Vibration-assisted bone-graft compaction in impaction bone grafting of the femur
The complications of impaction bone grafting in revision hip replacement includes fracture of the femur and subsidence of the prosthesis. In this in vitro study we aimed to investigate whether the use of vibration, combined with a perforated tamp during the compaction of morsellised allograft would...
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Veröffentlicht in: | Journal of bone and joint surgery. British volume 2007-05, Vol.89 (5), p.686-692 |
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container_title | Journal of bone and joint surgery. British volume |
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creator | BOLLAND, B. J. R. F NEW, A. M. R MADABHUSHI, S. P. G OREFFO, R. O. C DUNLOP, D. G |
description | The complications of impaction bone grafting in revision hip replacement includes fracture of the femur and subsidence of the prosthesis. In this in vitro study we aimed to investigate whether the use of vibration, combined with a perforated tamp during the compaction of morsellised allograft would reduce peak loads and hoop strains in the femur as a surrogate marker of the risk of fracture and whether it would also improve graft compaction and prosthetic stability. We found that the peak loads and hoop strains transmitted to the femoral cortex during graft compaction and subsidence of the stem in subsequent mechanical testing were reduced. This innovative technique has the potential to reduce the risk of intra-operative fracture and to improve graft compaction and therefore prosthetic stability. |
doi_str_mv | 10.1302/0301-620x.89b5.18695 |
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This innovative technique has the potential to reduce the risk of intra-operative fracture and to improve graft compaction and therefore prosthetic stability.</description><edition>British volume</edition><identifier>ISSN: 0301-620X</identifier><identifier>ISSN: 2049-4394</identifier><identifier>EISSN: 2044-5377</identifier><identifier>EISSN: 2049-4408</identifier><identifier>DOI: 10.1302/0301-620x.89b5.18695</identifier><identifier>PMID: 17540758</identifier><identifier>CODEN: JBSUAK</identifier><language>eng</language><publisher>London: British Editorial Society of Bone and Joint Surgery</publisher><subject>Arthroplasty, Replacement, Hip - methods ; Biological and medical sciences ; Bone Transplantation - methods ; Femoral Fractures - prevention & control ; Femur - surgery ; Humans ; In Vitro Techniques ; Injuries of the limb. Injuries of the spine ; Materials Testing - methods ; Medical sciences ; Orthopedic surgery ; Prosthesis Failure ; Reoperation - methods ; Stress, Mechanical ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Traumas. Diseases due to physical agents ; Vibration</subject><ispartof>Journal of bone and joint surgery. 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F</creatorcontrib><creatorcontrib>NEW, A. M. R</creatorcontrib><creatorcontrib>MADABHUSHI, S. P. G</creatorcontrib><creatorcontrib>OREFFO, R. O. C</creatorcontrib><creatorcontrib>DUNLOP, D. G</creatorcontrib><title>Vibration-assisted bone-graft compaction in impaction bone grafting of the femur</title><title>Journal of bone and joint surgery. British volume</title><addtitle>J Bone Joint Surg Br</addtitle><description>The complications of impaction bone grafting in revision hip replacement includes fracture of the femur and subsidence of the prosthesis. In this in vitro study we aimed to investigate whether the use of vibration, combined with a perforated tamp during the compaction of morsellised allograft would reduce peak loads and hoop strains in the femur as a surrogate marker of the risk of fracture and whether it would also improve graft compaction and prosthetic stability. We found that the peak loads and hoop strains transmitted to the femoral cortex during graft compaction and subsidence of the stem in subsequent mechanical testing were reduced. This innovative technique has the potential to reduce the risk of intra-operative fracture and to improve graft compaction and therefore prosthetic stability.</description><subject>Arthroplasty, Replacement, Hip - methods</subject><subject>Biological and medical sciences</subject><subject>Bone Transplantation - methods</subject><subject>Femoral Fractures - prevention & control</subject><subject>Femur - surgery</subject><subject>Humans</subject><subject>In Vitro Techniques</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Materials Testing - methods</subject><subject>Medical sciences</subject><subject>Orthopedic surgery</subject><subject>Prosthesis Failure</subject><subject>Reoperation - methods</subject><subject>Stress, Mechanical</subject><subject>Surgery (general aspects). 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Diseases due to physical agents</topic><topic>Vibration</topic><toplevel>online_resources</toplevel><creatorcontrib>BOLLAND, B. J. R. F</creatorcontrib><creatorcontrib>NEW, A. M. R</creatorcontrib><creatorcontrib>MADABHUSHI, S. P. G</creatorcontrib><creatorcontrib>OREFFO, R. O. C</creatorcontrib><creatorcontrib>DUNLOP, D. G</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of bone and joint surgery. British volume</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>BOLLAND, B. J. R. 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In this in vitro study we aimed to investigate whether the use of vibration, combined with a perforated tamp during the compaction of morsellised allograft would reduce peak loads and hoop strains in the femur as a surrogate marker of the risk of fracture and whether it would also improve graft compaction and prosthetic stability. We found that the peak loads and hoop strains transmitted to the femoral cortex during graft compaction and subsidence of the stem in subsequent mechanical testing were reduced. This innovative technique has the potential to reduce the risk of intra-operative fracture and to improve graft compaction and therefore prosthetic stability.</abstract><cop>London</cop><pub>British Editorial Society of Bone and Joint Surgery</pub><pmid>17540758</pmid><doi>10.1302/0301-620x.89b5.18695</doi><tpages>7</tpages><edition>British volume</edition></addata></record> |
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subjects | Arthroplasty, Replacement, Hip - methods Biological and medical sciences Bone Transplantation - methods Femoral Fractures - prevention & control Femur - surgery Humans In Vitro Techniques Injuries of the limb. Injuries of the spine Materials Testing - methods Medical sciences Orthopedic surgery Prosthesis Failure Reoperation - methods Stress, Mechanical Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Traumas. Diseases due to physical agents Vibration |
title | Vibration-assisted bone-graft compaction in impaction bone grafting of the femur |
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