Bone Grafting of Acetabular Deficiencies in Total Hip Replacement

  • Alan H. Wilde
  • Bernard N. Stulberg


Bony deficiencies in the acetabulum are not infrequently encountered in total hip replacement. Deficiencies occur as the result of disease, trauma or previous surgery. Bone deficiency as the result of disease can be seen in rheumatoid arthritis, idiopathic protrusio ace-tabuli, congenital dislocation of the hip or acetabular dysplasia, cerebral palsy, coxa vara, arthrogryposis, or Ollier’s disease. Fracture dislocation of the hip can produce severe distortion of the pelvis requiring major reconstruction of the acetabulum. Some of the largest deficiencies can be seen following failed cemented total hip arthroplasties. Protrusio acetabuli can occur following hemi-arthroplasty of the hip.


Single Photon Emission Compute Tomography Bone Grafting Acetabular Component Host Bone Acetabular Dysplasia 
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  1. 1.
    McColum DE, Nunley JA, Narrelson JM (1980) Bone grafting in total hip replacement for acetabular protrusion. J Bone Joint Surg 62A: 1065–1072Google Scholar
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    Gerber SD, Harris WH (1986) Femoral head autografting to augment acetabular deficiency in patients requiring total hip replacement. J Bone Joint Surg 68A: 1241–1248Google Scholar

Copyright information

© Springer-Verlag Tokyo 1989

Authors and Affiliations

  • Alan H. Wilde
  • Bernard N. Stulberg
    • 1
  1. 1.Department of Orthopedic SurgeryThe Cleveland Clinic FoundationClevelandUSA

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