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Acetabular reconstruction with impacted morsellised cancellous bone graft and cement

A 10- TO 15-YEAR FOLLOW-UP OF 60 REVISION ARTHROPLASTIES

B. W. Schreurs, MD, PhD, Orthopaedic Surgeon; T. J. J. H. Slooff, MD, PhD, Professor of Orthopaedics; P. Buma, PhD, Biologist; J. W. M. Gardeniers, MD, PhD, Orthopaedic Surgeon; and R. Huiskes, PhD, Professor of Biomechanics

Department of Orthopaedic Surgery, University Hospital, PO Box 9101, 6500 HB Nijmegen, The Netherlands.

Correspondence should be sent to Dr B. W. Schreurs.

We report a long-term review of 60 acetabular components revised using impacted, morsellised bone allografts and a cemented polyethylene cup. The acetabular defects were cavitary (37) or combined (23). Follow-up was for a mean 11.8 years (10 to 15).

Further revision was needed in five hips, two for septic and three for aseptic loosening. The overall survival rate at 11.8 years was 90%; excluding the septic cases it was 94%.

Acetabular reconstruction with impacted morsellised cancellous grafts and cement gives satisfactory long-term results.




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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General