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Acta Ortopédica Mexicana

ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología
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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
Full text How to cite this article 10.35366/104576

DOI

DOI: 10.35366/104576
URL: https://dx.doi.org/10.35366/104576

Language: Spanish
References: 9
Page: 465-468
PDF size: 191.55 Kb.


Key words:

Bone flap, autologous bone graft, acetabular reconstruction, femoral head, bone conservation.

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

  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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.

  6. Goldberg VM. Selection of bone grafts for revision total hip arthroplasty. Clin Orthop Relat Res. 2000; 381: 68-76.

  7. 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.

  8. 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.

  9. 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.




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Acta Ortop Mex. 2021 Sep-Oct;35