Bone grafting in cementless total hip replacement for congenital dysplasiaof the hip

We reviewed 27 cementless primary total hip replacements in patients with o steoarthrosis secondary to congenital dysplasia of the hip. Autogenous bone grafting was used as augmentation. On average the follow-up period was 9 y ears, Two hips were revised and three acetabular components were considered loose. In hips with loose cups the average graft coverage was significantl y greater than in stable hips. The use of a cementless acetabular component is encouraging for reconstruction. although extensive grafting should be a voided. Our study suggests that cementless reconstruction in dysplastic hip s yields a satisfactory outcome.