Revision With Impacted Bone Allografts and the Kerboull Cross Plate for Massive Bone Defect of the Acetabulum
Abstract We retrospectively reviewed 31 hips with massive bone defect because of aseptic loosening of the acetabulum treated with impacted bone allografts with the Kerboull-type acetabular device. Mean age at surgery was 67.9 years, and mean duration of follow-up was 6.3 years. Thickness of the bone...
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| Veröffentlicht in: | The Journal of arthroplasty 2010-06, Vol.25 (4), p.594-599 |
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| container_title | The Journal of arthroplasty |
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| creator | Okano, Kunihiko, MD, PhD Miyata, Noriaki, MD, PhD Enomoto, Hiroshi, MD, PhD Osaki, Makoto, MD, PhD Shindo, Hiroyuki, MD, PhD |
| description | Abstract We retrospectively reviewed 31 hips with massive bone defect because of aseptic loosening of the acetabulum treated with impacted bone allografts with the Kerboull-type acetabular device. Mean age at surgery was 67.9 years, and mean duration of follow-up was 6.3 years. Thickness of the bone graft was evaluated by postoperative radiography. Seven hips showed radiological failure associated with 6 breakages of the device, and 24 hips showed stability on follow-up radiographs. Of the 13 hips showing a bone graft thickness of greater than 20 mm on follow-up radiographs, 7 were classified as failure group. If an acetabular reinforcement device with a bone graft of more than 20 mm thickness is necessary, then a structural allograft should be considered in the weight-bearing area of the support ring in addition to the morselized bone graft. |
| doi_str_mv | 10.1016/j.arth.2009.04.003 |
| format | Article |
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Mean age at surgery was 67.9 years, and mean duration of follow-up was 6.3 years. Thickness of the bone graft was evaluated by postoperative radiography. Seven hips showed radiological failure associated with 6 breakages of the device, and 24 hips showed stability on follow-up radiographs. Of the 13 hips showing a bone graft thickness of greater than 20 mm on follow-up radiographs, 7 were classified as failure group. If an acetabular reinforcement device with a bone graft of more than 20 mm thickness is necessary, then a structural allograft should be considered in the weight-bearing area of the support ring in addition to the morselized bone graft.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2009.04.003</identifier><identifier>PMID: 19493654</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>acetabulum ; Acetabulum - diagnostic imaging ; Acetabulum - surgery ; Adult ; Aged ; Aged, 80 and over ; Arthroplasty, Replacement, Hip - adverse effects ; Arthroplasty, Replacement, Hip - methods ; Bone Plates ; Bone Transplantation ; Hip Prosthesis - adverse effects ; Humans ; impacted bone graft ; Kerboull cross plate ; Middle Aged ; Orthopedics ; Prosthesis Design ; Prosthesis Failure ; Radiography ; Reoperation ; Retrospective Studies ; revision ; Transplantation, Homologous ; Weight-Bearing</subject><ispartof>The Journal of arthroplasty, 2010-06, Vol.25 (4), p.594-599</ispartof><rights>2010</rights><rights>Crown Copyright 2010. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c410t-e38d2da01975c0a4a3dd513f95f8ef80cbc1b13f8c88c8434251dd4a5f4e9b703</citedby><cites>FETCH-LOGICAL-c410t-e38d2da01975c0a4a3dd513f95f8ef80cbc1b13f8c88c8434251dd4a5f4e9b703</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.arth.2009.04.003$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19493654$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Okano, Kunihiko, MD, PhD</creatorcontrib><creatorcontrib>Miyata, Noriaki, MD, PhD</creatorcontrib><creatorcontrib>Enomoto, Hiroshi, MD, PhD</creatorcontrib><creatorcontrib>Osaki, Makoto, MD, PhD</creatorcontrib><creatorcontrib>Shindo, Hiroyuki, MD, PhD</creatorcontrib><title>Revision With Impacted Bone Allografts and the Kerboull Cross Plate for Massive Bone Defect of the Acetabulum</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><description>Abstract We retrospectively reviewed 31 hips with massive bone defect because of aseptic loosening of the acetabulum treated with impacted bone allografts with the Kerboull-type acetabular device. Mean age at surgery was 67.9 years, and mean duration of follow-up was 6.3 years. Thickness of the bone graft was evaluated by postoperative radiography. Seven hips showed radiological failure associated with 6 breakages of the device, and 24 hips showed stability on follow-up radiographs. Of the 13 hips showing a bone graft thickness of greater than 20 mm on follow-up radiographs, 7 were classified as failure group. If an acetabular reinforcement device with a bone graft of more than 20 mm thickness is necessary, then a structural allograft should be considered in the weight-bearing area of the support ring in addition to the morselized bone graft.