Acetabular Reconstruction with Bone Graft in Total Hip Arthroplasty

Abstract

Summary A cetabular bone defect is one of the most serious complication in orthopedic surgery that can be difficult to treat and can be potentially complicated. Reconstruction of acetabular defect using bone graft is one of the most successful methods for acetabular reconstruction. The present study was conducted on 30 patients with a mean age56years for a follow up period of eighteen month. There were18 males and12 females with 14 patients with segmental acetabular defect and16 patients with cavitary acetabular defect. We classify the patients in two main groups, one group with segmental acetabular defect and treated with block graft, and the other with cavitary acetabular defect treated with morsalized graft. The analysis confirmed thehomogenesity of all patients in both groups as there was no significant difference in terms of patient age, sex, side of the defect. There were no significant differences among both groups in terms of the cause of the defect, medical illness, or scoring system. Statistical analysis in this study showed that the time of graft incorporation in segmental autograft is shorter than the time of graft incorporation in morsellised allogarft.