A case report: Posterior acetabular deficiency treated with femoral head autograft and hybrid total hip arthroplasty

Authors

  • Lalit C Karpenter
  • K P Manimaran
  • M Shanmugasundaram
  • S Balachandar

DOI:

https://doi.org/10.32677/ijcr.v10i5.4482

Keywords:

Acetabular deficiency, Femoral head autograft, Hybrid total hip arthroplasty, Posterior wall, Total hip arthroplasty

Abstract

As a choice for treating acetabular deficiencies, total hip arthroplasty (THA) is beset with many drawbacks, particularly in relation to untreated fractures and post-surgery complications. Furthermore, it is hard to ensure long-term fixation of the acetabular shell. In our case, a 52-year-old male manual laborer presented with complaints of a painful limp of the left lower limb with gross restriction of movements in the left hip joint. Previously, the patient had undergone open reduction and posterior acetabular wall plate fixation 2 years back and implant exit had been done 1 year before due to complaints of pain. We treated the patient with hybrid THA. To rectify the acetabular defect, we used a femoral head autograft, securing it with screws, and supporting it with a plate posteriorly. After 1 year, there was good graft consolidation sans acetabular component displacement as evidenced by radiography. A Harris hip score of 79.7 indicated good functionality. Therefore, hybrid THA with reconstruction is a good option for treating post-traumatic arthritis with acetabular wall deficiencies. Although the procedure is difficult to carry out, it yields better results in terms of lessened pain, enhanced stability, and better functionality.

Downloads

Download data is not yet available.

Downloads

Published

2024-06-20

Issue

Section

Case Report

How to Cite

A case report: Posterior acetabular deficiency treated with femoral head autograft and hybrid total hip arthroplasty. (2024). Indian Journal of Case Reports, 10(5), 148-151. https://doi.org/10.32677/ijcr.v10i5.4482

Most read articles by the same author(s)

<< < 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 > >>