Femoral head autograft in simultaneous primary and revision total hip arthroplasty |
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| Affiliation: | 2. University of Colorado, Denver, Colorado, USA;1. Department of Biology, Chatham University, Pittsburgh, PA 15232, USA;2. Center for the Advanced Study of Human Paleobiology, Department of Anthropology, The George Washington University, Washington, DC 20052, USA;3. Department of Ecology and Evolutionary Biology, Brown University, Providence, RI 02912, USA;4. Department of Human Evolution, Max Planck Institute for Evolutionary Anthropology, 04103 Leipzig, Germany;1. Department of Orthopedic Surgery, The Affiliated Hospital of Xuzhou Medical University, No. 99, Huaihai West Road, Xuzhou, 221002 Jiangsu, PR China;2. Department of Operating Room, The Affiliated Hospital of Xuzhou Medical University, No. 99, Huaihai West Road, Xuzhou, 221002 Jiangsu, PR China;3. Department of Orthopedic Surgery, Yixing People''s Hospital, 75, Tong zhen Road, Yi Xing, 214200 Jiangsu, PR China;4. Orthopaedic Department, The First Affiliated Hospital of Soochow University, 188, Shizi Street, Suzhou, 215006 Jiangsu, PR China;1. Unitat d''Antropologia, Departament Biologia Animal, Facultat de Biologia, Universitat de Barcelona, Av. Diagonal 643, 08028, Barcelona, Spain;2. CIBIO Research Centre in Biodiversity and Genetic Resources, InBIO, Universidade do Porto, Campus Agrário de Vairão, Rua Padre Armando Quintas 7, 4485-661, Vairão, Vila do Conde, Portugal;3. Department of Ecology, Evolution and Organismal Biology, Iowa State University, Ames, IA, 50011, USA;1. Interdepartmental Doctoral Program in Anthropological Sciences, Stony Brook University, Stony Brook, NY 11794, USA;2. Center for the Advanced Study of Human Paleobiology, Department of Anthropology, The George Washington University, Washington, DC 20052, USA;3. Department of Anatomical Sciences, Stony Brook University, Stony Brook, NY 11794, USA;4. Institut Català de Paleontologia Miquel Crusafont, Universitat Autònoma de Barcelona, Cerdanyola del Vallès, Barcelona 08193, Spain;5. NYCEP Morphometrics Group, USA;6. Department of Cell and Neurobiology, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA;7. Department of Cell and Developmental Biology, University of Colorado School of Medicine, Aurora, CO 80045, USA;8. Department of Anthropology, Lakehead University, Thunder Bay, Ontario P7B 5E1, Canada;9. Human Origins Program, Department of Anthropology, National Museum of Natural History, Smithsonian Institution, Washington, DC 20560, USA;1. Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, Victoria, Australia;2. Traumaplasty.Melbourne, East Melbourne, Victoria, Australia;3. Department of Orthopaedics, Royal Melbourne Hospital, Parkville, Victoria, Australia;4. South Australian Health and Medical Research Institute (SAHMRI), Adelaide, South Australia, Australia;5. Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR), Adelaide, South Australia, Australia;6. Clinical and Health Sciences, University of South Australia, Adelaide, South Australia, Australia |
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| Abstract: | Bilateral total hip arthroplasty during one anesthetic procedure can be beneficial in properly selected patients. For patients who have a failed hip arthroplasty requiring revision and a contralateral arthritic hip requiring primary arthroplasty, bilateral surgery permits the resected femoral head from the primary procedure to be used as a fresh autogenous bone—graft during the revision procedure. Four patients underwent combined primary hip arthroplasty and contralateral revision hip arthroplasty during one anesthetic procedure. The femoral head obtained during the primary procedure was used as a structural acetabular bone—graft in three patients, and bone slurry was used to fill cavitary acetabular 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 healed bone—grafts and stable prosthetic components. |
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