2021, Number 5
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Acta Ortop Mex 2021; 35 (5)
Conservation of autologous graft of femoral head in bone flap for treatment of acetabular defects
Aguirre-Rodríguez V, Santa MN, Valero-González F
Language: Spanish
References: 9
Page: 465-468
PDF size: 191.55 Kb.
ABSTRACT
Objective: To describe a bone preservation technique commonly used in neurosurgery in an orthopedic procedure.
Material and methods: We describe the case of a patient who undergoes primary hip arthroplasty with an initial unsatisfactory result, the need for a revision with acetabular reconstruction is considered before the wound closure. Keeping the patient's femoral head in soft tissues for second-time reconstruction.
Results: After six months of follow-up, complete osseointegration of the femoral head graft was found, with a good clinical and radiological evolution of the patient. Bone conservation techniques in bone flaps have shown good results in the grafts osseointegration in other areas such as neurosurgery.
Conclusions: The conservation of bone flaps in subcutaneous tissue for later use as a graft is a viable treatment option also in orthopedic surgery.
REFERENCES
Schmolders J, Friedrich MJ, Michel RD, Randau TM, Wimmer MD, Strauss AC, et al. Acetabular defect reconstruction in revision hip arthroplasty with a modular revision system and biological defect augmentation. Int Orthop. 2015; 39(4): 623-30.
Deirmengian GK, Zmistowski B, O'Neil JT, Hozack. Management of acetabular bone loss in revision total hip arthroplasty. J Bone Joint Surg Am. 2011; 93(19): 1842-52.
Sheth NP, Nelson CL, Springer BD, Fehring TK, Paprosky WG. Acetabular bone loss in revision total hip arthroplasty: evaluation and management. J Am Acad Orthop Surg. 2013; 21(3): 128-39.
Calvo R, Figueroa D, Díaz-Ledezma C, Vaisman A, Figueroa F. Aloinjertos óseos y la función del banco de huesos. Rev Med Chile. 2011; 139: 660-6.
Goldberg V, Akhavan. Biology of bone grafts. En: Lieberman JR, Friedlaender GE. Bone regeneration and repair. Biology and Clinical Applications. Humana Press Inc. 2005; 4: 57-65.
Goldberg VM. Selection of bone grafts for revision total hip arthroplasty. Clin Orthop Relat Res. 2000; 381: 68-76.
Schlegel UJ, Bitsch RG, Pritsch M, Clauss M, Mau H, Breusch SJ. Mueller reinforcement rings in acetabular revision: Outcome in 164 hips followed for 2-17 years. Acta Orthop. 2006; 77(2): 234-41.
Wang W, Jiang N, Wang J, Kang X, Fu G, Liu Y. Bone formation in subcutaneous pocket after bone flap preservation. Clin Case Rep. 2016; 4(5): 473-6.
Cheng CH, Lee HC, Chen CC, Cho DY, Lin HL. Cryopreservation versus subcutaneous preservation of autologous bone flaps for Cranioplasty: Comparison of the surgical site infection and bone resorption rates. Clin Neurol Neurosurg. 2014; 124: 85-9.