</description><subject>acetabulum</subject><subject>Acetabulum - diagnostic imaging</subject><subject>Acetabulum - surgery</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroplasty, Replacement, Hip - adverse effects</subject><subject>Arthroplasty, Replacement, Hip - methods</subject><subject>Bone Plates</subject><subject>Bone Transplantation</subject><subject>Hip Prosthesis - adverse effects</subject><subject>Humans</subject><subject>impacted bone graft</subject><subject>Kerboull cross plate</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Prosthesis Design</subject><subject>Prosthesis Failure</subject><subject>Radiography</subject><subject>Reoperation</subject><subject>Retrospective Studies</subject><subject>revision</subject><subject>Transplantation, Homologous</subject><subject>Weight-Bearing</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kV-LEzEUxYMobnf1C_ggefNp6s0kaWdAhFpdXVxR_IOPIZPc2NTMpCaZwn57Z2xB8EG4cLlwzoH7O4Q8YbBkwFbP90udym5ZA7RLEEsAfo8smOR11QhY3ScLaBpeSQH8glzmvAdgTErxkFywVrR8JcWC9J_x6LOPA_3uy47e9AdtClr6Kg5INyHEH0m7kqkeLC07pO8xdXEMgW5TzJl-CrogdTHRDzpnf8ST8TU6NIVG98ezMVh0N4axf0QeOB0yPj7vK_Lt-s3X7bvq9uPbm-3mtjKCQamQN7a2Gli7lga00NxaybhrpWvQNWA6w7rpbkwzjeCilsxaoaUT2HZr4Ffk2Sn3kOKvEXNRvc8GQ9ADxjGrNefQtC2blfVJaeZ_Ejp1SL7X6U4xUDNltVczZTVTViDURHkyPT3Hj12P9q_ljHUSvDgJcHry6DGpbDwOBq1PExhlo_9__st_7Cb4wRsdfuId5n0c0zDhU0zlWoH6Mvc81wztXDFr-W_cHaMQ</recordid><startdate>20100601</startdate><enddate>20100601</enddate><creator>Okano, Kunihiko, MD, PhD</creator><creator>Miyata, Noriaki, MD, PhD</creator><creator>Enomoto, Hiroshi, MD, PhD</creator><creator>Osaki, Makoto, MD, PhD</creator><creator>Shindo, Hiroyuki, MD, PhD</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>20100601</creationdate><title>Revision With Impacted Bone Allografts and the Kerboull Cross Plate for Massive Bone Defect of the Acetabulum</title><author>Okano, Kunihiko, MD, PhD ; Miyata, Noriaki, MD, PhD ; Enomoto, Hiroshi, MD, PhD ; Osaki, Makoto, MD, PhD ; Shindo, Hiroyuki, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c410t-e38d2da01975c0a4a3dd513f95f8ef80cbc1b13f8c88c8434251dd4a5f4e9b703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>acetabulum</topic><topic>Acetabulum - diagnostic imaging</topic><topic>Acetabulum - surgery</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroplasty, Replacement, Hip - adverse effects</topic><topic>Arthroplasty, Replacement, Hip - methods</topic><topic>Bone Plates</topic><topic>Bone Transplantation</topic><topic>Hip Prosthesis - adverse effects</topic><topic>Humans</topic><topic>impacted bone graft</topic><topic>Kerboull cross plate</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Prosthesis Design</topic><topic>Prosthesis Failure</topic><topic>Radiography</topic><topic>Reoperation</topic><topic>Retrospective Studies</topic><topic>revision</topic><topic>Transplantation, Homologous</topic><topic>Weight-Bearing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Okano, Kunihiko, MD, PhD</creatorcontrib><creatorcontrib>Miyata, Noriaki, MD, PhD</creatorcontrib><creatorcontrib>Enomoto, Hiroshi, MD, PhD</creatorcontrib><creatorcontrib>Osaki, Makoto, MD, PhD</creatorcontrib><creatorcontrib>Shindo, Hiroyuki, MD, PhD</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>Okano, Kunihiko, MD, PhD</au><au>Miyata, Noriaki, MD, PhD</au><au>Enomoto, Hiroshi, MD, PhD</au><au>Osaki, Makoto, MD, PhD</au><au>Shindo, Hiroyuki, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Revision With Impacted Bone Allografts and the Kerboull Cross Plate for Massive Bone Defect of the Acetabulum</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2010-06-01</date><risdate>2010</risdate><volume>25</volume><issue>4</issue><spage>594</spage><epage>599</epage><pages>594-599</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Abstract We retrospectively reviewed 31 hips with massive bone defect because of aseptic loosening of the acetabulum treated with impacted bone allografts with the Kerboull-type acetabular device. Mean age at surgery was 67.9 years, and mean duration of follow-up was 6.3 years. Thickness of the bone graft was evaluated by postoperative radiography. Seven hips showed radiological failure associated with 6 breakages of the device, and 24 hips showed stability on follow-up radiographs. Of the 13 hips showing a bone graft thickness of greater than 20 mm on follow-up radiographs, 7 were classified as failure group. If an acetabular reinforcement device with a bone graft of more than 20 mm thickness is necessary, then a structural allograft should be considered in the weight-bearing area of the support ring in addition to the morselized bone graft.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>19493654</pmid><doi>10.1016/j.arth.2009.04.003</doi><tpages>6</tpages></addata></record> |
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| ispartof | The Journal of arthroplasty, 2010-06, Vol.25 (4), p.594-599 |
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| subjects | acetabulum Acetabulum - diagnostic imaging Acetabulum - surgery Adult Aged Aged, 80 and over Arthroplasty, Replacement, Hip - adverse effects Arthroplasty, Replacement, Hip - methods Bone Plates Bone Transplantation Hip Prosthesis - adverse effects Humans impacted bone graft Kerboull cross plate Middle Aged Orthopedics Prosthesis Design Prosthesis Failure Radiography Reoperation Retrospective Studies revision Transplantation, Homologous Weight-Bearing |
| title | Revision With Impacted Bone Allografts and the Kerboull Cross Plate for Massive Bone Defect of the Acetabulum |
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