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Impaction bone grafting for contained acetabular defects in total hip arthroplasty
Mohamed Yousry Abu-Zeid1, Mohamed El-Sawy Habib1, Sameh Mohamed Marei1
1Department of Orthopaedic Surgery, Faculty of Medicine, Menoufia University, Shebin-El-Kom, Menoufia, Egypt.
Journal of Orthopaedic Surgery and Research
|September 11, 2023
Summary
Impaction bone grafting (IBG) effectively reconstructs acetabular bone loss in total hip arthroplasty (THA), yielding significant functional improvements and high patient satisfaction with good graft incorporation.
Area of Science:
- Orthopedic Surgery
- Arthroplasty Research
- Bone Grafting Techniques
Background:
- Acetabular bone loss presents a significant surgical challenge in total hip arthroplasty (THA).
- Effective reconstruction strategies are crucial for successful primary and revision THA.
Purpose of the Study:
- To evaluate the functional and radiological outcomes of acetabular reconstruction using impaction bone grafting (IBG).
- To assess graft incorporation and patient satisfaction following IBG in THA.
Main Methods:
- Prospective study assessing 50 patients undergoing primary or revision THA with IBG.
- Utilized Paprosky and AAOS classifications for acetabular deficiency assessment.
- Clinical outcomes measured by Harris hip score (HHS) and satisfaction questionnaires; radiological evaluation of graft incorporation.
Main Results:
- Significant improvement in mean HHS from 28.8 to 76.6 (p<0.001) at 23-month follow-up.
- 88% of patients reported high satisfaction; 70% achieved complete radiological graft incorporation.
- Complete incorporation associated with primary THA, autografts, cementless cups, and smaller defect size.
Conclusions:
- Impaction bone grafting (IBG) is a viable technique for acetabular reconstruction in THA.
- IBG demonstrates excellent clinical and radiological outcomes with a low complication rate.
- Achieves significant functional improvement and high patient satisfaction.
