Old traumatic posterior acetabular defects reconstructed with iliac crest autograft
- VernacularTitle:自体游离髂骨移植重建髋臼后壁陈旧性骨折缺损
- Author:
Junying SUN
;
Tianlu HONG
;
Tiansi TANG
- Publication Type:Journal Article
- Keywords:
Hip fractures;
Hip dislocation;
Acetabulum;
Surgical procedures, operative
- From:
Chinese Journal of Orthopaedics
1998;0(12):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To describe the surgical technique for treatment of old traumatic posterior acetabular defects. Methods From March 1990 to March 1998, 6 patients were treated with a full thickness iliac crest autograft to reconstruct their posterior acetabular defects. There were 4 males and 2 females, the average age of the patients was 32 years. The acetabular defects were caused by traffic accident and delayed in treatment for 3 to 11 months. Results The duration of follow up was 2－ 10 years， the function of the hip joints were good in all of the patients, according to the criterion of d Aubigne six points. X－ ray film revealed that although the femoral head was not in exact congruence with reconstructed acetabulum, yet there was no dislocation. Slight degeneration was found in 3 cases. Conclusion Although this procedure did not exactly reproduce the anatomy of the hip joint, it restored the posterior stability, provided bone stock for the hip joints and prevented dislocation of the femoral head. So this procedure is useful for late total hip arthroplasty.
