Bone grafting for protrusio acetabuli during total hip replacement. A review of the Wrightington method in 61 hips
| Autor: | Kevin Hardinge, John C. M. Murphy, Max Esser, Philip Hirst |
|---|---|
| Rok vydání: | 1987 |
| Předmět: |
musculoskeletal diseases
Adult Male medicine.medical_specialty Protrusio acetabuli medicine.medical_treatment Radiography Total hip replacement Dentistry Bone grafting Prosthesis medicine Methods Humans Orthopedics and Sports Medicine Femur Aged Aged 80 and over Bone Transplantation business.industry Acetabulum Syndrome Middle Aged medicine.disease Surgery Orthopedic surgery Female Hip Prosthesis business |
| Zdroj: | The Journal of bone and joint surgery. British volume. 69(2) |
| ISSN: | 0301-620X |
| Popis: | Total hip replacement has been very successful in patients with painful, stiff hips associated with protrusio acetabuli, but the heat of polymerisation of methylmethacrylate cement may cause necrosis of the thin medial wall with consequent danger of migration of the cup. Since 1968 at Wrightington, thin slices of the head of the femur have been used as bone grafts to reinforce the acetabulum. We have reviewed 61 hips in 51 patients at an average of 4 years 3 months after operation. Grading for severity is discussed and the degree of physiological remodelling of the medial wall of the acetabulum after grafting assessed. There was an average of about 4 mm of remodelling, but this varied considerably; most took place within the first year. In no case was there relapse of the protrusio. |
| Databáze: | OpenAIRE |
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