Bony Acetabular Reconstruction in Total Hip Arthroplasty – Our Experience

Abstract

Background: Most of the revision hip arthroplasties have some sort of acetabular bone defects. These defects are usually managed with some sort of metal augments. These metal augments might make the bone weaker and fragile and revisions may become difficult. Aim of Study: This study aimed to study the outcome of various types of acetabular defects managed with bone grafts. MATERIALS AND METHODS: Ten patients with acetabular defects requiring separate management planning (Paprosky classification of acetabular defect) for total hip arthroplasty from May 2020 to May 2021 were selected and followed for further 2 years. Results: Acetabular defect was classified preoperatively with three-dimensional computed tomography scan. In all the cases, the bone graft healed radiographically with no signs of loosening of the acetabular cup. Conclusion: Conservative acetabular revision (reconstruction of the bone defect with bone graft) is the need of the hour. Reconstruction by bone graft has a smooth learning curve.

Keywords

• acetabular bone less
• acetabular reconstruction
• total hip arthroplasty