Cemented Total Hip Arthroplasty With Acetabular Reconstruction Using Bone Impaction Grafting

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Cemented Total Hip Arthroplasty With Acetabular Reconstruction Using Bone Impaction Grafting

By Radboudumc Orthopaedic Department FEATURING Luuk Rietbergen, Wim Rijnen

1,703 views

February 14, 2021

Surgery performed by Wim Schreurs and Martin Pouw

This video shows the surgical technique for ...
read more ↘ acetabular bone impaction grafting in primary total hip arthroplasty. Bone impaction grafting for acetabular defects has been developed at our institution and has been pioneered in 1979. This technique has been extensively studied and has shown excellent long term results.

In our hospital all patients under 50 years of age are treated with primary BIG of the acetabulum. Our main philosophy is to restore the center of rotation of the hip joint and to increase acetabular bone stock in these young patients. A mesh is used in case the native acetabulum does not provide enough cover for the acetabular component. The mesh should lie on the bone and has to be fixated with a minimum of 5 screws. For our bone graft we chips 8-10 mm in diameter made from the patient’s own femoral head or an allograft fresh frozen femoral head, fresh frozen croutons can also be used.

J Bone Joint Surg Am 2004 Nov;86(11):2385-92.

Acetabular reconstruction with impaction bone-grafting and a cemented cup in patients younger than fifty years old

B Willem Schreurs 1, Vincent J J F Busch, Marianne L Welten, Nico Verdonschot, Tom J J H Slooff, Jean W M Gardeniers

Clin Orthop Relat Res 2001 Dec;(393):202-15.

Acetabular reconstruction with bone impaction grafting and a cemented cup: 20 years experience B W Schreurs 1, T J Slooff, J W Gardeniers, P Buma

PMID: 11764350

J Bone Joint Surg Am 2017 Oct 4;99(19):1640-1646.

Acetabular Reconstructions with Impaction Bone-Grafting and a Cemented Cup in Patients Younger Than 50 Years of Age: A Concise Follow-up, at 27 to 35 Years, of a Previous Report Marloes W J L Schmitz 1, Tom J J H Slooff, B Willem Schreurs

PMID: 28976428
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