title: Fate of bulk autografts in uncemented total hip arthroplasty. Evaluation by bone scintigraphy.
abstract: OBJECTIVE
  To review short term results of uncemented cup implantation and the fate of bulk femoral head autografts in patients with acetabular bone deficiency due to dysplasia of the hip. We used bone scintigraphy to assess the viability of the grafts.
  
  
  METHODS
  We treated 19 hip joints of 17 patients with osteoarthritis due to developmental dysplasia of the hip with uncemented total hip arthroplasty between 1997-2003 in the Department of Orthopedics and Traumatology, Gazi University, Ankara, Turkey. The average age was 49.1 (31-72 years), and the average follow up period was 36 months. We used femoral head autografts to reconstruct superolateral segmental deficiencies of the acetabuli. We evaluated the patients clinically and radiologically to assess acetabular loosening, and we used three-phase bone scintigraphy to evaluate the viability of the autograft.
  
  
  RESULTS
  There was no acetabular component revision throughout the follow up period. There was no radiological evidence of graft resorption or graft displacement in any of the patients. In bone scintigraphy, we observed hyperemia in the blood pool phase, and the osteoblastic activity of the bone graft was at the level of the neighboring iliac bone.
  
  
  CONCLUSIONS
  The application of a non-cemented acetabular component with femoral autograft in superolateral acetabulum deficiency increases the stability of the implant and increases the bone stock. It is not easy to evaluate the viability of the graft by the use of radiological methods. Bone scintigraphy gives sufficient information about the viability of the graft as a non-invasive method.
authors.affiliation: Department of Orthopaedics and Traumatology, Gazi University Medical Faculty Besevler, Ankara 06500, Turkey. ayk@gazi.edu.tr
authors.forename: Aykin
authors.initials: A
authors.lastname: Simsek
authors.forename: Erdal
authors.initials: E
authors.lastname: Cila
authors.forename: Ertugrul
authors.initials: E
authors.lastname: Sener
authors.forename: Alpaslan
authors.initials: A
authors.lastname: Senkoylu
authors.forename: Serkan
authors.initials: S
authors.lastname: Sipahioglu
authors.forename: Ozgur
authors.initials: O
authors.lastname: Akdemir
authors.forename: Tamer
authors.initials: T
authors.lastname: Atasever
mesh_terms: D000328:Adult; D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D005260:Female; D005270:Femur Head / Q000000981:diagnostic imaging* / Q000637:transplantation*; D005500:Follow-Up Studies; D006621:Hip Joint / Q000000981:diagnostic imaging*; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000601:surgery*; D011877:Radionuclide Imaging