We performed total hip replacement in twenty-seven hips of twenty-two
patients with osteoarthritis secondary to congenital dislocation,
congenital dysplasia, or acetabular insufficiency due to persistent
fracture-dislocation. The femoral head was used as a bone graft, attaching
it to the acetabular wall to provide bone stock for reconstruction. There
were few postoperative complications. In thirteen hips followed for over
one year, all grafts appeared to be united and none showed evidence of
resorption. Eleven of the thirteen hips were pain-free and two were
slightly painful. Eleven hips had a range of motion of 90 degrees or
more.