Source of Support: None, Conflict of Interest: None
Several methods have been advocated to reinforce the deficient medial wall, in total hip replacement for stiff, painful hips resulting from acetabular protrusion. Fourteen hips in 12 patients were reviewed in whom we performed autologous bone-grafting using the femoral head and Charnley arthroplasty for secondary acetabular protrusion. Clinical evaluation was done using a modified Merle dâ€™Aubigne-Postel hip-rating scale and we had 64 per cent good, 29 per cent fair and 7 per cent poor results. Radiological assessment by plain radiographs showed all grafts had incorporated. They were followed up for an average of 22 months after operation. We found no significant complications. We feel that this is a satisfactory method using readily-available materials and provides a biological solution to a mechanical problem.