Summary
We describe a new operative technique for reconstruction of deficient acetabular bone which allows the implantation of the socket of a total hip replacement at the level of the true acetabulum. The results of 61 such operations in 50 patients are reviewed. The average follow up was 45 months (minimum 36 months). All grafts had united by 6 months and there was no failure of the bone grafts or acetabular loosening. The clinical results are encouraging. Special attention is paid to the use of an L-shaped graft taken from the femoral head and neck.
Résumé
Nous décrivons une technique opératoire nouvelle pour reconstruire un cotyle osseux insuffisant de façon à permettre l'implantation de la cupule d'une prothèse totale au niveau du cotyle anatomique. Nous présentons les résultats de 61 opérations de ce type réalisées chez 50 malades. Le recul moyen est de 45 mois (minimum 36 mois). Toutes les greffes ont fusionné en six mois et il n'y a eu aucun descellement cotyloïdien. Les résultats cliniques sont encourageants. Nous attirons particulièrement l'attention sur l'utilisation d'un greffon taillé en L aux dépens de la tête et du col du fémur.
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Zlatić, M., Radojević, B. & Lazović, C. Reconstruction of the hypoplastic acetabulum in cementless arthroplasty of the hip. International Orthopaedics 14, 371–375 (1990). https://doi.org/10.1007/BF00182647
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DOI: https://doi.org/10.1007/BF00182647