Revision total hip arthroplasty using impaction bone grafting with cemented nonpolished stems and Charnley cups
This article reports the results of 181 cemented revision total hip arthroplasties in which impacted morcellized allograft and cement was used for reconstitution of acetabular and femoral bone deficiencies. There were 173 acetabular and 79 femoral reconstructions. The mean follow-up was 4.0 years. T...
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| Veröffentlicht in: | The Journal of arthroplasty 2001-12, Vol.16 (8), p.943-952 |
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| container_title | The Journal of arthroplasty |
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| creator | Boldt, Jens G. Dilawari, Punit Agarwal, Sanjeev Drabu, Khalid J. |
| description | This article reports the results of 181 cemented revision total hip arthroplasties in which impacted morcellized allograft and cement was used for reconstitution of acetabular and femoral bone deficiencies. There were 173 acetabular and 79 femoral reconstructions. The mean follow-up was 4.0 years. The overall survival rate was 97.2%. Evidence of revascularization of the impacted allograft was shown in 29 of 30 (97%) randomly selected bone scintigraphies. Radiographic evidence of allograft incorporation was observed in 128 of 173 (74%) acetabula and 48 of 73 (61%) femora. Stem subsidence occurred in all types of femoral bone deficiencies and was not time dependent (P =.17). The acetabular components showed significant migration with increased bone deficiency (P =.0003). Impaction bone grafting has shown promising results in revision total hip arthroplasty but is not recommended in type 3 acetabular defects. |
| doi_str_mv | 10.1054/arth.2001.25559 |
| format | Article |
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There were 173 acetabular and 79 femoral reconstructions. The mean follow-up was 4.0 years. The overall survival rate was 97.2%. Evidence of revascularization of the impacted allograft was shown in 29 of 30 (97%) randomly selected bone scintigraphies. Radiographic evidence of allograft incorporation was observed in 128 of 173 (74%) acetabula and 48 of 73 (61%) femora. Stem subsidence occurred in all types of femoral bone deficiencies and was not time dependent (P =.17). The acetabular components showed significant migration with increased bone deficiency (P =.0003). Impaction bone grafting has shown promising results in revision total hip arthroplasty but is not recommended in type 3 acetabular defects.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1054/arth.2001.25559</identifier><identifier>PMID: 11740747</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Acetabulum - surgery ; Adult ; Aged ; Aged, 80 and over ; allograft ; Analysis of Variance ; Arthroplasty, Replacement, Hip - instrumentation ; Arthroplasty, Replacement, Hip - methods ; bone grafting ; Bone Transplantation - methods ; Cementation ; Female ; Femur - surgery ; Hip Joint - diagnostic imaging ; Hip Prosthesis ; Humans ; impaction ; Male ; Middle Aged ; morcellized ; Postoperative Complications ; Prosthesis Design ; Prosthesis Failure ; Radiography ; Radionuclide Imaging ; Reoperation ; revision total hip arthroplasty ; Transplantation, Homologous ; Treatment Outcome</subject><ispartof>The Journal of arthroplasty, 2001-12, Vol.16 (8), p.943-952</ispartof><rights>2001 Churchill Livingstone</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-ab6c74d3879295ab897e9afda59045c38dd1570818e87399417908f2e63103c43</citedby><cites>FETCH-LOGICAL-c372t-ab6c74d3879295ab897e9afda59045c38dd1570818e87399417908f2e63103c43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0883540301657383$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11740747$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Boldt, Jens G.</creatorcontrib><creatorcontrib>Dilawari, Punit</creatorcontrib><creatorcontrib>Agarwal, Sanjeev</creatorcontrib><creatorcontrib>Drabu, Khalid J.</creatorcontrib><title>Revision total hip arthroplasty using impaction bone grafting with cemented nonpolished stems and Charnley cups</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><description>This article reports the results of 181 cemented revision total hip arthroplasties in which impacted morcellized allograft and cement was used for reconstitution of acetabular and femoral bone deficiencies. There were 173 acetabular and 79 femoral reconstructions. The mean follow-up was 4.0 years. The overall survival rate was 97.2%. Evidence of revascularization of the impacted allograft was shown in 29 of 30 (97%) randomly selected bone scintigraphies. Radiographic evidence of allograft incorporation was observed in 128 of 173 (74%) acetabula and 48 of 73 (61%) femora. Stem subsidence occurred in all types of femoral bone deficiencies and was not time dependent (P =.17). The acetabular components showed significant migration with increased bone deficiency (P =.0003). Impaction bone grafting has shown promising results in revision total hip arthroplasty but is not recommended in type 3 acetabular defects.