title: Favorable results of acetabular reconstruction with impacted morsellized bone grafts in patients younger than 50 years: a 10- to 18-year follow-up study of 34 cemented total hip arthroplasties.
abstract: We report a long-term review of 41 acetabular reconstructions using impacted morsellized bone grafts and a cemented total hip arthroplasty (THA) in patients younger than 50 (22-49; average 38) years. Reconstruction was performed in 23 primary THA (19 patients) and 18 revision THA (17 patients). 3 patients were lost to follow-up and 3 (4 hips) died within 10 years of surgery; none had a revision. Thus, 34 hips (30 patients) were reviewed with an average follow-up of 13 (10-18) years. In 2 hips, a revision was performed for aseptic loosening of the acetabular component 7 and 11 years after surgery. One additional cup was revised after 12 years during a femoral stem revision due to wear and matching problems, but was well fixed. The survival rate of the acetabular reconstruction technique was 94% (95% CI: 90-98%).
authors.affiliation: Department of Orthopaedics, University Medical Centre Nijmegen, The Netherlands. W.Schreurs@orthp.azn.nl
authors.forename: B W
authors.initials: BW
authors.lastname: Schreurs
authors.forename: T G
authors.initials: TG
authors.lastname: van Tienen
authors.forename: P
authors.initials: P
authors.lastname: Buma
authors.forename: N
authors.initials: N
authors.lastname: Verdonschot
authors.forename: J W
authors.initials: JW
authors.lastname: Gardeniers
authors.forename: T J
authors.initials: TJ
authors.lastname: Slooff
mesh_terms: D000077:Acetabulum / Q000000981:diagnostic imaging / Q000601:surgery*; D000328:Adult; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D001843:Bone Cements; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D019651:Plastic Surgery Procedures / Q000379:methods*; D012086:Reoperation; D016896:Treatment Outcome
chemical_list: D001843:Bone Cements