title: Pelvic reconstruction with a free vascularized distal femur for revision total hip arthroplasty.
abstract: The reconstruction of massive structural acetabular defects after revision arthroplasty presents a unique challenge to the orthopedic surgeon. This report describes such a salvage procedure where an autologous vascularized distal femur was used to reconstruct acetabular bone stock with subsequent implantation of a total femoral endoprosthetic replacement that uses a constrained cup and a hinged total knee system. At 2 years of follow-up, there is a good functional result with full incorporation of the graft.
authors: Department of Orthopaedic Surgery, VU University Medical Center, Amsterdam, The Netherlands.
authors: Maarten-Paul
authors: MP
authors: Van de Kerkhove
authors: Jantine
authors: J
authors: PosthumaDeBoer
authors: Timothy U
authors: TU
authors: Jiya
authors: Hay A
authors: HA
authors: Winters
authors: Rachid
authors: R
authors: Saouti
mesh_terms: D000077:Acetabulum / Q000601:surgery*; D019644:Arthroplasty, Replacement, Hip; D005260:Female; D005269:Femur / Q000637:transplantation*; D006801:Humans; D008875:Middle Aged; D012086:Reoperation