Biological Repair of Acetabular Bone Defects and Cup Migration After Impaction Bone Grafting in Total Hip Arthroplasty

2018 ◽  
pp. 103-113
Author(s):  
Eduardo García-Rey ◽  
Eduardo García-Cimbrelo
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Bone Grafting ◽  
Bone Defects ◽  
Impaction Bone Grafting ◽  
Acetabular Bone ◽  
Total Hip ◽  
Biological Repair ◽  
Acetabular Bone Defects

The use of customized cages in revision total hip arthroplasty for Paprosky type III acetabular bone defects

2015 ◽  
Vol 39 (10) ◽  
pp. 2023-2030 ◽  
Author(s):  
Yuanqing Mao ◽  
Chen Xu ◽  
Jiawei Xu ◽  
Huiwu Li ◽  
Fengxiang Liu ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Bone Defects ◽  
Revision Total Hip Arthroplasty ◽  
Acetabular Bone ◽  
Total Hip ◽  
Type Iii ◽  
Acetabular Bone Defects

Hydroxyapatite Block for Reconstruction of Severe Dysplasia or Acetabular Bone Defects in Total Hip Arthroplasty

2012 ◽  
Vol 27 (4) ◽  
pp. 591-597 ◽  
Author(s):  
Masaaki Maruyama ◽  
Keiji Tensho ◽  
Shinji Wakabayashi ◽  
Kazuo Terayama
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Bone Defects ◽  
Severe Dysplasia ◽  
Acetabular Bone ◽  
Total Hip ◽  
Acetabular Bone Defects

Cemented total hip arthroplasty with impacted morcellized bone–grafts to restore acetabular bone defects in congenital hip dysplasia

2001 ◽  
Vol 16 (8) ◽  
pp. 164-169 ◽  
Author(s):  
Stefan B.T. Bolder ◽  
Jarno Melenhorst ◽  
Jean W.M. Gardeniers ◽  
Tom J.J.H. Slooff ◽  
Rene P.H. Veth ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Hip Dysplasia ◽  
Bone Grafts ◽  
Bone Defects ◽  
Acetabular Bone ◽  
Total Hip ◽  
Congenital Hip Dysplasia ◽  
Acetabular Bone Defects ◽  
Cemented Total Hip Arthroplasty

Impaction bone grafting in hip re-revision surgery

2021 ◽  
Vol 103-B (3) ◽  
pp. 492-499
Author(s):  
Eduardo Garcia-Rey ◽  
Laura Saldaña ◽  
Eduardo Garcia-Cimbrelo
Keyword(s):  
Aseptic Loosening ◽  
Acetabular Component ◽  
Revision Surgery ◽  
Bone Grafting ◽  
Bone Defects ◽  
Bone Stock ◽  
Impaction Bone Grafting ◽  
Acetabular Bone ◽  
Acetabular Bone Defects

Aims Bone stock restoration of acetabular bone defects using impaction bone grafting (IBG) in total hip arthroplasty may facilitate future re-revision in the event of failure of the reconstruction. We hypothesized that the acetabular bone defect during re-revision surgery after IBG was smaller than during the previous revision surgery. The clinical and radiological results of re-revisions with repeated use of IBG were also analyzed. Methods In a series of 382 acetabular revisions using IBG and a cemented component, 45 hips (45 patients) that had failed due to aseptic loosening were re-revised between 1992 and 2016. Acetabular bone defects graded according to Paprosky during the first and the re-revision surgery were compared. Clinical and radiological findings were analyzed over time. Survival analysis was performed using a competing risk analysis. Results Intraoperative bone defect during the initial revision included 19 Paprosky type IIIA and 29 Paprosky type IIIB hips; at re-revision, seven hips were Paprosky type II, 27 type IIIA and 11 were type IIIB (p = 0.020). The mean preoperative Harris Hip Score was 45.4 (SD 6.4), becoming 80.7 (SD 12.7) at the final follow-up. In all, 12 hips showed radiological migration of the acetabular component, and three required further revision surgery. The nine-year cumulative failure incidence (nine patients at risk) of the acetabular component for further revision surgery was 9.6% (95% confidence interval (CI) 2.9 to 21.0) for any cause, and 7.5% (95% CI 1.9 to 18.5) for aseptic loosening. Hips with a greater hip height had a higher risk for radiological migration (odds ratio 1.09, 95% CI 1.02 to 1.17; p = 0.008). Conclusion Bone stock restoration can be obtained using IBG in revision hip surgery. This technique is also useful in re-revision surgery; however, a better surgical technique including a closer distance to hip rotation centre could decrease the risk of radiological migration of the acetabular component. A longer follow-up is required to assess potential fixation deterioration. Cite this article: Bone Joint J 2021;103-B(3):492–499.

scholarly journals Revision Total Hip Arthroplasty with Femoral Impaction Bone Grafting

2010 ◽  
Vol 18 (3) ◽  
pp. 303-308 ◽  
Author(s):  
Chun Hoi Yan ◽  
Kwong Yuen Chiu ◽  
Tsz Pui Ng ◽  
Fu Yuen Ng
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Bone Grafting ◽  
Revision Total Hip Arthroplasty ◽  
Impaction Bone Grafting ◽  
Total Hip
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