Anatomic acetabular reconstruction with femoral head autograft for developmental dysplasia of the hip (DDH) with a minimum follow-up of 10 years

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dc.authoridŞenol Bekmez / 0000-0002-3739-4213en_US
dc.authorscopusidŞenol Bekmez / 55992993400
dc.authorwosidŞenol Bekmez / AHB-9146-2022en_US
dc.contributor.authorGüneş, Zirvecan
dc.contributor.authorBekmez, Şenol
dc.contributor.authorÇağlar, Ömür
dc.contributor.authorTokgözoğlu , Ahmet Mazhar
dc.contributor.authorAtilla, Bülent
dc.date.accessioned2022-07-05T13:59:08Z
dc.date.available2022-07-05T13:59:08Z
dc.date.issued2022en_US
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground: DDH with coxarthrosis causes significant deformity and bone deficiency. Various reconstructive techniques have been proposed to treat developmental dysplasia of the hip. However, the existing literature has not yet reached a consensus on the best technique regarding long-term survival. Objectives: This study aims to evaluate the long-term survival of uncemented hydroxyapatite (HA) coated acetabular components augmented with a femoral head autograft. Methods: We retrospectively reviewed the cases of 31 hips in 29 patients (24 female, 5 male, mean age 45.06 years) treated with HA-coated cementless components and femoral head autograft between 2000-2008 with a minimum follow-up of 10 years. Graft resorption, cup loosening and the anatomical hip centre were determined. Functional outcomes were calculated using the Harris Hip Scoring system. The survival of the acetabular component was evaluated using the Kaplan-Meier method. Results: In 24 hips (77,4%), we reconstructed the hip centre anatomically. The remaining cups had variable deviations from the anatomical rotation centre. Only one patient required revision due to loosening. Survival analysis revealed 96.8% survival at 10 years. The mean Harris Hip Score was 39.23 preoperatively and 84.77 at final follow-up. There was no statistical correlation between revision and any of the measured parameters. Discussion: Acetabular reconstruction with a femoral head autograft allows for anatomical cup positioning, early structural support and increases bone stock for future revisions. Although our prior cemented cup study showed that anatomical cup orientation is critical, this study demonstrated the absence of a correlation between implant failure and cup positioning, suggesting that HA-coated cementless cups are more stable and forgiving. Conclusions: HA-coated acetabular cups augmented with femoral head autograft provided long-term, reliable and durable cup fixation in dysplastic hips of young adults.en_US
dc.identifier.citationGüneş Z, Bekmez Ş, Çağlar Ö, Mazhar Tokgözoğlu A, Atilla B. Anatomic acetabular reconstruction with femoral head autograft for developmental dysplasia of the hip (DDH) with a minimum follow-up of 10 years. Hip Int. 2022 Jun 26:11207000221099580. doi: 10.1177/11207000221099580. Epub ahead of print. PMID: 35757909.en_US
dc.identifier.doi10.1177/11207000221099580en_US
dc.identifier.issn1120-7000en_US
dc.identifier.pmid35757909en_US
dc.identifier.scopus2-s2.0-85133334291en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttp://doi.org/10.1177/11207000221099580
dc.identifier.urihttps://hdl.handle.net/20.500.12713/2960
dc.identifier.wosWOS:000822276600001en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorBekmez, Şenol
dc.language.isoenen_US
dc.publisherSAGEen_US
dc.relation.ispartofHip Internationalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAcetabular Reconstructionen_US
dc.subjectCoxarthrosisen_US
dc.subjectDevelopmetal Dysplasia of the Hipen_US
dc.subjectFemoral Head Autograftingen_US
dc.titleAnatomic acetabular reconstruction with femoral head autograft for developmental dysplasia of the hip (DDH) with a minimum follow-up of 10 yearsen_US
dc.typeArticleen_US

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