Bone Grafting In Hip Replacement Surgery Posted: 04-29-04 13:16pm
Has anyone experienced the need for bone
grafting when having a hip replaced? I
would be interested in hearing about the
outcomes for people. Has anyone heard the
term 'protrusia acetabulae' and is it the
same as congenital hip displasia?
Thanks
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rsl949
New User, Becoming EHEALTHy
Joined: 27 Jun 2004 Posts: 2
Tha Revision, Bone Grafting Posted: 06-28-04 00:20am
Poly insert wore on my 14 yr old hip
replacement.. Debris caused bone loss.
Surgical revision placed new acetabular
shell, positioned w/two screws into
pelvis, and bone inplant to restore lost
bone.
A year later, in feb. '04 progressive
protusio abnormality noticed: "acetabular
shell protudes into the pelvis". In mar.
'04 screws sheared and acetabular
prosthesis fell into the groin! [screws
won't support body weight; bone growth to
prosthesis is required.]
re-revision surgery removed sheared screws
and placed larger shell, w/larger screws,
and added significant bone graft.
Muscle laxity due to months of bed and
walker restrictions, plus second hip
revision have led to five [anterior]
dislocations. Agressive pt on quads and
abductors is supposed to resolve this
problem.
Btw, nsaids are known to impede bone
growth, and I now try to minimize these
arthritis pain relievers in order to
enable bone growth to, and around, the
prothesis.
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TerryX53
New User, Becoming EHEALTHy
Joined: 29 Apr 2004 Posts: 5 Location: BC, Canada
Bone Grafting Posted: 06-28-04 10:59am
Thank you for your reply to my query. You
have been through a lot with your hip
problems! I have a case of protrusio
acebabulae that will require a bone graft
to rebuild the socket. They will use bone
from the femoral head to refill the space
and then they will screw the prosthesis
into the grafted bone, or so I am to
understand at this time. The doctor
doesn't seem to have any concerns about
proceeding in this fashion. I am being
told that I can do no weight baring on
that hip for 6 to 8 weeks to allow the
bone to grow in and take over the work of
the screws. I'm going to keep getting
very fit between now and then and also
attempt to drop my extra 20 to 30 lbs of
weight.
I had hoped that this surgery would
restore my mobility and not cause me
worlds of other problems, as seems to have
happened in your situation. Thank you for
making me aware of some of the
possibilities.
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twinkle
New User, Becoming EHEALTHy
Joined: 29 Jun 2004 Posts: 2
Bone Grafting In Revision Posted: 06-29-04 00:30am
Hi,
my husband underwent his 3rd hip surgery
on the left hip. We won't talk about the
first two times but the last hip revision
was this past october (2003) done by a
wonderful doctor. He had to do bone
grafting as the acetabular was loose and
was grinding into his pelvic area. Right
before his surgery I could audibly hear
crunching sounds when he'd get up from his
chair. The surgery took about 8 hours
and he was in the hospital for 8 days.
Because of all the stress put on his right
hip from years of having to limp and lean
towards his right side, his right hip had
to be done last month. He is now pain
free. He says the right hip feels so
natural like nothing has ever been done to
it. The left hip feels good too but that
will take a year and more to completely
heal.
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rsl949
New User, Becoming EHEALTHy
Joined: 27 Jun 2004 Posts: 2
Terryx53 Note of 6/28/04 Posted: 07-02-04 17:38pm
Note: those little screws that they put
into your pelvis are not for weight
bearing! Mine sheared off when the bone
bond to the acetabular cup failed.
Getting in shape before the surgery sets
you back is very important. Tha destroys
hip socket retension ligaments and the hip
muscles must be restrengthened to retain
the prosthetic joint in place. So, mind
your restrictions after surgery and do not
lean back either!
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DirkDiggler6903
New User, Becoming EHEALTHy
Joined: 12 Jul 2004 Posts: 1 Location: Oklahoma
Hip Revison Posted: 07-12-04 10:08am
I am going to have this done in about 3
weeks. Bone graft is only way for me to
be fixed as well. My question is would
you do it again? I am tried of this pain
and being crippled. Doc says he is no
hurry to do this risky surgery. Your
opinion please. Thanks
