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. 2022 May;14(5):902-910.
doi: 10.1111/os.13262. Epub 2022 Apr 20.

Impaction Bone Grafting Combined with Titanium Mesh for Acetabular Bone Defects Reconstruction in Total Hip Arthroplasty Revision: A Retrospective and Mini-Review Study

Xiang Li  1   2 , Bai-Qi Pan  1   2   3 , Xiao-Yu Wu  1   2   3 , Ming Fu  1   2   3 , Wei-Ming Liao  1   2   3 , Chu-Heng Wu  1   3 , Pu-Yi Sheng  1   2   3
Affiliations

Impaction Bone Grafting Combined with Titanium Mesh for Acetabular Bone Defects Reconstruction in Total Hip Arthroplasty Revision: A Retrospective and Mini-Review Study

Xiang Li et al. Orthop Surg. 2022 May.

Abstract

Objective: To investigate the application of impaction bone grafting (IBG) combined with Ti-alloy mesh for acetabular bone defect reconstruction in total hip arthroplasty (THA) revision and follow up the clinical outcomes and imaging findings.

Methods: The clinical and imaging data of patients who were admitted to our hospital from January 2000 to December 2020 and underwent acetabular bone defects reconstruction using IBG combined with titanium mesh were retrospectively analyzed. Preoperative and post-revision Oxford and Harris scores, and post-revision complications were evaluated. Radiographs were used to determine center of rotation (COR) of the hip joint, transparency line, bone graft fusion, and bone mineral density (BMD) around the hip joint.

Results: Significant improvement was observed in both Oxford and Harris scores (P < 0.05). The radiographs taken at the last follow-up examination showed no significant differences in the acetabulum COR, offsets, inclination angle, mean ratio of vertical value, and BMD analysis between the post-revision side and contralateral side (P > 0.05). The follow-up data showed restoration of the mesh implant and graft bone fusion.

Conclusions: The application of IBG combined with titanium-alloy mesh in revision THA patients with acetabular defects was found to provide satisfactory outcomes. However, large-scale studies are still needed to further elucidate the long-term outcomes.

Keywords: Acetabular defects; Bone mineral density; Impaction bone grafting; Revision; Total hip arthroplasty.

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Figures

Fig. 1
Fig. 1
(A) Post‐revision radiographs showing the measurement of horizontal value (AC, BC), vertical value (DF, EF) of the acetabular implant, inclination angle of acetabulum (G); (B) Measurement of offsets in a hip (a: medial offset; b: ilioischial offset; c: femoral offset; d: center of rotation).
Fig. 2
Fig. 2
Region of interest (ROI) histogram analysis and ROIs of certain area. Diagram of Surgical Technique: We provide a manual sketch of the key procedures of the surgical technique.
Fig. 3
Fig. 3
(A) Pre‐ versus post‐revision (Follow‐up) Oxford Hip Score; (B) Pre‐ versus post‐revision (Follow‐up) Harris Hip Score
See this image and copyright information in PMC

References

    1. Learmonth ID, Young C, Rorabeck C. The operation of the century: total hip replacement. Lancet. 2007;370:1508–19. - PubMed
    1. Sukhonthamarn K, Grosso MJ, Sherman MB, Restrepo C, Parvizi J. Risk factors for unplanned admission to the intensive care unit after elective total joint arthroplasty. J Arthroplasty. 2020;35:1937–40. - PubMed
    1. Sloan M, Premkumar A, Sheth NP. Projected volume of primary total joint arthroplasty in the U.S., 2014 to 2030. J Bone Joint Surg Am. 2018;100:1455–60. - PubMed
    1. Bian Y, Cheng K, Chang X, Weng X. Reports and analysis of amount of hip and knee arthroplasty in China from 2011 to 2019. Chin J Orthop. 2020;40:1453–60.
    1. Gross AE, Goodman S. The current role of structural grafts and cages in revision arthroplasty of the hip. Clin Orthop Relat Res. 2004;429:193–200. - PubMed