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Construction of acetabular bone stock

A staged cementless arthroplasty of the hip

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Summary

Vascularized pedicular bone graft was used for the purpose of achieving a sufficient bone stock for cementless total hip arthroplasty in patients with major acetabular bone defects. A useful bed for the acetabular prosthesis was obtained in all three cases. The ordinary prosthetic arthroplasty was performed in the second phase. The vitality of the grafted bone was then controlled. The results after a follow-up time of 23, 32 and 40 months respectively are good.

Zusammenfassung

Um bei Patienten mit großen knöchernen Defekten im Acetabulum ein ausreichendes Knochenlager für zementlose Hüftgelenktotalendoprothesen zu schaffen, wurden gefäßgestielte Knochentransplantate verwendet. Dadurch konnte in 3 Fällen, über die hier berichtet wird, zuerst ein brauchbares Bett für das Pfannenimplantat geschaffen werden. Die Endoprothese wurde dann in einem zweiten Schritt eingesetzt und dabei die Vitalität des transplantierten Knochens kontrolliert. Die Resultate nach einer Beobachtungszeit von 23, 32 und 40 Monaten waren gut.

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Authors and Affiliations

  1. Orthopaedic Hospital of the Invalid Foundation, SF-00280, Helsinki, Finland

    K. A. Solonen, K. Rindell & T. Paavilainen

Authors
  1. K. A. Solonen
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  2. K. Rindell
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  3. T. Paavilainen
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Solonen, K.A., Rindell, K. & Paavilainen, T. Construction of acetabular bone stock. Arch. Orth. Traum. Surg. 107, 263–267 (1988). https://doi.org/10.1007/BF00449682

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  • DOI: https://doi.org/10.1007/BF00449682

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