Revisiting the Autologous Graft for Acetabular Defects with Anterior Approach
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This case study illustrates how new technologies can revitalize old techniques such as the Autologous Graft in the treatment of developmental dysplasia of the hip and resulting acetabular bone loss.
Today, metal augments are often used to address acetabular defects - however in this case we have used an autologous graft - a technique that has fallen from favor due to the challenges associated with the fixation of the acetabulum and the stable fixation of graft while reaming into it.
However this case sees this older technique refreshed thanks to the use of newer technologies. Improved acetabular cup designs now feature high friction coatings that aid initial fixation. In addition, the anterior approach delivers enhanced radiographic control throughout the procedure. We used #Velys from DepuysSynthes to guide acetabular component placement, facilitate graft placement and to guide fixation throughout.
The result is efficient structural support to the acetabular component, uniform incorporation of the graft, a simplified procedure using standard tools and the benefits of immediate weight bearing.
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