Abstract
Shelf operation has not been performed recently but it is our conclusion through our previous experience that if the shelf is made at the right position, satisfactory results will be obtained.
However, it is disadvantageous in this procedure to put a cast on for a long time. This causes patients discomfort. The author has used bone cement to prevent this with prior experience of use of bone cement with bone graft in cases of total hip replacement. Grafted bone for the shelf is fixed strongly with bone cement immediately, and therefore, it is not necessary to put a cast on after operation.
From April 1982 to October 1984, shelf operation with bone and bone cement was performed on 32 joint of 20 patients, and a follow-up study was made on 23 joints at last 7 months after operation, and an average of 18 months. Patients were allowed to walk on the 4th post-operative day.
Patients have no hip pain even when walking after operation, and satisfactory results was obtained in all cases.
