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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 Acetabular revision with morsellised allogenic bone graft and a cemented metal-backed componentJ.-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 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. This article has been cited by other articles:
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