kadowaki T. Clin Orthop Relat Res. 2010 Jun; 468(6):1611-20. Epub 2010 Mar 23.
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Review Total hip arthroplasty in acetabular protrusio.
Ries MD. Orthopedics. 2009 Sep; 32(9).
Review The use of a high-hip center in revision total hip arthroplasty. [Semin Arthroplasty. 1995]
Review The use of a high-hip center in revision total hip arthroplasty.
Jasty M, Freiberg AA. Semin Arthroplasty. 1995 Apr; 6(2):103-8.

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Cited by 2 PubMed Central articles

Cotyloplasty in cementless total hip arthroplasty for an insufficient acetabulum. [Clin Orthop Surg. 2010]
Cotyloplasty in cementless total hip arthroplasty for an insufficient acetabulum.
Kim YL, Nam KW, Yoo JJ, Kim YM, Kim HJ. Clin Orthop Surg. 2010 Sep; 2(3):148-53. Epub 2010 Aug 3.
High long-term survival of bulk femoral head autograft for acetabular reconstruction in cementless THA for developmental hip dysplasia. [Clin Orthop Relat Res. 2010]
High long-term survival of bulk femoral head autograft for acetabular reconstruction in cementless THA for developmental hip dysplasia.
Kim M, Kadowaki T. Clin Orthop Relat Res. 2010 Jun; 468(6):1611-20. Epub 2010 Mar 23.

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