Impaction bone grafting in revision hip surgery

被引:31
作者
Edwards, SA [1 ]
Pandit, HG [1 ]
Grover, ML [1 ]
Clarke, HJ [1 ]
机构
[1] Queen Alexandra Hosp, Dept Orthopaed, Portsmouth, Hants, England
关键词
impaction grafting; revision; hip;
D O I
10.1016/S0883-5403(03)00281-X
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
We retrospectively reviewed the use of impaction bone grafting with cement for the fixation of femoral and acetabular components in revision hip arthroplasty. Seventy hips formed the basis of the study, with a mean follow-up time of 37 months. Sixty-eight percent of the femurs showed severe bone loss (Endoklinik grades 3 and 4). The mean Harris hip and Merle D'Aubigne Postel scores were 84 and 15.4, respectively. Massive subsidence occurred in only one femoral revision (>10 mm) and cup migration >5 mm in 6 cases. Loosening was seen in 1 revision for sepsis but none for aseptic loosening. Five complications were identified that were related to the surgical technique. We therefore support the use of this technique in revision surgery in patients with extensive bone loss.
引用
收藏
页码:852 / 859
页数:8
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