{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T18:09:40Z","timestamp":1773943780787,"version":"3.50.1"},"reference-count":39,"publisher":"MDPI AG","issue":"18","license":[{"start":{"date-parts":[[2024,9,21]],"date-time":"2024-09-21T00:00:00Z","timestamp":1726876800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: This study reports the long-term survivorship of primary total hip arthroplasty (THA) for protrusio acetabuli. Methods: Patients undergoing THA utilising cement and bone graft acetabular reconstruction for protrusio acetabuli in a university teaching hospital during the period 2003 to 2014 were included. Kaplan\u2013Meier survival estimates were calculated with 95% confidence intervals (CI) up to 15 years following surgery. PROMs were collected pre- and post-operatively for hip-specific function (Oxford Hip Score [OHS]) and health-related quality of life (HRQoL) using the EQ-5D-3L. Results: 129 consecutive THAs (96 patients) performed for protrusio acetabuli were identified (median age 69, IQR 61\u201375; female 115 [89.1%]; 38 [29.5%] inflammatory arthritis) with a mean follow-up of 15.7 years (range: 10.1\u201320.1 years). At the final follow-up, fifty-six (43.4%) patients had died and there were eleven (8.5%) reoperations, of which eight (6.2%) involved the revision of the acetabular component. The fifteen-year Kaplan\u2013Meier any-reoperation survival estimate was 91.3% (95% CI 85.9\u201397.0). When considering all-cause acetabular revision only, the 15-year survival estimate was 93.1% (95% CI 88.2\u201398.3). The median pre-operative OHS improved significantly from baseline to 1 year post-THA, beyond the minimal important change (mean difference 28, 95% CI 25\u201330, p &lt; 0.001). Similarly, there were clinically relevant improvements in HRQoL at 1 year post surgery (mean difference 0.10, 95% CI 0.06\u20130.15, p &lt; 0.001). Conclusions: This study demonstrates that primary cemented THA utilising acetabular bone graft for reconstruction in patients with protrusio acetabuli was associated with 15-year survival rates of 93.1% and clinically relevant improvements in hip-specific function and HRQoL.<\/jats:p>","DOI":"10.3390\/jcm13185612","type":"journal-article","created":{"date-parts":[[2024,9,24]],"date-time":"2024-09-24T08:56:06Z","timestamp":1727168166000},"page":"5612","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Long-Term Outcomes of Primary Cemented Total Hip Arthroplasty with Acetabular Bone Graft for Protrusio Acetabuli: Minimum 10-Year Follow-Up"],"prefix":"10.3390","volume":"13","author":[{"given":"Liam Z.","family":"Yapp","sequence":"first","affiliation":[{"name":"Department of Trauma & Orthopaedic Surgery, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh EH16 4SY, UK"},{"name":"Division of Clinical and Surgical Sciences, Department of Orthopaedics, University of Edinburgh, Chancellors Building, 49 Little France Cres, Edinburgh EH16 4SB, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8792-0659","authenticated-orcid":false,"given":"Nick D.","family":"Clement","sequence":"additional","affiliation":[{"name":"Department of Trauma & Orthopaedic Surgery, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh EH16 4SY, UK"},{"name":"Division of Clinical and Surgical Sciences, Department of Orthopaedics, University of Edinburgh, Chancellors Building, 49 Little France Cres, Edinburgh EH16 4SB, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0012-1596","authenticated-orcid":false,"given":"Chloe E. H.","family":"Scott","sequence":"additional","affiliation":[{"name":"Department of Trauma & Orthopaedic Surgery, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh EH16 4SY, UK"},{"name":"Division of Clinical and Surgical Sciences, Department of Orthopaedics, University of Edinburgh, Chancellors Building, 49 Little France Cres, Edinburgh EH16 4SB, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nathan","family":"Ng","sequence":"additional","affiliation":[{"name":"Department of Trauma & Orthopaedic Surgery, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh EH16 4SY, UK"},{"name":"Division of Clinical and Surgical Sciences, Department of Orthopaedics, University of Edinburgh, Chancellors Building, 49 Little France Cres, Edinburgh EH16 4SB, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hanna P.","family":"Breusch","sequence":"additional","affiliation":[{"name":"Department of Trauma & Orthopaedic Surgery, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh EH16 4SY, UK"},{"name":"Division of Clinical and Surgical Sciences, Department of Orthopaedics, University of Edinburgh, Chancellors Building, 49 Little France Cres, Edinburgh EH16 4SB, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2682-1408","authenticated-orcid":false,"given":"Deborah J.","family":"MacDonald","sequence":"additional","affiliation":[{"name":"Department of Trauma & Orthopaedic Surgery, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh EH16 4SY, UK"},{"name":"Division of Clinical and Surgical Sciences, Department of Orthopaedics, University of Edinburgh, Chancellors Building, 49 Little France Cres, Edinburgh EH16 4SB, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Gaston","sequence":"additional","affiliation":[{"name":"Department of Trauma & Orthopaedic Surgery, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh EH16 4SY, UK"},{"name":"Division of Clinical and Surgical Sciences, Department of Orthopaedics, University of Edinburgh, Chancellors Building, 49 Little France Cres, Edinburgh EH16 4SB, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0816-1066","authenticated-orcid":false,"given":"Steffen J.","family":"Breusch","sequence":"additional","affiliation":[{"name":"Department of Trauma & Orthopaedic Surgery, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh EH16 4SY, UK"},{"name":"Division of Clinical and Surgical Sciences, Department of Orthopaedics, University of Edinburgh, Chancellors Building, 49 Little France Cres, Edinburgh EH16 4SB, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,9,21]]},"reference":[{"key":"ref_1","first-page":"105","article-title":"Protrusio Acetabuli","volume":"62","author":"Dunlop","year":"2005","journal-title":"Bull. 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Turc."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/18\/5612\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:01:54Z","timestamp":1760112114000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/18\/5612"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,21]]},"references-count":39,"journal-issue":{"issue":"18","published-online":{"date-parts":[[2024,9]]}},"alternative-id":["jcm13185612"],"URL":"https:\/\/doi.org\/10.3390\/jcm13185612","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,21]]}}}