The use of fibre-based demineralised bone matrix in major acetabular reconstruction: surgical technique and preliminary results
Acetabular osteolysis associated with socket loosening is one of the main long-term complications of total hip arthroplasty. In case of major bone loss, where
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| Veröffentlicht in: | International orthopaedics 2011-02, Vol.35 (2), p.283-288 |
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| creator | Hamadouche, Moussa Karoubi, Mathieu Dumaine, Valérie Courpied, Jean Pierre |
| description | Acetabular osteolysis associated with socket loosening is one of the main long-term complications of total hip arthroplasty. In case of major bone loss, where |
| doi_str_mv | 10.1007/s00264-010-1145-y |
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In case of major bone loss, where <50% host bone coverage can be obtained with a porous-coated cementless cup, it is generally agreed that a metal ring or cage in association with a cemented component and allograft bone should be used. In order to promote allograft bone consolidation and incorporation, we have associated demineralised bone matrix (DBM, Grafton® A Flex) to the construct ion. Here we describe the technical details of major acetabular reconstruction using the Kerboull acetabular reinforcement device with allograft bone and DBM. This device has a hook that must be placed under the teardrop of the acetabulum and a plate for iliac fixation. The main advantages of this device are help in restoring the normal centre of hip rotation, guiding the reconstruction and partially unloading the graft. The Kerboull acetabular reinforcement device has provided a 92% survival rate free of loosening at 13-year follow-up in a consecutive series of 60 type III and IV deficiencies. Our preliminary results using DBM indicate faster allograft consolidation and remodelling.</description><identifier>ISSN: 0341-2695</identifier><identifier>EISSN: 1432-5195</identifier><identifier>DOI: 10.1007/s00264-010-1145-y</identifier><identifier>PMID: 21057788</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Acetabulum ; Acetabulum - surgery ; Allografts ; Arthroplasty, Replacement, Hip - instrumentation ; Arthroplasty, Replacement, Hip - methods ; Bone grafts ; Bone loss ; Bone matrix ; Bone Transplantation - methods ; Hip ; Hip Prosthesis ; Humans ; Medicine ; Medicine & Public Health ; Metals ; Original Paper ; Orthopedics ; Osseointegration ; Osteolysis ; Postoperative Complications ; Prosthesis Design ; Prosthesis Failure ; Reconstruction ; Reinforcement ; Survival ; total hip arthroplasty ; Treatment Outcome ; Unloading</subject><ispartof>International orthopaedics, 2011-02, Vol.35 (2), p.283-288</ispartof><rights>Springer-Verlag 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-a88fb4e008379b10eca51aa4eaa0a64062186718a7659a41cd016b59d7b84aca3</citedby><cites>FETCH-LOGICAL-c474t-a88fb4e008379b10eca51aa4eaa0a64062186718a7659a41cd016b59d7b84aca3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3032110/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3032110/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,41464,42533,51294,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21057788$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hamadouche, Moussa</creatorcontrib><creatorcontrib>Karoubi, Mathieu</creatorcontrib><creatorcontrib>Dumaine, Valérie</creatorcontrib><creatorcontrib>Courpied, Jean Pierre</creatorcontrib><title>The use of fibre-based demineralised bone matrix in major acetabular reconstruction: surgical technique and preliminary results</title><title>International orthopaedics</title><addtitle>International Orthopaedics (SICOT)</addtitle><addtitle>Int Orthop</addtitle><description>Acetabular osteolysis associated with socket loosening is one of the main long-term complications of total hip arthroplasty. In case of major bone loss, where <50% host bone coverage can be obtained with a porous-coated cementless cup, it is generally agreed that a metal ring or cage in association with a cemented component and allograft bone should be used. In order to promote allograft bone consolidation and incorporation, we have associated demineralised bone matrix (DBM, Grafton® A Flex) to the construct ion. Here we describe the technical details of major acetabular reconstruction using the Kerboull acetabular reinforcement device with allograft bone and DBM. This device has a hook that must be placed under the teardrop of the acetabulum and a plate for iliac fixation. The main advantages of this device are help in restoring the normal centre of hip rotation, guiding the reconstruction and partially unloading the graft. The Kerboull acetabular reinforcement device has provided a 92% survival rate free of loosening at 13-year follow-up in a consecutive series of 60 type III and IV deficiencies. Our preliminary results using DBM indicate faster allograft consolidation and remodelling.