[Modified acetabuloplasty using bioresorbable screws and lyophilised allogenic bone]. 2008

J F Funk, and C Perka, and A Pruss, and A L Meiss, and R Placzek
Centrum für Muskuloskeletale Chirurgie, Orthopädische Universitätsklinik der Charité, Berlin.

OBJECTIVE Various pericapsular procedures are available to surgically improve the acetabular coverage of the femoral head prior to closure of the triradiate cartilage. In this study the acetabuloplasty with the modification according to Westin (Pember-Sal) was applied. Indications for surgery were congenital hip dysplasia or luxation as well as Perthes' disease. To date, the standard procedures for acetabuloplasty include the transplantation of an autologous iliac crest bone graft and the fixation with K-wires. The aim of this study was to investigate if a modification of the operative procedure with the use of resorbable screws and allogenic bone transplants can minimise the operative trauma, avoid a second procedure, and permit MRI follow-ups without increasing the risk of the operation. METHODS 15 patients with a mean age of 6.7 years were included in this case series and treated with a modified acetabuloplasty for the indication hip dysplasia or Perthes' disease. The modification of the standard procedure included the transplantation of allogenic bone wedges customised from lyophilised femoral grafts. The fixation was performed with bioresorbable polylactide screws. Clinical and radiographical follow-ups were conducted. RESULTS Procedure-related complications occurred neither in the intra- nor the postoperative period. The allogenic bone graft was remodelled successively as seen on radiographic controls. Dislocations of the bone wedges were not detectable. Subsiding of the allograft did not occur to a noticeable extent as the acetabular index showed no increase during follow-up. CONCLUSIONS This study presents a gentle method of acetabuloplasty which avoids iliac crest bone harvesting with its known complications as well as a second procedure under anaesthesia for the removal of implants.

UI MeSH Term Description Entries
D007873 Legg-Calve-Perthes Disease A particular type of FEMUR HEAD NECROSIS occurring in children, mainly male, with a course of four years or so. Coxa Plana,Legg-Perthes Disease,Perthes Disease,Legg-Calve-Perthes Syndrome,Legg-Calvé-Perthes Disease,Legg-Calvé-Perthes Syndrome,Osteochondritis Deformans,Disease, Legg-Calve-Perthes,Disease, Legg-Calvé-Perthes,Disease, Legg-Perthes,Disease, Perthes,Legg Calve Perthes Disease,Legg Calve Perthes Syndrome,Legg Calvé Perthes Disease,Legg Calvé Perthes Syndrome,Legg Perthes Disease,Osteochondritis Deforman,Syndrome, Legg-Calve-Perthes,Syndrome, Legg-Calvé-Perthes
D008297 Male Males
D011183 Postoperative Complications Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D011859 Radiography Examination of any part of the body for diagnostic purposes by means of X-RAYS or GAMMA RAYS, recording the image on a sensitized surface (such as photographic film). Radiology, Diagnostic X-Ray,Roentgenography,X-Ray, Diagnostic,Diagnostic X-Ray,Diagnostic X-Ray Radiology,X-Ray Radiology, Diagnostic,Diagnostic X Ray,Diagnostic X Ray Radiology,Diagnostic X-Rays,Radiology, Diagnostic X Ray,X Ray Radiology, Diagnostic,X Ray, Diagnostic,X-Rays, Diagnostic
D001863 Bone Screws Specialized devices used in ORTHOPEDIC SURGERY to repair bone fractures. Bone Screw,Screw, Bone,Screws, Bone
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D005260 Female Females
D005500 Follow-Up Studies Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease. Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D005612 Freeze Drying Method of tissue preparation in which the tissue specimen is frozen and then dehydrated at low temperature in a high vacuum. This method is also used for dehydrating pharmaceutical and food products. Lyophilization,Drying, Freeze,Dryings, Freeze,Freeze Dryings,Lyophilizations

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