Arthrodesis of the HIP with muscle pedicle graft

ABSTRACT

Long term patient's slatisfaction, up to 30 years, following hip fusion was reported [2,3]. The aim of this work is to evaluate the results of a modified method of hip fusion. Patients and methods: 14 adults patients with unilateral hip destruction following septic arthritis [7 cases], tuberculous arthritis [4 cases] and trauma form the material of this study. The method of fusion entails using the greater trochanter with the gluteus medius attached as a muscle pedicle bone graft to be put between the superior surface of the neck femur and the outer edge of the acetabulum. Moreover, tricortical iliac graft is put between the roof of the acetabulum and upper part of the head after removing any remanant of their cartilage. The bones are then hold together by Cobra plate. Reusults one cases of non-union, one case of clinical union and 12 cases [85.7%] of bonny healing. Complications include one case of flaring of infection, one case of breakage femoral screws, one case of increased shortening and one case of iaetrogenic fracture neck of the femur