Total hip replacement in dysplastic hips using femoral head shelf autografts

A consecutive series of 15 dysplastic hips was treated with total hip replacement using femoral head autograft shelf reconstruction. Cemented cups were used in nine hips, while uncemented cups were used in six cases. The average follow-up was 19 months. In the cemented group, the average preoperative Harris hip score was 44.8 [range 22-82], while in the uncemented group, it was 45 [range 23-61]. At the final review, the average clinical score was 71.5 [range 46-98] in the cemented group, while in the uncemented group, it was 87.5 [range 63-100]. Of the 15 cases, there was only one failure case, giving a success rate of 93%. In terms of the autograft, all united to host bone. Resorption was minor and restricted to the lateral non-weight bearing part of the graft. The present study supported the use of shelf autografts to reconstruct the dysplastic hips at the time of THR. In this series, both cemented and uncemented cups performed equally well