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Journal of Bone and Joint Surgery - British Volume, Vol 88-B, Issue 5, 586-591.
doi: 10.1302/0301-620X.88B5.17275  
Copyright © 2006 by British Editorial Society of Bone and Joint Surgery
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Acetabular revision with morsellised allogenic bone graft and a cemented metal-backed component

J.-W. Wang, MD, Orthopaedic Surgeon, Professor1; C.-Y. Fong, MD, Orthopaedic Surgeon2; Y.-S. Su, MD, Orthopaedic Surgeon2; and H.-N. Yu, MD, Orthopaedic Surgeon3

1 Kaohsiung Medical Center, Chang Gung University College of Medicine
2 Department of Orthopaedic Surgery, Chang Gung Memorial Hospital, 123 Ta-Pei Road, Niao Sung Hsiang, Kaohsiung Hsien 83305, Taiwan, Republic of China.
3 Department of Orthopaedic Surgery, Zuoying Armed Forces Hospital, 553 Jiunshiau Road, Zuoying Chiu, Kaohsiung 813, Taiwan, Republic of China.

Correspondence should be sent to Dr J.-W. Wang; e-mail: wangjw{at}adm.cgmh.org.tw

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.




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B. G. Ochs, U. Schmid, J. Rieth, A. Ateschrang, K. Weise, and U. Ochs
Acetabular bone reconstruction in revision arthroplasty: A COMPARISON OF FREEZE-DRIED, IRRADIATED AND CHEMICALLY-TREATED ALLOGRAFT VITALISED WITH AUTOLOGOUS MARROW VERSUS FROZEN NON-IRRADIATED ALLOGRAFT
J Bone Joint Surg Br, September 1, 2008; 90-B(9): 1164 - 1171.
[Abstract] [Full Text] [PDF]


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