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Bone grafts in hip replacement surgery. The pelvic side
A E Gross1, D G Allan, M Catre
1Mount Sinai Hospital, Division of Orthopaedic Surgery, University of Toronto, Ontario, Canada.
The Orthopedic Clinics of North America
|October 1, 1993
Summary
Restoring bone stock with autograft or allograft bone is crucial for hip replacement surgery, particularly in hip dysplasia and revision cases. This ensures acetabular implant support, anatomical restoration, and proper leg length.
Area of Science:
- Orthopedic Surgery
- Bone Grafting Techniques
- Hip Arthroplasty
Background:
- Bone stock restoration is essential for acetabular implant support and anatomical reconstruction in hip arthroplasty.
- Hip dysplasia and revision hip replacement present unique challenges requiring bone augmentation.
Purpose of the Study:
- To review the indications, surgical techniques, and outcomes of using bulk autograft bone for acetabular support in primary hip replacement for hip dysplasia.
- To present the use of allograft bone (morsellized and bulk) for bone stock restoration in revision hip replacement surgery.
Main Methods:
- Discussion of clinical indications and surgical procedures for bone grafting in hip arthroplasty.
- Review of existing literature and case studies on autograft and allograft bone utilization.
Main Results:
- Bulk autograft provides effective acetabular support and anatomical restoration in primary hip replacement for hip dysplasia.
- Allograft bone, both morsellized and bulk, is a viable option for bone stock restoration in revision hip arthroplasty, with presented indications, techniques, and results.
Conclusions:
- Bone grafting with autograft and allograft is a valuable technique for addressing bone stock deficiencies in hip replacement surgery.
- Careful consideration of indications, surgical technique, and graft type is necessary for successful outcomes in both primary and revision hip arthroplasty.