Results of acetabular wiremesh and autograft in protrusio acetabuli

Hip Int. 2008 Jan-Mar;18(1):23-8. doi: 10.1177/112070000801800105.

Abstract

Between 1990 and 2005, 25 acetabular reconstructions in 25 patients were performed using autogenous morcellized bone-graft and acetabular wiremesh due to acetabular bone stock loss. The most frequent preoperative diagnosis in our patients were severe hip arthrosis (50%), and rheumatoid arthritis (15%).The mean follow up was 8.6 years (range 2-15 years). The most frequent long-term complication was the appearence of radiolucent lines.A cemented acetabular cup was used in all cases. Preoperative mean Harris Hip Score was 42.3, rising to 90.6 at follow-up after surgery. None of the patients had any loosening of the acetabular component and only one had radiolucent lines >2mm which did not progress. Kohler's line remained intact in all cases.Results of this study suggests bone-grafting and acetabular wiremesh is an effective and simple method to arrest the progresion of acetabular protrusio.

MeSH terms

  • Acetabulum / diagnostic imaging
  • Acetabulum / pathology*
  • Acetabulum / surgery*
  • Aged
  • Aged, 80 and over
  • Arthritis, Rheumatoid / physiopathology
  • Arthritis, Rheumatoid / surgery
  • Arthroplasty, Replacement, Hip
  • Bone Transplantation / adverse effects
  • Bone Transplantation / instrumentation*
  • Bone Transplantation / methods
  • Female
  • Follow-Up Studies
  • Health Status Indicators
  • Hip Prosthesis*
  • Humans
  • Male
  • Middle Aged
  • Osteoarthritis, Hip / physiopathology
  • Osteoarthritis, Hip / surgery
  • Osteolysis / diagnostic imaging
  • Osteolysis / etiology
  • Osteotomy
  • Plastic Surgery Procedures
  • Postoperative Complications / etiology
  • Prosthesis Design*
  • Radiography
  • Range of Motion, Articular
  • Retrospective Studies
  • Transplantation, Autologous