Acetabuloplastía en displasia de cadera en el adulto con uso de injerto de cabeza femoral.

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Bibliographic Details
Title:	Acetabuloplastía en displasia de cadera en el adulto con uso de injerto de cabeza femoral.
Alternate Title:	Acetabuloplasty in adult hip dysplasia using femoral head graft.
Authors:	J. U., Rangel-Lara¹ armagedon.jtp@gmail.com, L. E., García-Anaya¹, M. P., Muñoz-Navarro¹, I. D., Rojas-Muñoz¹, F. E., Márquez-Raygoza¹
Source:	Acta Ortopédica Mexicana. Mar/Apr2026, Vol. 40 Issue 2, p116-122. 7p.
Subjects:	ACETABULUM surgery, BONE grafting, FUNCTIONAL status, OSTEOARTHRITIS, RANGE of motion of joints, JOINT diseases, REHABILITATION, TOTAL hip replacement
Abstract (English):	Introduction: acetabular dysplasia in adults represents a therapeutic challenge due to progressive joint instability, pain, and functional limitation. This article presents a case series using acetabuloplasty with autologous femoral head graft, combined with total hip arthroplasty, as a treatment option for adult patients with severe acetabular dysplasia and osteoarthritis. Material and methods: a prospective case series was carried out between 2023 and 2024 at Cancun General Hospital. Five adult patients diagnosed with advanced hip dysplasia (Crowe II-IV) and Tönnis grade IV coxarthrosis were included. All patients underwent cemented dual-mobility total hip arthroplasty combined with acetabuloplasty using the autologous femoral head as graft material. Demographic characteristics, surgical approach and outcomes at 12-month follow-up are reported. Results: the five patients (three females and two males, mean age 57 years) showed significant functional improvement. All patients achieved standing and assisted walking at four weeks, independent walking at 8-10 weeks, and restoration of functional mobility arcs. Harris hip score improved from < 70 preoperatively to > 90 points at final follow-up. Conclusions: acetabuloplasty with autologous femoral head graft combined with dual mobility total hip arthroplasty is a reliable procedure, providing joint stability, early rehabilitation and improved quality of life. Although limited by sample size, this case series supports the utility of this technique as a valid therapeutic option in adult hip dysplasia with osteoarthritis. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	Introducción: la displasia acetabular del adulto constituye un desafío terapéutico importante en or-topedia, pues conlleva inestabilidad articular progresiva, dolor crónico y limitación funcional que derivan en artrosis avanzada. El presente artículo expone la experiencia con el uso de acetabuloplastía mediante injerto autólogo de cabe-za femoral, asociada con artroplastía total de cadera, como opción de tratamiento en pacientes adultos con displasia acetabular y artrosis severa. Material y métodos: se realizó un estudio observacional tipo serie de casos entre 2023 y 2024 en el Hospital General de Cancún. Se incluyeron cin-co pacientes adultos con diagnóstico de displasia acetabu-lar avanzada (Crowe II-IV) y coxartrosis grado IV. Todos fueron tratados con artroplastía total de cadera cementada de doble movilidad, complementada con acetabuloplastía empleando injerto autólogo de la cabeza femoral. Se des-criben características demográficas, técnicas quirúrgicas empleadas y evolución clínica durante 12 meses de segui-miento. Resultados: los cinco pacientes (tres mujeres y dos hombres, edad promedio 57 años, rango 52-63) presentaron mejoría funcional significativa. Se registró bipedestación y deambulación asistida con andadera a las cuatro semanas, deambulación independiente a las 8-10 semanas y recupe-ración de arcos de movilidad adecuados: flexión 90-100°, extensión 10-15°, abducción 30-35°, rotación interna 20-25° y rotación externa 30-35°. La puntuación en la escala de Ha-rris modificada mejoró de < 70 puntos en el preoperatorio a > 90 puntos en el postoperatorio. Conclusiones: la acetabu-loplastía con injerto autólogo de cabeza femoral, asociada con prótesis total de cadera de doble movilidad, representa una técnica quirúrgica confiable, con potencial de ofrecer estabilidad, restaurar arcos de movilidad y mejorar la cali-dad de vida. Este estudio, aunque limitado por el número de casos, aporta evidencia clínica favorable. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	Introduction: acetabular dysplasia in adults represents a therapeutic challenge due to progressive joint instability, pain, and functional limitation. This article presents a case series using acetabuloplasty with autologous femoral head graft, combined with total hip arthroplasty, as a treatment option for adult patients with severe acetabular dysplasia and osteoarthritis. Material and methods: a prospective case series was carried out between 2023 and 2024 at Cancun General Hospital. Five adult patients diagnosed with advanced hip dysplasia (Crowe II-IV) and Tönnis grade IV coxarthrosis were included. All patients underwent cemented dual-mobility total hip arthroplasty combined with acetabuloplasty using the autologous femoral head as graft material. Demographic characteristics, surgical approach and outcomes at 12-month follow-up are reported. Results: the five patients (three females and two males, mean age 57 years) showed significant functional improvement. All patients achieved standing and assisted walking at four weeks, independent walking at 8-10 weeks, and restoration of functional mobility arcs. Harris hip score improved from < 70 preoperatively to > 90 points at final follow-up. Conclusions: acetabuloplasty with autologous femoral head graft combined with dual mobility total hip arthroplasty is a reliable procedure, providing joint stability, early rehabilitation and improved quality of life. Although limited by sample size, this case series supports the utility of this technique as a valid therapeutic option in adult hip dysplasia with osteoarthritis. [ABSTRACT FROM AUTHOR]
ISSN:	23064102
DOI:	10.35366/123057