Total hip arthroplasty for hip arthritis with protrusio acetabuli using autograft reconstruction and metal wire mesh

Abstract

A 70-year-old female patient presented with left hip arthritis following longstanding painfully restricted hip movement for 2 years. X-rays showed protrusio acetabuli with avascular necrosis of head femur. The patient was operated for hip arthritis; hybrid total hip replacement was done with reconstruction of the medial wall with autologous bone graft of femoral head using stainless steel metal wire mesh on which cemented acetabular component with non-cemented femoral component was fixed. Cages and wire mesh are used to reconstruct the medial wall of acetabulum, but cage is a costlier option than wire mesh, with reproducible results. Very few cases have been reported, showing excellent results with the use of metal wire mesh.