{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:24:56Z","timestamp":1787837096978,"version":"build-2784847793"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T00:00:00Z","timestamp":1748822400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Total hip arthroplasty (THA) is a transformative procedure in addressing hip arthritis. However, managing acetabular defects remains challenging, particularly in neglected developmental dysplasia of the hip cases due to altered hip anatomy. A middle-aged female presented with bilateral hip arthritis secondary to dysplasia. She was planned for staged bilateral THA. Intraoperatively, we noted a shallow acetabulum with a posterior superolateral defect and significant uncoverage of the cup. The defect was reconstructed using autologous femoral head graft and screws fixation along with contracture releases. Postoperative bilateral outcome scores showed significant improvement at 6 months and 2 years, with neutral limb length discrepancy. Follow-up radiographs showed successful graft integration and implant stability. This technique offers the advantages of biological integration, improved implant stability, enhanced joint survivorship, and improved quality of life. In situations, where acetabular augments are unavailable or cannot be used owing to financial constraints, this technique proved to be an effective method.<\/jats:p>","DOI":"10.4103\/aam.aam_45_25","type":"journal-article","created":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T03:01:14Z","timestamp":1748833274000},"page":"208-213","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Is Autologous Femoral Head Augmentation Still an Effective Method in the Reconstruction of Complex Acetabular Defects in Patients with Neglected Developmental Dysplasia of the Hip? A Comprehensive Discussion with Radiographic Assessment and Surgical Technique"],"prefix":"10.4103","volume":"25","author":[{"given":"Prem","family":"Kotian","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vikram G. K.","family":"Bhat","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G. N.","family":"Sudhanva","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malathi S.","family":"Bhat","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,6,2]]},"reference":[{"key":"R1-20260109","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1007\/s11999-016-4815-2","article-title":"The John Charnley award: Redefining the natural history of osteoarthritis in patients with hip dysplasia and impingement","volume":"475","author":"Wyles","year":"2017","journal-title":"Clin Orthop Relat Res"},{"key":"R2-20260109","doi-asserted-by":"crossref","first-page":"242","DOI":"10.2106\/00004623-200402000-00005","article-title":"Total hip arthroplasty for congenital hip disease","volume":"86","author":"Hartofilakidis","year":"2004","journal-title":"J Bone Joint Surg Am"},{"key":"R3-20260109","doi-asserted-by":"crossref","first-page":"587","DOI":"10.2106\/00004623-199173040-00016","article-title":"Proximal placement of the acetabular component in total hip arthroplasty. 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A long-term follow-up study","volume":"11","author":"Morsi","year":"1996","journal-title":"J Arthroplasty"},{"key":"R10-20260109","doi-asserted-by":"crossref","first-page":"1","DOI":"10.5371\/hp.2016.28.1.1","article-title":"Acetabular reconstruction in total hip arthroplasty","volume":"28","author":"Shon","year":"2016","journal-title":"Hip Pelvis"},{"key":"R11-20260109","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1007\/s11999-014-3861-x","article-title":"Continued good results with modular trabecular metal augments for acetabular defects in hip arthroplasty at 7 to 11 years","volume":"473","author":"Whitehouse","year":"2015","journal-title":"Clin Orthop Relat Res"},{"key":"R12-20260109","doi-asserted-by":"crossref","first-page":"347","DOI":"10.2106\/00004623-199903000-00006","article-title":"Total hip arthroplasty with insertion of the acetabular component without cement in hips with total congenital dislocation or marked congenital dysplasia","volume":"81","author":"Anderson","year":"1999","journal-title":"J Bone Joint Surg Am"},{"key":"R13-20260109","doi-asserted-by":"crossref","first-page":"752","DOI":"10.2106\/00004623-197759060-00006","article-title":"Total hip replacement and femoral-head bone-grafting for severe acetabular deficiency in adults","volume":"59","author":"Harris","year":"1977","journal-title":"J Bone Joint Surg Am"}],"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_45_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:15:51Z","timestamp":1787836551000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_45_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,2]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aam.aam_45_25","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,2]]},"assertion":[{"value":"2025-02-08","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-01","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}