Subject(s)
Bone Diseases/surgery , Cartilage Diseases/surgery , Elbow Joint/surgery , Olecranon Process/surgery , Adult , Arthroscopy , Humans , MaleABSTRACT
Bone grafting is an essential part of most total hip acetabular reconstructions. There are a limited number of surgical options, each with inherent disadvantages for the management of structural acetabular defects. In this cadaver study, the authors aimed to evaluate the availability of vascularized pedicled iliac crest graft for the purpose of acetabular reconstruction. The hip joints, ilia and deep circumflex iliac artery pedicles of six adult preserved cadavers were dissected bilaterally. A segment of the iliac crest was elevated on the vascular pedicle and its access to different parts of the acetabulum was evaluated. The average pedicle length was sufficient for coverage of the superior and anterior acetabular walls. The access to the posterior wall, however, required modification of the bone size. A vascularized pedicled iliac crest graft is suitable for the reconstruction of selected acetabular deficiencies.
Subject(s)
Acetabulum/surgery , Bone Transplantation/methods , Ilium/blood supply , Ilium/transplantation , Adult , Cadaver , Female , Hip Dislocation, Congenital/surgery , Humans , Iliac Artery , Male , Plastic Surgery Procedures/methods , Sensitivity and Specificity , Surgical Flaps , Tissue and Organ HarvestingABSTRACT
An unusual case of late superior gluteal nerve palsy complicating posterior fracture-dislocation of the hip is reported. Posterior fracture-dislocation of the hip was Grade V according to the classification of Thompson and Epstein, and Type IV according to the subclassification of Pipkin. The palsy resulted from traction by scar tissue formation. Excision of the scar tissue and decompression of the superior gluteal nerve led to complete recovery.
