Clinical and radiographic assessment of cementless acetabular revision with morsellised allografts

被引:9
作者
Sun, Chuang [1 ]
Lian, Yong-Yun [1 ]
Jin, Yu-Hua [2 ]
Zhao, Cheng-Bin [1 ]
Pan, Shi-Qi [1 ]
Liu, Xue-Feng [1 ]
机构
[1] Harbin Med Coll, Affiliated Hosp 4, Dept Orthoped Surg, Harbin 150001, Heilongjiang Pr, Peoples R China
[2] Social Rehabil Hosp Heilongjiang Prov, Dept Orthoped Surg, Harbin 150030, Heilongjiang Pr, Peoples R China
关键词
TOTAL HIP-ARTHROPLASTY; IMPACTED BONE-GRAFT; FOLLOW-UP; MORSELIZED ALLOGRAFTS; 5-YEAR; SIZE; COMPONENTS; STABILITY; FAILURE; CUPS;
D O I
10.1007/s00264-009-0722-4
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
100224 [整形外科学];
摘要
The aim of this study was to evaluate the clinical and radiographic results of cementless acetabular revision with deep frozen morsellised allografts. Sixty-one patients (65 hips) underwent acetabular revision using cementless components and deep frozen morsellised allografts. Fifty-seven hips (53 patients) were reviewed at a mean of 105.1 months (range 72-180 months) after revision. The study group included 29 males and 24 females with a mean age of 46.4 years. One cup underwent further revision for aseptic loosening and two were defined as radiographic failures. The mean time for allograft incorporation was 12.5 months (range 6-24 months) after index surgery. The mean Harris hip score of the patients improved from 61.1 points preoperatively to 91.6 points postoperatively. Linear and cavitary osteolysis was observed in two and 12 hips, respectively. The acetabular revision using cementless components with deep frozen morsellized allografts provides favourable clinical and radiographic results, although the initial disease and age may adversely affect the outcomes.
引用
收藏
页码:1525 / 1530
页数:6
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