Acetabular reconstruction with impacted morcellized cancellous bone autograft and cemented primary total hip arthroplasty

2000 ◽  
Vol 15 (7) ◽  
pp. 819-824 ◽  
Author(s):  
Marianne L.M. Welten ◽  
B.Willem Schreurs ◽  
Pieter Buma ◽  
Nico Verdonschot ◽  
Tom J.J.H. Slooff
Keyword(s):  
Total Hip Arthroplasty ◽  
Cancellous Bone ◽  
Hip Arthroplasty ◽  
Acetabular Reconstruction ◽  
Total Hip ◽  
Bone Autograft ◽  
Primary Total Hip Arthroplasty

scholarly journals Pelvic Discontinuity Caused by Acetabular Overreaming during Primary Total Hip Arthroplasty

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Iori Takigami ◽  
Yoshiki Ito ◽  
Takashi Mizoguchi ◽  
Katsuji Shimizu
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Acetabular Fracture ◽  
Rare Complication ◽  
Acetabular Reconstruction ◽  
Fibular Graft ◽  
Intraoperative Complication ◽  
Pelvic Discontinuity ◽  
Total Hip ◽  
Primary Total Hip Arthroplasty

Intraoperative acetabular fracture is a rare complication of primary total hip arthroplasty (THA), typically occurring during impaction of the cementless acetabular component. Here we report an unusual case of pelvic discontinuity caused by overreaming of the acetabulum during primary THA. Restoration of posterior columnar continuity was achieved with an autologous fibular graft and a reconstruction plate. Wall defects and cavitary defects were reconstructed with metal mesh and femoral head allograft, followed by placement and fixation of a Kerboull-type acetabular reinforcement device. Previous reports of acetabular fracture during THA have indicated that it has a relatively good prognosis without extensive treatment. However, to our knowledge, there has been no report of pelvic discontinuity necessitating acetabular reconstruction surgery as an intraoperative complication of primary THA.

Cementless Acetabular Reconstruction in Primary Total Hip Arthroplasty: Evaluation at a Minimum of 20 Years

2007 ◽  
Vol 22 (2) ◽  
pp. 313
Author(s):  
Craig J. Della Valle ◽  
Nate Mesko ◽  
Laura Quigley ◽  
Richard A. Berger ◽  
Aaron G. Rosenberg ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Acetabular Reconstruction ◽  
Total Hip ◽  
Primary Total Hip Arthroplasty

scholarly journals Total Hip Arthroplasty with Tantalum Constructions

2012 ◽  
Vol 19 (1) ◽  
pp. 24-29
Author(s):  
V Yu Murylev ◽  
Dmitriy Igorevich Terent'ev ◽  
P M Elizarov ◽  
Ya A Rukin ◽  
G M Kazaryan ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Revision Arthroplasty ◽  
Acetabular Reconstruction ◽  
Defect Classification ◽  
Common Complication ◽  
Total Hip ◽  
Primary Arthroplasty ◽  
Selection Of ◽  
Primary Total Hip Arthroplasty

Results of acetabular reconstruction with tantalum constructions were analyzed for 56 patients (25 men and 31 women) aged 35 to 70 years. Primary arthroplasty was performed in 30 and revision intervention in 26 patients. In case of primary total hip arthroplasty the following etiologic factors were considered: posttraumatic acetabulum deformity (21 patients), deficit of acetabular walls resulted from dysplasia (4), femoral head protrusion (5). Evaluation of the defect and selection of tantalum construction were made using defect classification by W.G. Paprosky. Results were assessed by Harris scale at terms 3,6 and 12 months after operation and every year thereafter. Excellent, good and satisfactory results were achieved in 96.8% of cases. The most common complication was the dislocation of hip implant head. It developed in 2 patients after revision arthroplasty and in 1 patient after primary total hip arthroplasty.

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