Md. Ries et Jd. Wiedel, FEMORAL-HEAD AUTOGRAFT IN SIMULTANEOUS PRIMARY AND REVISION TOTAL HIP-ARTHROPLASTY, The Journal of arthroplasty, 10(1), 1995, pp. 103-107
Bilateral total hip arthroplasty during one anesthetic procedure can b
e beneficial in properly selected patients. For patients who have a fa
iled hip arthroplasty requiring revision and a contralateral arthritic
hip requiring primary arthroplasty, bilateral surgery permits the res
ected femoral head from the primary procedure to be used as a fresh au
togenous bone-graft during the revision procedure. Four patients under
went combined primary hip arthroplasty and contralateral revision hip
arthroplasty during one anesthetic procedure. The femoral head obtaine
d during the primary procedure was used as a structural acetabular bon
e-graft in three patients, and bone slurry was used to fill cavitary a
cetabular defects in one patient. A femoral neck autograft was used to
reconstruct a calcar defect in one of the patients. After an average
follow-up period of 27 months, all hips were functioning well with hea
led bone-grafts and stable prosthetic components.