Impaction bone grafting with hydroxyapatite

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چکیده

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Mechanical considerations in impaction bone grafting.

In impaction grafting of contained bone defects after revision joint arthroplasty the graft behaves as a friable aggregate and its resistance to complex forces depends on grading, normal load and compaction. Bone mills in current use produce a distribution of particle sizes more uniform than is desirable for maximising resistance to shear stresses. We have performed experiments in vitro using m...

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Impaction grafting of the acetabulum with ceramic bone graft substitute

BACKGROUND AND PURPOSE Loss of bone stock remains a challenge in revision hip surgery. Grafting with allograft is well established, but there are problems with availability, cost, infection, antigenicity, reproducibility, and stability of the created construct. BoneSave is a biphasic porous ceramic consisting of sintered 80% tricalcium phosphate and 20% hydroxyapatite. In vitro and in vivo stud...

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Revision total hip arthroplasty with femoral impaction bone grafting.

PURPOSE To report the radiological and clinical results of revision total hip arthroplasty (THA) with femoral impaction bone grafting (IBG). METHODS 4 men and 9 women (15 hips) aged 38 to 84 years underwent revision THA with femoral IBG using Elite plus stems for aseptic loosening or infection. RESULTS The mean follow-up duration was 7.7 years. The Harris hip score improved from 61.7 to 83....

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Impaction bone-grafting in revision joint replacement surgery.

The standard graft material for impaction bone-grafting is fresh-frozen femoral head allograft morselized to a particle size as large as is practical to ensure stability and allow new bone formation. The graft must be sufficiently compacted to provide immediate mechanical stability; this requires containment of the graft and substantial impaction energy. Diaphyseal bone fracture and excessive i...

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Impaction grafting for acetabular revision: bringing back the bone.

Impaction grafting has been widely promoted on the acetabular side by Schreurs et al,1 with associated bone grafting and a cemented cup. The objectives of impaction grafting are to: 1) transform segmental defects into cavitary defects, 2) obtain a full compaction of the graft, 3) achieve primary stability of the cup, which is anatomically located in the acetabulum, and 4) restore bone stock. Th...

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ژورنال

عنوان ژورنال: Acta Orthopaedica

سال: 2005

ISSN: 1745-3674,1745-3682

DOI: 10.1080/17453670510041556