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Journal of Bone and Joint Surgery - British Volume, Vol 88-B, Issue 2, 173-178.
doi: 10.1302/0301-620X.88B2.16769  
Copyright © 2006 by British Editorial Society of Bone and Joint Surgery
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Total hip replacement with a superolateral bone graft for osteoarthritis secondary to dysplasia

A LONG-TERM FOLLOW-UP

P. T. de Jong, MD, Orthopaedic Surgeon1; D. Haverkamp, MD, Resident1; H. M. van der Vis, PhD, Orthopaedic Surgeon2; and R. K. Marti, PhD, Professor1

1 Department of Orthopaedic Surgery, Academic Medical Centre Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands.
2 Department of Orthopaedic Surgery, Ziekenhuis Hilversum, Van Riebeeckweg 212, 1213 XZ Hilversum, The Netherlands.

Correspondence should be sent to Dr P. T. de Jong; e-mail: pt.dejong{at}tiscali.nl

We evaluated the long-term results of 116 total hip replacements with a superolateral shelfplasty in 102 patients with osteoarthritis secondary to developmental dysplasia of the hip. After a mean follow-up of 19.5 years (11.5 to 26.0), 14 acetabular components (12%) had been revised. The cumulative survival at 20 years was 78%, with revision for loosening of the acetabular component as the end-point. All grafts were well integrated and showed remodelling. In six grafts some resorption had occurred under the heads of the screws where the graft was not supporting the socket. Apart from these 14 revisions, seven acetabular components had possible radiological signs of loosening at a mean follow-up of 14.5 years, one had signs of probable loosening, and five had signs of definite loosening. These results indicate that this technique of bone grafting for acetabular reconstruction in hip dysplasia is a durable solution for cemented acetabular components.




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[Abstract] [Full Text] [PDF]


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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General