Impaction bone grafting for contained acetabular defects in total hip arthroplasty
Abstract Background Acetabular bone loss is a technical challenge in total hip arthroplasty (THA). This study sought to report the functional and radiological results of acetabular reconstruction using impaction bone grafting (IBG) in patients with acetabular bone deficiency undergoing primary or re...
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | Journal of Orthopaedic Surgery and Research |
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| Online Access: | https://doi.org/10.1186/s13018-023-04154-0 |
| _version_ | 1797452018499977216 |
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| author | Mohamed Yousry Abu-Zeid Mohamed El-Sawy Habib Sameh Mohamed Marei Ahmed Nasr-Eldin Elbarbary Ahmed Ali Ebied Mohamed Kamal Mesregah |
| author_facet | Mohamed Yousry Abu-Zeid Mohamed El-Sawy Habib Sameh Mohamed Marei Ahmed Nasr-Eldin Elbarbary Ahmed Ali Ebied Mohamed Kamal Mesregah |
| author_sort | Mohamed Yousry Abu-Zeid |
| collection | DOAJ |
| description | Abstract Background Acetabular bone loss is a technical challenge in total hip arthroplasty (THA). This study sought to report the functional and radiological results of acetabular reconstruction using impaction bone grafting (IBG) in patients with acetabular bone deficiency undergoing primary or revision THA. Methods In this prospective study, full history taking, preoperative clinical and radiological evaluation, and preoperative planning and templating were performed. The Paprosky classification and the American Academy of Orthopaedic Surgeons classification were used to assess the acetabular deficiencies. Clinical outcomes were assessed utilizing the Harris hip score (HHS) and a 4-question satisfaction questionnaire. Graft incorporation was evaluated in the last follow-up X-rays. Results This study included 50 patients with a mean age of 46.7 ± 15.3 years. The THA was primary in 14 (28%) patients and revision in 36 (72%) patients. The mean HHS improved significantly from 28.8 ± 24.1 preoperatively to 76.6 ± 6.1, with a mean follow-up period of 23 months. Overall, 88% of patients were very satisfied. Complete radiological graft incorporation to host bone was achieved in 35 (70%) patients, and the remaining patients had partial incorporation. Complete graft incorporation was associated more frequently with primary THA, autografts, cementless cups, decreased defect size, and decreased graft layer thickness. Conclusions IBG for acetabular reconstruction in THA can achieve excellent clinical and radiological outcomes with a low complication rate. Level of evidence Level IV. |
| first_indexed | 2024-03-09T15:02:43Z |
| format | Article |
| id | doaj.art-259a22941c57406d8b96b588821b60e6 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-03-09T15:02:43Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-259a22941c57406d8b96b588821b60e62023-11-26T13:47:57ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2023-09-0118111010.1186/s13018-023-04154-0Impaction bone grafting for contained acetabular defects in total hip arthroplastyMohamed Yousry Abu-Zeid0Mohamed El-Sawy Habib1Sameh Mohamed Marei2Ahmed Nasr-Eldin Elbarbary3Ahmed Ali Ebied4Mohamed Kamal Mesregah5Department of Orthopaedic Surgery, Faculty of Medicine, Menoufia UniversityDepartment of Orthopaedic Surgery, Faculty of Medicine, Menoufia UniversityDepartment of Orthopaedic Surgery, Faculty of Medicine, Menoufia UniversityDepartment of Orthopaedic Surgery, Faculty of Medicine, Menoufia UniversityDepartment of Orthopaedic Surgery, Faculty of Medicine, Menoufia UniversityDepartment of Orthopaedic Surgery, Faculty of Medicine, Menoufia UniversityAbstract Background Acetabular bone loss is a technical challenge in total hip arthroplasty (THA). This study sought to report the functional and radiological results of acetabular reconstruction using impaction bone grafting (IBG) in patients with acetabular bone deficiency undergoing primary or revision THA. Methods In this prospective study, full history taking, preoperative clinical and radiological evaluation, and preoperative planning and templating were performed. The Paprosky classification and the American Academy of Orthopaedic Surgeons classification were used to assess the acetabular deficiencies. Clinical outcomes were assessed utilizing the Harris hip score (HHS) and a 4-question satisfaction questionnaire. Graft incorporation was evaluated in the last follow-up X-rays. Results This study included 50 patients with a mean age of 46.7 ± 15.3 years. The THA was primary in 14 (28%) patients and revision in 36 (72%) patients. The mean HHS improved significantly from 28.8 ± 24.1 preoperatively to 76.6 ± 6.1, with a mean follow-up period of 23 months. Overall, 88% of patients were very satisfied. Complete radiological graft incorporation to host bone was achieved in 35 (70%) patients, and the remaining patients had partial incorporation. Complete graft incorporation was associated more frequently with primary THA, autografts, cementless cups, decreased defect size, and decreased graft layer thickness. Conclusions IBG for acetabular reconstruction in THA can achieve excellent clinical and radiological outcomes with a low complication rate. Level of evidence Level IV.https://doi.org/10.1186/s13018-023-04154-0Acetabular deficiencyAcetabular defectsImpaction bone graftingIBGAutologous boneAllograft bone |
| spellingShingle | Mohamed Yousry Abu-Zeid Mohamed El-Sawy Habib Sameh Mohamed Marei Ahmed Nasr-Eldin Elbarbary Ahmed Ali Ebied Mohamed Kamal Mesregah Impaction bone grafting for contained acetabular defects in total hip arthroplasty Journal of Orthopaedic Surgery and Research Acetabular deficiency Acetabular defects Impaction bone grafting IBG Autologous bone Allograft bone |
| title | Impaction bone grafting for contained acetabular defects in total hip arthroplasty |
| title_full | Impaction bone grafting for contained acetabular defects in total hip arthroplasty |
| title_fullStr | Impaction bone grafting for contained acetabular defects in total hip arthroplasty |
| title_full_unstemmed | Impaction bone grafting for contained acetabular defects in total hip arthroplasty |
| title_short | Impaction bone grafting for contained acetabular defects in total hip arthroplasty |
| title_sort | impaction bone grafting for contained acetabular defects in total hip arthroplasty |
| topic | Acetabular deficiency Acetabular defects Impaction bone grafting IBG Autologous bone Allograft bone |
| url | https://doi.org/10.1186/s13018-023-04154-0 |
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