Clinical observation of particulate cancellous bone impaction grafting in combination with total hip arthroplasty for acetabular reconstruction

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Cancellous impaction bone grafting of acetabular defects in complex primary and revision total hip arthroplasty.

The reconstruction of major acetabular bone defects during revision, conversion, and primary total hip arthroplasties (THAs) is challenging. We reviewed a consecutive series of 168 THAs (108 revisions, 8 conversions, and 52 primary THAs) performed by 1 surgeon (S.B.G.) between 1997 and 2008 using impaction bone grafting for acetabular reconstruction. Autograft, cancellous allograft croutons, an...

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Acetabular impaction bone grafting in total hip replacement.

The increasing need for total hip replacement (THR) in an ageing population will inevitably generate a larger number of revision procedures. The difficulties encountered in dealing with the bone deficient acetabulum are amongst the greatest challenges in hip surgery. The failed acetabular component requires reconstruction to restore the hip centre and improve joint biomechanics. Impaction bone ...

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Revision total hip arthroplasty with femoral impaction bone grafting.

PURPOSE To report the radiological and clinical results of revision total hip arthroplasty (THA) with femoral impaction bone grafting (IBG). METHODS 4 men and 9 women (15 hips) aged 38 to 84 years underwent revision THA with femoral IBG using Elite plus stems for aseptic loosening or infection. RESULTS The mean follow-up duration was 7.7 years. The Harris hip score improved from 61.7 to 83....

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Impaction Grafting for Revision Total Hip Arthroplasty

Impaction grafting for revision total hip arthroplasty is increasingly being used in cases complicated by substantial bone loss. Many techniques using cemented and noncemented designs with or without bone graft have had unpredictable outcomes and are the source of continuing debate. This new technique uses morselized allograft, impacted into a constrained femoral envelope, creating a new medull...

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Acetabular Reconstruction in Total Hip Arthroplasty

The difficulties encountered in dealing with the bone deficient acetabulum are amongst the greatest challenges in hip surgery. Acetabular reconstruction in revision total hip arthroplasty can successfully be achieved with hemispherical components featuring a porous or roughened ingrowth surface and options for placement of multiple screws for minor acetabular defect. Acetabular component select...

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ژورنال

عنوان ژورنال: Chinese Journal of Traumatology (English Edition)

سال: 2008

ISSN: 1008-1275

DOI: 10.1016/s1008-1275(08)60061-9