Outcome of Allogenic Bonegrafting for Acetabular defect (Protusio

Acetabulum) following Total Hip Replacement A Case Report

Abstract

Background:

The use of allografts and autografts in the management of acetabular defects has

been reported with varying results. Trabecular metal is an expensive option for

correcting defects. This study aims to assess the outcome of allogenic bonegrafting

following hip replacement.

Materials and Methods:

A 52 years old Male patient diagnosed as Transcervical Fracture neck of femor (8

weeks old) initially treated by local bone setter. We planned for uncemented total

hip replacement for this patient. Cup size of 50mm/ femoral stem size of 1 (S &

N). Following procedure post op X-Ray shows radiological evidence of Protusio

acetabuli ( Medial acetabular cup crosses Ilio Ischiel line ). For that we planned for

Allogenic bone grafting (Taken from preserved femoral head) using same

prosthesis. Bone graft taken from preserved femoral head packed and gentle

reaming done.
Results:

Patient followed up for the past 8 months. Follow-up X-Ray shows good

incorporation of bone graft, good range of motion, no graft lysis, and no change in

the cup inclination and no evidence of infection. Patient was pain free at all times

of follow up with maintenance of graft and implant position.

Conclusion:

Bone grafting is still a better option for acetabular defects in resource challenged

countries.