Use of structural allografts in acetabular revision surgery
Bone loss is a challenging problem with complex acetabular revisions. With an adequate biologic and mechanical environment, uncemented hemispheric component reconstructions have provided long-term durable results for acetabular revisions. Decisions about reconstructive options can be made with the a...
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| Veröffentlicht in: | Clinical orthopaedics and related research 2004-03, Vol.420 (420), p.113-121 |
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| container_title | Clinical orthopaedics and related research |
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| creator | O'Rourke, Michael R Paprosky, Wayne G Rosenberg, Aaron G |
| description | Bone loss is a challenging problem with complex acetabular revisions. With an adequate biologic and mechanical environment, uncemented hemispheric component reconstructions have provided long-term durable results for acetabular revisions. Decisions about reconstructive options can be made with the aid of a classification system that addresses the location and severity of bone loss as it relates to achieving the prerequisites for biologic fixation with a hemispheric component. Structural allograft may be used to provide a mechanical environment that supports host bone ingrowth into an acetabular component. Alternatively, structural allograft may allow restoration of joint mechanics in situations where host bone loss precluded biologic fixation. We describe the indications and technique for the use of structural allograft in revision acetabular surgery. |
| doi_str_mv | 10.1097/00003086-200403000-00016 |
| format | Article |
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With an adequate biologic and mechanical environment, uncemented hemispheric component reconstructions have provided long-term durable results for acetabular revisions. Decisions about reconstructive options can be made with the aid of a classification system that addresses the location and severity of bone loss as it relates to achieving the prerequisites for biologic fixation with a hemispheric component. Structural allograft may be used to provide a mechanical environment that supports host bone ingrowth into an acetabular component. Alternatively, structural allograft may allow restoration of joint mechanics in situations where host bone loss precluded biologic fixation. 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With an adequate biologic and mechanical environment, uncemented hemispheric component reconstructions have provided long-term durable results for acetabular revisions. Decisions about reconstructive options can be made with the aid of a classification system that addresses the location and severity of bone loss as it relates to achieving the prerequisites for biologic fixation with a hemispheric component. Structural allograft may be used to provide a mechanical environment that supports host bone ingrowth into an acetabular component. Alternatively, structural allograft may allow restoration of joint mechanics in situations where host bone loss precluded biologic fixation. We describe the indications and technique for the use of structural allograft in revision acetabular surgery.</description><subject>Acetabulum - diagnostic imaging</subject><subject>Acetabulum - surgery</subject><subject>Arthroplasty, Replacement, Hip - methods</subject><subject>Bone Transplantation</subject><subject>Humans</subject><subject>Osteolysis - classification</subject><subject>Osteolysis - diagnostic imaging</subject><subject>Patient Selection</subject><subject>Radiography</subject><subject>Reoperation - methods</subject><subject>Severity of Illness Index</subject><subject>Transplantation, Homologous</subject><issn>0009-921X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkEFLAzEQhXNQbK3-BcnJ22pmk90keJKiVSh4seAtZGO2rKTdmtkI_femdtWB4c3hvXnwEUKB3QDT8pbl4UzVRcmYyBdjRV6oT8g0qy50CW8Tco74cTCKqjwjE6hYJXNmSu5W6GnfUhxickOKNlAbQr-Oth2QdltqnR9sk4KNNPqvDrt-SzHFtY_7C3La2oD-ctQZWT0-vM6fiuXL4nl-vywcBxgKqXzd5F4lnQZRcVlpoWpoQXqhwUvHeSlso62qRFkLXQvueAOK61ILLjSfkevj313sP5PHwWw6dD4Eu_V9QiNBagAQ2aiORhd7xOhbs4vdxsa9AWYOsMwvLPMHy_zAytGrsSM1G__-HxxJ8W_ox2Sj</recordid><startdate>20040301</startdate><enddate>20040301</enddate><creator>O'Rourke, Michael R</creator><creator>Paprosky, Wayne G</creator><creator>Rosenberg, Aaron G</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20040301</creationdate><title>Use of structural allografts in acetabular revision surgery</title><author>O'Rourke, Michael R ; Paprosky, Wayne G ; Rosenberg, Aaron G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c311t-78e6b45287c914537594861f17e491e7c3324ab9a8542649643c3b18392943493</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Acetabulum - diagnostic imaging</topic><topic>Acetabulum - surgery</topic><topic>Arthroplasty, Replacement, Hip - methods</topic><topic>Bone Transplantation</topic><topic>Humans</topic><topic>Osteolysis - classification</topic><topic>Osteolysis - diagnostic imaging</topic><topic>Patient Selection</topic><topic>Radiography</topic><topic>Reoperation - methods</topic><topic>Severity of Illness Index</topic><topic>Transplantation, Homologous</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>O'Rourke, Michael R</creatorcontrib><creatorcontrib>Paprosky, Wayne G</creatorcontrib><creatorcontrib>Rosenberg, Aaron G</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical orthopaedics and related research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>O'Rourke, Michael R</au><au>Paprosky, Wayne G</au><au>Rosenberg, Aaron G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Use of structural allografts in acetabular revision surgery</atitle><jtitle>Clinical orthopaedics and related research</jtitle><addtitle>Clin Orthop Relat Res</addtitle><date>2004-03-01</date><risdate>2004</risdate><volume>420</volume><issue>420</issue><spage>113</spage><epage>121</epage><pages>113-121</pages><issn>0009-921X</issn><abstract>Bone loss is a challenging problem with complex acetabular revisions. 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| ispartof | Clinical orthopaedics and related research, 2004-03, Vol.420 (420), p.113-121 |
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| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Acetabulum - diagnostic imaging Acetabulum - surgery Arthroplasty, Replacement, Hip - methods Bone Transplantation Humans Osteolysis - classification Osteolysis - diagnostic imaging Patient Selection Radiography Reoperation - methods Severity of Illness Index Transplantation, Homologous |
| title | Use of structural allografts in acetabular revision surgery |
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