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
Hauptverfasser: BOLLAND, B. J. R. F, NEW, A. M. R, MADABHUSHI, S. P. G, OREFFO, R. O. C, DUNLOP, D. G
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container_end_page 692
container_issue 5
container_start_page 686
container_title Journal of bone and joint surgery. British volume
container_volume 89
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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ispartof Journal of bone and joint surgery. British volume, 2007-05, Vol.89 (5), p.686-692
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2044-5377
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source MEDLINE; Alma/SFX Local Collection
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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