</description><subject>Acetabulum - surgery</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>allograft</subject><subject>Analysis of Variance</subject><subject>Arthroplasty, Replacement, Hip - instrumentation</subject><subject>Arthroplasty, Replacement, Hip - methods</subject><subject>bone grafting</subject><subject>Bone Transplantation - methods</subject><subject>Cementation</subject><subject>Female</subject><subject>Femur - surgery</subject><subject>Hip Joint - diagnostic imaging</subject><subject>Hip Prosthesis</subject><subject>Humans</subject><subject>impaction</subject><subject>Male</subject><subject>Middle Aged</subject><subject>morcellized</subject><subject>Postoperative Complications</subject><subject>Prosthesis Design</subject><subject>Prosthesis Failure</subject><subject>Radiography</subject><subject>Radionuclide Imaging</subject><subject>Reoperation</subject><subject>revision total hip arthroplasty</subject><subject>Transplantation, Homologous</subject><subject>Treatment Outcome</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kEFr3DAQRkVpabZpz70VnXrzRrKklXQMS9MGAoXSnIVWGscKtuRIcsr--9jZhZx6mmF43wfzEPpKyZYSwa9srv22JYRuWyGEfoc2VLC2UZzs3qMNUYo1ghN2gT6V8rhgVAj-EV1QKjmRXG5Q-gPPoYQUcU3VDrgPE15Lc5oGW-oRzyXEBxzGybq6YocUAT9k29X1_i_UHjsYIVbwOKY4pSGUftlLhbFgGz3e9zbHAY7YzVP5jD50dijw5Twv0f3Nj7_7X83d75-3--u7xjHZ1sYedk5yz5TUrRb2oLQEbTtvhSZcOKa8p0ISRRUoybTmVGqiuhZ2jBLmOLtE30-9U05PM5RqxlAcDIONkOZiZMvYkmoX8OoEupxKydCZKYfR5qOhxKyOzarDrI7Nq-Ml8e1cPR9G8G_8WeoC6BMAy4PPAbIpLkB04EMGV41P4b_lL-dgjOk</recordid><startdate>20011201</startdate><enddate>20011201</enddate><creator>Boldt, Jens G.</creator><creator>Dilawari, Punit</creator><creator>Agarwal, Sanjeev</creator><creator>Drabu, Khalid J.</creator><general>Elsevier Inc</general><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>20011201</creationdate><title>Revision total hip arthroplasty using impaction bone grafting with cemented nonpolished stems and Charnley cups</title><author>Boldt, Jens G. ; Dilawari, Punit ; Agarwal, Sanjeev ; Drabu, Khalid J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-ab6c74d3879295ab897e9afda59045c38dd1570818e87399417908f2e63103c43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Acetabulum - surgery</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>allograft</topic><topic>Analysis of Variance</topic><topic>Arthroplasty, Replacement, Hip - instrumentation</topic><topic>Arthroplasty, Replacement, Hip - methods</topic><topic>bone grafting</topic><topic>Bone Transplantation - methods</topic><topic>Cementation</topic><topic>Female</topic><topic>Femur - surgery</topic><topic>Hip Joint - diagnostic imaging</topic><topic>Hip Prosthesis</topic><topic>Humans</topic><topic>impaction</topic><topic>Male</topic><topic>Middle Aged</topic><topic>morcellized</topic><topic>Postoperative Complications</topic><topic>Prosthesis Design</topic><topic>Prosthesis Failure</topic><topic>Radiography</topic><topic>Radionuclide Imaging</topic><topic>Reoperation</topic><topic>revision total hip arthroplasty</topic><topic>Transplantation, Homologous</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Boldt, Jens G.</creatorcontrib><creatorcontrib>Dilawari, Punit</creatorcontrib><creatorcontrib>Agarwal, Sanjeev</creatorcontrib><creatorcontrib>Drabu, Khalid J.</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>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Boldt, Jens G.</au><au>Dilawari, Punit</au><au>Agarwal, Sanjeev</au><au>Drabu, Khalid J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Revision total hip arthroplasty using impaction bone grafting with cemented nonpolished stems and Charnley cups</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2001-12-01</date><risdate>2001</risdate><volume>16</volume><issue>8</issue><spage>943</spage><epage>952</epage><pages>943-952</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>This article reports the results of 181 cemented revision total hip arthroplasties in which impacted morcellized allograft and cement was used for reconstitution of acetabular and femoral bone deficiencies. There were 173 acetabular and 79 femoral reconstructions. The mean follow-up was 4.0 years. The overall survival rate was 97.2%. Evidence of revascularization of the impacted allograft was shown in 29 of 30 (97%) randomly selected bone scintigraphies. Radiographic evidence of allograft incorporation was observed in 128 of 173 (74%) acetabula and 48 of 73 (61%) femora. Stem subsidence occurred in all types of femoral bone deficiencies and was not time dependent (P =.17). The acetabular components showed significant migration with increased bone deficiency (P =.0003). Impaction bone grafting has shown promising results in revision total hip arthroplasty but is not recommended in type 3 acetabular defects.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>11740747</pmid><doi>10.1054/arth.2001.25559</doi><tpages>10</tpages></addata></record> |
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| subjects | Acetabulum - surgery Adult Aged Aged, 80 and over allograft Analysis of Variance Arthroplasty, Replacement, Hip - instrumentation Arthroplasty, Replacement, Hip - methods bone grafting Bone Transplantation - methods Cementation Female Femur - surgery Hip Joint - diagnostic imaging Hip Prosthesis Humans impaction Male Middle Aged morcellized Postoperative Complications Prosthesis Design Prosthesis Failure Radiography Radionuclide Imaging Reoperation revision total hip arthroplasty Transplantation, Homologous Treatment Outcome |
| title | Revision total hip arthroplasty using impaction bone grafting with cemented nonpolished stems and Charnley cups |
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