</description><subject>Acetabulum</subject><subject>Acetabulum - surgery</subject><subject>Allografts</subject><subject>Arthroplasty, Replacement, Hip - instrumentation</subject><subject>Arthroplasty, Replacement, Hip - methods</subject><subject>Bone grafts</subject><subject>Bone loss</subject><subject>Bone matrix</subject><subject>Bone Transplantation - methods</subject><subject>Hip</subject><subject>Hip Prosthesis</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metals</subject><subject>Original Paper</subject><subject>Orthopedics</subject><subject>Osseointegration</subject><subject>Osteolysis</subject><subject>Postoperative Complications</subject><subject>Prosthesis Design</subject><subject>Prosthesis Failure</subject><subject>Reconstruction</subject><subject>Reinforcement</subject><subject>Survival</subject><subject>total hip arthroplasty</subject><subject>Treatment Outcome</subject><subject>Unloading</subject><issn>0341-2695</issn><issn>1432-5195</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU9v1DAQxSMEokvhA3BBvsElMJM4scMBCVX8kypxKWdr4kx2vUrsxU4q9sRXx6stFVwqWbJH85uneX5F8RLhLQKodwmgamUJCCWibMrjo2KDsq7KBrvmcbGBWmJZtV1zUTxLaQ-AqtX4tLioEBqltN4Uv292LNbEIoxidH3ksqfEgxh4dp4jTe5U9cGzmGmJ7pdwPr_2IQqyvFC_ThRFZBt8WuJqFxf8e5HWuHWWJrGw3Xn3c2VBfhCHyJPLuhSPeSSt05KeF09GmhK_uLsvix-fP91cfS2vv3_5dvXxurRSyaUkrcdeMoCuVdcjsKUGiSQTAbUS2gp1q1CTapuOJNoBsO2bblC9lmSpviw-nHUPaz_zYNkv2Zw5RDfnbUwgZ_7veLcz23BraqgrRMgCr-8EYsh-0mJmlyxPE3kOazJadgD5nMg3D5IIlQYNqlYZxTNqY0gp8ni_EII5RWzOERs41Tlic8wzr_51cj_xN9MMVGcg5ZbfcjT7sEaff_cB1T_Xb7WU</recordid><startdate>20110201</startdate><enddate>20110201</enddate><creator>Hamadouche, Moussa</creator><creator>Karoubi, Mathieu</creator><creator>Dumaine, Valérie</creator><creator>Courpied, Jean Pierre</creator><general>Springer-Verlag</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>7QP</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20110201</creationdate><title>The use of fibre-based demineralised bone matrix in major acetabular reconstruction: surgical technique and preliminary results</title><author>Hamadouche, Moussa ; 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In case of major bone loss, where <50% host bone coverage can be obtained with a porous-coated cementless cup, it is generally agreed that a metal ring or cage in association with a cemented component and allograft bone should be used. In order to promote allograft bone consolidation and incorporation, we have associated demineralised bone matrix (DBM, Grafton® A Flex) to the construct ion. Here we describe the technical details of major acetabular reconstruction using the Kerboull acetabular reinforcement device with allograft bone and DBM. This device has a hook that must be placed under the teardrop of the acetabulum and a plate for iliac fixation. The main advantages of this device are help in restoring the normal centre of hip rotation, guiding the reconstruction and partially unloading the graft. The Kerboull acetabular reinforcement device has provided a 92% survival rate free of loosening at 13-year follow-up in a consecutive series of 60 type III and IV deficiencies. Our preliminary results using DBM indicate faster allograft consolidation and remodelling.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>21057788</pmid><doi>10.1007/s00264-010-1145-y</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Springer Nature - Complete Springer Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Acetabulum Acetabulum - surgery Allografts Arthroplasty, Replacement, Hip - instrumentation Arthroplasty, Replacement, Hip - methods Bone grafts Bone loss Bone matrix Bone Transplantation - methods Hip Hip Prosthesis Humans Medicine Medicine & Public Health Metals Original Paper Orthopedics Osseointegration Osteolysis Postoperative Complications Prosthesis Design Prosthesis Failure Reconstruction Reinforcement Survival total hip arthroplasty Treatment Outcome Unloading |
| title | The use of fibre-based demineralised bone matrix in major acetabular reconstruction: surgical technique and preliminary results |
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