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 subs...

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Bibliographic Details
Published in:The Journal of arthroplasty 2012-03, Vol.27 (3), p.493.e19-493.e22
Main Authors: Van de kerkhove, Maarten-Paul, MD, PhD, PosthumaDeBoer, Jantine, MD, Jiya, Timothy U., MD, Winters, Hay A., MD, PhD, Saouti, Rachid, MD
Format: Article
Language:English
Subjects:
Acetabulum - surgery
arthroplasty
Arthroplasty, Replacement, Hip
bone graft
Female
Femur - transplantation
hip
Humans
Middle Aged
Orthopedics
Reoperation
revision
vascularized
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Description
Summary: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.
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2011.03.049