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Journal of Bone and Joint Surgery - British Volume, Vol 84-B, Issue 5,
700-705.
doi: 10.1302/0301-620X.84B5.12504 Copyright © 2002 by British Editorial Society of Bone and Joint Surgery Impaction grafting of the femur in two-stage revision for infected total hip replacementH. English, FRCS, FRACS (Orth), Deputy Director of Orthopaedics1; A. J. Timperley, FRCS, Consultant Orthopaedic Surgeon2; D. Dunlop, FRCS Orth, Specialist Registrar3; and G. Gie, FRCS, FRCS Orth, Consultant Orthopaedic Surgeon2
1 Royal Brisbane Hospital, Herston Road, Brisbane, Queensland, Australia 4029. Correspondence should be sent to Mr A. J. Timperley. We report the mid-term results of femoral impaction grafting which was used in 53 patients during the second stage of a two-stage revision for an infected total hip replacement. We reviewed all cases performed between 1989 and 1998. All patients underwent a Girdlestone excision arthroplasty, received local and systemic antibiotics and subsequently underwent reconstruction, using femoral impaction grafting. Four patients had further infection (7.5%), and four died within 24 months of surgery. One patient underwent revision of the stem for a fracture below its tip at ten months. This left 44 patients with a mean follow-up of 53 months (24 to 122). All had improved clinical scores and a satisfactory radiological outcome. This article has been cited by other articles:
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