BULK AUTOGRAFT FOR A DEFICIENT ACETABULUM IN CHARNLEY LOW-FRICTION ARTHROPLASTY - A 2-9-YEAR FOLLOW-UP-STUDY

The authors assessed 40 hips in 36 patients where a bulk femoral head autograft was used to supplement deficient acetabulum while performing Charnley low-friction arthroplasty. The majority of the hips were con genitally dysplastic or dislocated with secondary arthritis. The avera ge age at surgery was 47.5 years and the average follow-up period was 4 years. The graft provided a cover between 10 and 42% (mean, 23%) of the socket hemisphere. Union of the graft was evident on the radiograp h in 35 hips. There was no graft resorption in 28 hips. Mild graft res orption was seen in 11 cases, and moderate graft resorption was seen i n 1 case. In 24 cases, there was no demarcation at the bone-cement int erface of the socket. Asymptomatic demarcation of 1 mm thickness or le ss was seen in 16 hips, of which only 2 showed demarcation at the ceme nt-graft interface. All 40 cases were clinically asymptomatic and succ essful thus far, with the mean d'Aubigne and Postel score improving fr om 3.1, 2.8, and 2.9 before surgery to 5.9, 5.4, and 4.9 after surgery for pain, function, and movement, respectively.