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Acetabular "up-and-in" defect treated with in-situ femoral head autograft technique during total hip arthroplasty.

ABSTRACT: A 56-year-old male laborer with severe superior and medial acetabular protusio was treated with a cementless left total hip arthroplasty (THA) using an inexpensive technique that preserved the incarcerated femoral head in situ. The head was never dislocated, so the ligamentum was not disrupted. Wires stabilized the femoral head while reaming to prevent it from spinning, and multiple screws united the cup, autograft, and pelvis. At 2-year follow-up, the patient has pain-free hip function, radiographic union, and no component loosening or graft resorption.

SUBMITTER: Sarpong NO

PROVIDER: S-EPMC6728595 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature

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Acetabular "up-and-in" defect treated with in-situ femoral head autograft technique during total hip arthroplasty.

Sarpong Nana O NO Herndon Carl L CL Shah Roshan P RP

Arthroplasty today 20190813 3

A 56-year-old male laborer with severe superior and medial acetabular protusio was treated with a cementless left total hip arthroplasty (THA) using an inexpensive technique that preserved the incarcerated femoral head in situ. The head was never dislocated, so the ligamentum was not disrupted. Wires stabilized the femoral head while reaming to prevent it from spinning, and multiple screws united the cup, autograft, and pelvis. At 2-year follow-up, the patient has pain-free hip function, radiogr ...[more]

PMID: 31516970

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