Acetabular Revision with Impaction Bone Grafting

2018 ◽  
pp. 93-102
Author(s):  
Berend Willem Schreurs ◽  
Wim Rijnen
Keyword(s):  
Bone Grafting ◽  
Acetabular Revision ◽  
Impaction Bone Grafting

Acetabular Revision in THA Using Tantalum Augments Combined with Impaction Bone Grafting

2013 ◽  
Vol 23 (4) ◽  
pp. 359-365 ◽  
Author(s):  
Thorsten Gehrke ◽  
Yannic Bangert ◽  
Bernd Schwantes ◽  
Matthias Gebauer ◽  
Daniel Kendoff
Keyword(s):  
Bone Grafting ◽  
Acetabular Revision ◽  
Impaction Bone Grafting

Acetabular revision with impaction bone grafting and a cemented polyethylene acetabular component

2015 ◽  
Vol 97-B (10) ◽  
pp. 1338-1344 ◽  
Author(s):  
M. A. J. te Stroet ◽  
J. C. Keurentjes ◽  
W. H. C. Rijnen ◽  
J. W. M. Gardeniers ◽  
N. Verdonschot ◽  
...  
Keyword(s):  
Acetabular Component ◽  
Bone Grafting ◽  
Acetabular Revision ◽  
Impaction Bone Grafting

Use of Irradiated Bone Graft for Impaction Grafting in Acetabular Revision Surgery: A Review of Fifty Consecutive Cases

2009 ◽  
Vol 19 (2) ◽  
pp. 114-119 ◽  
Author(s):  
Sanchit Mehendale ◽  
Ian D. Learmonth ◽  
Evert J. Smith ◽  
Suneel Nedungayil ◽  
Rohit Maheshwari ◽  
...  
Keyword(s):  
Bone Graft ◽  
Revision Surgery ◽  
Bone Grafting ◽  
Recurrent Dislocation ◽  
Acetabular Revision ◽  
Consecutive Series ◽  
Impaction Bone Grafting ◽  
Excellent Outcome ◽  
Fresh Frozen ◽  
Paprosky Classification

Impaction bone grafting is a useful technique in the armament of a revision hip surgeon. Traditionally fresh frozen allograft has been used for this technique. However there are concerns about the transmission of viral proteins and prions through this form of allograft. As a result irradiated bone graft has been favoured in some centres. There is no long term series describing the results of impaction bone grafting using irradiated bone. This paper reviews a consecutive series of 50 cases of acetabular revision surgery performed between 1995 and 2001 and followed up over a mean period of 45 months. The preoperative bone defect was graded by the Paprosky classification. There were 2 cases of type 1a, 9 type 2a, 15 type 2b, 7 type 2c, 10 type 3a and 7 type 3b. All cases were followed up clinically and radiologically. Case notes were reviewed for primary prosthesis, operative details and reason for revision. The radiographs were evaluated for signs of bone incorporation, remodelling, loosening and migration of the acetabular component. There were 5 cases of aseptic loosening at the end of the follow up period. One patient had recurrent dislocation and was revised. 20 cases (40%) showed changes suggestive of bone incorporation, while only 3 cases (6%) showed remodelling. Clinically a good or excellent outcome with absence of pain was achieved in 35 patients (70%). The results suggested that acetabular impaction bone grafting using irradiated bone graft is comparable to fresh frozen allograft. The low percentage of remodelling remains a concern and warrants further studies.

The Biological Approach in Acetabular Revision Surgery: Impaction Bone Grafting and a Cemented Cup

2015 ◽  
Vol 25 (4) ◽  
pp. 361-367 ◽  
Author(s):  
Ena Colo ◽  
Wim H.C. Rijnen ◽  
Berend Willem Schreurs
Keyword(s):  
Revision Surgery ◽  
Bone Grafting ◽  
Acetabular Revision ◽  
Impaction Bone Grafting ◽  
Biological Approach ◽  
Cemented Cup

scholarly journals Acetabular Revision with Metal Mesh, Impaction Bone Grafting, and a Cemented Cup

2008 ◽  
Vol 466 (10) ◽  
pp. 2482-2490 ◽  
Author(s):  
Martín A. Buttaro ◽  
Fernando Comba ◽  
Rodolfo Pusso ◽  
Francisco Piccaluga
Keyword(s):  
Bone Grafting ◽  
Acetabular Revision ◽  
Impaction Bone Grafting ◽  
Metal Mesh ◽  
Cemented Cup

scholarly journals Effect of synthetic bone replacement material of different size on shear stress resistance within impacted native and thermodisinfected cancellous bone: an in vitro femoral impaction bone grafting model

2021 ◽  
Author(s):  
C. Fölsch ◽  
P. Sahm ◽  
C. A. Fonseca Ulloa ◽  
G. A. Krombach ◽  
M. Kampschulte ◽  
...  
Keyword(s):  
Cancellous Bone ◽  
Bone Grafting ◽  
Shear Force ◽  
Distal Region ◽  
Impaction Bone Grafting ◽  
Proximal Point ◽  
Local Antibiotics ◽  
Joint Replacements ◽  
Native Bone

AbstractAntibiotic carrier particles of variable size might influence mechanic properties within impacted thermodisinfected and native cancellous bone different. Herafill®G containing calciumsulfate and calciumcarbonate provides high local concentrations of gentamicin being important for revision surgery in infected joint replacements. Native and thermodisinfected cancellous bone derived from 6 to 7 months old piglets was used for in vitro impaction bone grafting and supplemented each with Herafill®G granules of two different sizes. Micromovement of implants related to shear force was measured in 29 specimens distributed in 6 groups. Thermodisinfected cancellous bone revealed a significant higher shear force resistance than native bone with a mean difference of 423.8 mdeg/Nm (p < 0.001) ranging within 95% confidence interval from 181.5 to 666.0 mdeg/Nm. Adding small granules to thermodisinfected bone did not reduce shear force resistance significantly since adding large granules to native bone improved it by 344.0 mdeg/Nm (p < 0.003). Shear force resistance was found higher at the distal region of the implant compared to a proximal point of measurement throughout all specimens. Less impaction impulses were necessary for thermodisinfected bone. Thermodisinfected cancellous bone might achieve a higher degree of impaction compared with native bone resulting in increased resistance against shear force since impaction was found increased distally. Supplementation of thermodisinfected bone with small granules of Herafill®G might be considered for application of local antibiotics. Large granules appeared more beneficial for supplementation of native bone. Heterogeneity of bone graft and technical aspects of the impaction procedure have to be considered regarding the reproducibility of femoral impaction bone grafting.

Cemented femoral impaction bone grafting for severe osteolysis in revision hip arthroplasty

2000 ◽  
Vol 120 (7-8) ◽  
pp. 386-389 ◽  
Author(s):  
G. B. Flugsrud ◽  
Stein Øvre ◽  
Bjarne Grøgaard ◽  
Lars Nordsletten
Keyword(s):  
Hip Arthroplasty ◽  
Bone Grafting ◽  
Revision Hip Arthroplasty ◽  
Impaction Bone Grafting
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