[Massive reconstruction of acetabulum and proximal femur].
In revision hip surgery, allografts are useful for restoring the bone stock and allow the muscle fixation avoiding the use of massive metallic prothesis.


METHODS
We have reviewed 51 hip reconstructions with a follow up of 4 years and half (1982 - 1991). Indications were: - revision arthroplasties with destroyed acetabulum, - bone tumors (mainly chondrosarcoma).


RESULTS
The results are good for pain, articular movement and the consolidation of the allograft host bone junction. Some complications were encountered: - Post-operative death (early or late for tumoral extension) in case of major surgery for tumor (4 cases). - Deep infections (2 cases). - Weakness of the gluteus medius with hip dislocation needing anti-dislocation device. - Aseptic serous fluid leak meaning immunobiologic reaction of bone grafts (3 cases).


CONCLUSIONS
This surgery has to be compared to massive reconstruction prostheses, arthrodesis with limb shortening, femoral head and neck resection and in some cases inter ilio-abdominal amputation which gives also major post-operative complication.
Service de Chirurgie Orthopédique et de Traumatologie, C.H.U. Nord, Chemin des Bourrely, F-13915, Marseille Cedex 20, USA.
D G
DG
Poitout
Service de Chirurgie Orthopédique et de Traumatologie, C.H.U. Nord, Chemin des Bourrely, F-13915, Marseille Cedex 20, USA.
P
P
Tropiano
Service de Chirurgie Orthopédique et de Traumatologie, C.H.U. Nord, Chemin des Bourrely, F-13915, Marseille Cedex 20, USA.
M
M
Bernat
Service de Chirurgie Orthopédique et de Traumatologie, C.H.U. Nord, Chemin des Bourrely, F-13915, Marseille Cedex 20, USA.
J F
JF
Moulene
Acetabulum; Femur; Hip; Massive reconstruction