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Journal of Bone and Joint Surgery - British Volume, Vol 86-B, Issue 3,
337-343.
doi: 10.1302/0301-620X.86B3.14287 Copyright © 2004 by British Editorial Society of Bone and Joint Surgery The use of structural proximal femoral allografts in complex revision hip arthroplastyN. M. Graham, FRCS, FRCS Orth, Consultant Orthopaedic SurgeonThe Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, Shropshire SY10 7AG, UK. I. Stockley, MD, FRCS, Consultant Orthopaedic Surgeon Lower Limb Arthroplasty Unit, Northern General Hospital, Sheffield S5 7AU, UK. Correspondence should be sent to Mr N. M. Graham. Between April 1992 and November 1998 we used 34 massive proximal femoral allografts for femoral reconstruction at revision hip arthroplasty. Seven patients have died and two have been lost to follow-up. There were thus 25 grafts in 24 patients for review. The mean follow-up was 53 months (16 to 101). By the time of the review two patients had undergone a further revision for failure of the allograft. Another had required secondary plating and grafting at the graft-host junction for symptomatic nonunion. One had recurrence of deep sepsis and was being managed conservatively. Trochanteric union was considered to have occurred radiologically in 16 of the 25 grafts and union at the host-graft junction in 20. Resorption of the allograft was significant in only two hips. We recommend this technique in cases in which femoral bone loss has been catastrophic. This article has been cited by other articles:
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