Primary hip replacement with impaction bone grafting

This 87 year old had been wheelchair bound for 9 months prior to surgery. She had severe pain in the hip and the hip was fixed at 70 degrees of flexion. The head of the femur had been completely destroyed and the acetabulum (socket) of the pelvis had been deepened and enlarged with time. The presumed diagnosis was AVN (avascular necrosis). A total hip replacement was performed and chips of allograft(donor) bone were packed into the acetabulum using a technique called impaction grafting to rebuild the bone of the pelvis. A cemented socket and stem were then inserted. She recovered well and left her wheelchair at the hospital.

Pre-operative X-ray

Post-operative X-ray