Bone-grafting in total hip replacement for acetabular protrusion.

Journal Article (Journal Article)

Since 1971 we have used homologous and autogenous bone grafts to reinforce the medial acetabular wall when doing a total hip replacement in patients with painful protrusio acetabuli. Thirty-two patients have been followed for a minimum of two years, the longest follow-up being eight years. All grafts appeared to have united roentgeno-graphically within three months, and the protrusion did not progress. In seven patients with a completely absent medial acetabular wall, a protrusio acetabuli ring was used to provide support until the bone graft had healed. Complications included one late dislocation, one pulmonary embolus, two trochanteric non-unins, two fractured trochanters, and one case of loosening of the femoral component. The results of this study suggest that bone-grafting is effective in arresting the progression of acetabular protrusion.

Full Text

Duke Authors

Cited Authors

  • McCollum, DE; Nunley, JA; Harrelson, JM

Published Date

  • October 1, 1980

Published In

Volume / Issue

  • 62 / 7

Start / End Page

  • 1065 - 1073

PubMed ID

  • 7430192

International Standard Serial Number (ISSN)

  • 0021-9355


  • eng

Conference Location

  • United States