Aims: Aim of the work is evaluation of outcome after reconstruction of acetabular bone stock deþcit in revision hip alloplastics. Methods: Material consists 113 patients with septic and aseptic acetabulum loosening after THA, 31 (27,4%) with cementless and 82 (72,6%) with cemented THA. For evaluation of the functional outcome has been used AAOS scale. Loosening was evaluated on X-rays on behalf of symptoms described by De Lee and Charnley. Surgical tactic was based on Paprosky anatomical bone stock deþcit evaluation Results: Functional Harris hip scores after realloplastic showed improving in passive motion and lowering of pain complaints. There has been concluded full graft in osteointegration in cases with stabile placement of thick cancellous bone graft, with good contact between graft-bone interface and cup. Conclusions: Solid liophylized and milled cancellous bone grafts, used in reconstruction of acetabulum, can remodel and osteointegrate even in cemented technique if there is a sufþcient contact between acetabulum wall and graft. It is possible to obtain good long-term functional and radiological results with usage of operative technique based on remodeling of bone grafts.

Aims: The aim of the paper is evaluation of hip joint formation after Pertheñs disease treated conservatively as well as estimation of diagnostic value of self-elaborated trochanter-head (T-H) and radius of head (R-H) coefþcients, in relation to Heyman-Herdonñs and Klisicñs methods. Methods: Hip joint radiograms of 33 persons after Perthesñs disease were underestimated, mean 9,23 years after termination of treatment. Measurements performed accordingly to Heyman-Herdonñs and Klisicñs methods and T-H and R-H coefþcients were referred to sex, age of the patient at the moment of start of treatment, Catterall groups, Catterall risk factors and side of necrosis appearance. Results: Since lesser trochanter is left intact in course of the disease, it was assumed as point of reference for self-elaborated T-H and R-H coefþcients, which were measured in A-P and axial projection. Statistic analysis of rentgenmetric methods revealed positive correlation between T-H coefþcient and H-H method as well as between R-H coefþcient and Klisicñs method. Conclusions: Time consuming Heyman-Herdonñs and Klisicñs methods of estimation are burdened with high measuring error. Used self-elaborated coefþcients are easy to trace and calculate, and measurements are precise. Above coefþcients are repetitive irrespectively of patient age and multiplanar, hence allow for more precise estimation of hip joint deformities after the treatment than used up to present H-H and Klisicñs methods.