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Int Orthop. 2014 Dec;38(12):2447-53. doi: 10.1007/s00264-014-2439-2. Epub 2014 Jul 20.

Acetabular reconstruction using a free fibular autograft in total hip arthroplasty revisions.

Author information

1
University Hospital, 1 place Alexis Ricordeau, Nantes, France.

Abstract

PURPOSE:

Acetabular reconstruction for segmentary bone loss aims for primary stability and long-lasting integration. The use of a fibular autograft has been described after tumour resection and in traumatology. The hypothesis of this study is that it offers a mechanically reliable solution with good functional results and acceptable morbidity.

METHODS:

This is a two center retrospective study of 26 operated hips. Indication was mechanical loosening in every case. The operative technique included fibular grafting of a segmental bone loss associated with an acetabular metal reinforcement.

RESULTS:

Mean follow up was 88 months (three to 165). The PMA score increased from 8.5 (five to 12) to 15 (six to 18) (p <0.001). Acetabular migration was 2 mm (0-4) vertically and 1 mm (0-2) medially. Three graft failures were observed. No major morbidity was observed.

CONCLUSION:

Fibular autograft after mechanical loosening and segmentary bone loss in total hip arthroplasty revisions offers a mechanically reliable solution for acetabular reconstruction. The results seem to be at least equivalent to other techniques.

PMID:
25038971
DOI:
10.1007/s00264-014-2439-2
[Indexed for MEDLINE]

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