Total hip arthrolasty plus acetabular structural bone grafting for acetabular dysplasia combined with osteoarthritis / 中国组织工程研究

ABSTRACT

BACKGROUND: Acetabular dysplasia is commonly seen in hip diseases, which can lead to biomechanical imbalance of the hip joint and accelerate the hip worn, further inducing hip osteoarthritis. At present, total hip arthroplasty is the preferred.OBJECTIVE: To investigate the clinical efficacy of total hip arthrolasty plus acetabular structural bone grafting in the treatment of acetabular dysplasia combined with osteoarthritis.METHODS: Fifty cases of acetabular dysplasia combined with osteoarthritis were enrolled, including 11 cases of Crowe I,16 Crowe II, 19 Crowe III and 4 Crowe IV, and all were treated with total hip arthrolasty plus acetabular structural bone grafting. The pain, functional recovery, Harris hip score, and quality of life were recorded at baseline and 6 months after treatment.RESULTS AND CONCLUSION: After treatment, (1) the Harris hip scores in the patients with Crowe I, II, III, and IV acetabular dysplasia were significantly increased (P < 0.05); (2) the pain and walking were significantly improved in all patients (P < 0.05); (3) the patients' physiological function, physiological function, body pain, health, energy, social function, emotional function and mental health were significantly improved (P < 0.05). (4) These results elaborate that total hip arthrolasty plus acetabular structural bone grafting to treat acetabular dysplasia combined with osteoarthritis,can obtain appropriate acetabular cup placement, excellent prosthesis supporting, restore limb length and increase acetabular bone mass. Therefore, it significantly improves patients' pain and hip function, thereby improving patients' quality of life and achieving satisfactory treatment outcomes.