title: Total hip replacement in developmental dysplasia using an oval-shaped cementless press-fit cup.
abstract: OBJECTIVE
  Acetabular roof deficiency due to subluxation of the femoral head (Hartofilakidis type II) increases the complexity of total hip arthroplasty. In these cases some form of support is usually required, to reach stable fixation of the acetabular component. Pursuing this aim, the oval-shaped cementless cranial socket could be an alternative to conventional treatment options.
  
  
  METHODS
  Between 1998 and 2008, 37 patients (40 hips) underwent primary total hip arthroplasty using the cranial socket (mean follow-up 5.6 years, range 26 to 133 months). In a retrospective study we compared these clinical and radiological results with the results of a matched control group consisting of 35 patients (40 hips) treated with a standard cementless hemispherical cup in combination with bulk femoral autografting (mean follow-up 6.9 years, range 30 to 151 months).
  
  
  RESULTS
  There were no statistically significant differences in the HHS (p=0.205) or the SF-36 (p=0.26) between both groups. There was no prosthesis failure due to septic or aseptic loosening. Time of surgery was significantly shorter in the cranial socket group (p<0.001). The acetabular component could be placed in the ideal rotational hip centre in 24 (60%) hips in the cranial socket group and 32 (80%) hips in the control group, respectively.
  
  
  CONCLUSIONS
  Our study indicates, that the cranial socket can be an alternative treatment option for the reconstruction of acetabular deficiency in osteoarthritis secondary to developmental dysplasia.
authors.affiliation: Orthopedic Center for Musculoskeletal Research, Department of Orthopedic Surgery, Koenig-Ludwig-Haus, Julius-Maximilians-University Wuerzburg, Brettreichstr. 11, 97074, Wuerzburg, Germany. b-holzapfel.klh@uni-wuerzburg.de
authors.forename: Boris M
authors.initials: BM
authors.lastname: Holzapfel
authors.forename: Felix
authors.initials: F
authors.lastname: Greimel
authors.forename: Peter M
authors.initials: PM
authors.lastname: Prodinger
authors.forename: Hakan
authors.initials: H
authors.lastname: Pilge
authors.forename: Ulrich
authors.initials: U
authors.lastname: Nöth
authors.forename: Hans
authors.initials: H
authors.lastname: Gollwitzer
authors.forename: Maximilian
authors.initials: M
authors.lastname: Rudert
mesh_terms: D000077:Acetabulum / Q000601:surgery*; D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation* / Q000379:methods; D002484:Cementation; D005260:Female; D006304:Health Status; D006618:Hip Dislocation, Congenital / Q000150:complications / Q000601:surgery*; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000209:etiology / Q000601:surgery; D017063:Outcome Assessment, Health Care; D011474:Prosthesis Design; D011475:Prosthesis Failure; D011788:Quality of Life; D011859:Radiography; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D013997:Time Factors