Acetabular revision with morsellised allogenic bone graft and a cemented metal-backed component

The Journal of Bone and Joint Surgery. British Volume
J-W WangH-N Yu

Abstract

Failure of total hip arthroplasty with acetabular deficiency occurred in 55 patients (60 hips) and was treated with acetabular revision using morsellised allograft and a cemented metal-backed component. A total of 50 patients (55 hips) were available for clinical and radiological evaluation at a mean follow-up of 5.8 years (3 to 9.5). No hip required further revision of the acetabular component because of aseptic loosening. All the hips except one had complete incorporation of the allograft demonstrated on the radiographs. A complete radiolucent line of > 1 mm was noted in two hips post-operatively. A good to excellent result occurred in 50 hips (91%). With radiological evidence of aseptic loosening of the acetabular component as the end-point, the survivorship at a mean of 5.8 years after surgery was 96.4%. The use of impacted allograft chips in combination with a cemented metal-backed acetabular component and screw fixation can achieve good medium-term results in patients with acetabular bone deficiency.

References

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Citations

Sep 16, 2009·Orthopedics·Fares S Haddad, Faizal Rayan
Jun 7, 2008·The Journal of Arthroplasty·Sanket R DiwanjiTaek Rim Yoon
Sep 10, 2014·Injury·Bishoy YoussefEleftherios Tsiridis
Aug 6, 2011·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Michael RigbyJohn A Timperley
Nov 13, 2018·The Bone & Joint Journal·C M GreenT P Harrison
Nov 2, 2015·The Kaohsiung Journal of Medical Sciences·Chieh-Cheng HsuJun-Wen Wang
Dec 19, 2008·The Journal of Bone and Joint Surgery. British Volume·I LandorA Sosna
May 26, 2010·Clinical Orthopaedics and Related Research·Eduardo Garcia-CimbreloJosé Ortega-Chamarro
Nov 3, 2009·The Journal of Bone and Joint Surgery. British Volume·N W EmmsR M Kerry

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