Revision of the femoral prosthesis with impaction allografting.
نویسندگان
چکیده
Impaction allografting is the only technique, to date, that has been shown to reverse the loss of bone stock encountered during revision hip arthroplasty. However, early stem subsidence, dislocations and a high occurrence of periprosthetic fractures are well documented with this method. This article reviews the biomechanical and biological characteristics of compacted morsellised graft, on the femoral side, and examines the clinical results of this technique and its future development.
منابع مشابه
Femoral stem impaction grafting: extending the role of cement.
Femoral revision after cemented total hip replacement (THR) might include technical difficulties, following essential cement removal, which might lead to further loss of bone and consequently inadequate fixation of the subsequent revision stem. Femoral impaction allografting has been widely used in revision surgery for the acetabulum, and subsequently for the femur. In combination with a primar...
متن کاملImpaction allografting revision for B3 periprosthetic femoral fractures using a Mennen plate to contain the graft: a technical report.
We prospectively evaluated the long-term results of a technique using the Mennen plate to contain impacted allograft and support cemented Exeter stem revision fixation for the treatment of three B3 periprosthetic femoral fractures (PFFs). Three patients with a median age of 77 years were followed-up for a median of 84 months. In all cases the stem bypassed the distal fracture line by a median l...
متن کاملImpaction femoral allografting and cemented revision for periprosthetic femoral fractures.
We reviewed retrospectively the outcome of the treatment by impaction grafting of periprosthetic femoral fractures around loose stems in 106 patients with Vancouver type-B2 and type-B3 fractures. Eighty-nine patients had a cemented revision with impaction grafting and a long or short stem. The remaining 17 had cemented revision without impaction grafting. Fractures treated by impaction grafting...
متن کاملImpaction grafting in association with the Charnley-Kerboull cemented femoral component: operative technique and two- to 16-year follow-up results.
We describe 129 consecutive revision total hip replacements using a Charnley-Kerboull femoral component of standard length with impaction allografting. The mean follow-up was 8.2 years (2 to 16). Additionally, extramedullary reinforcement was performed using struts of cortical allograft in 49 hips and cerclage wires in 30. There was one intra-operative fracture of the femur but none later. Two ...
متن کاملA case of bilateral revision total knee arthroplasty using distal femoral allograft–prosthesis composite and femoral head allografting at the tibial site with a varus-valgus constrained prosthesis: ten-year follow up
BACKGROUND We report the successful use of allograft-prosthesis composite (APC) and structural femoral head allografting in the bilateral reconstruction of large femoral and tibial uncontained defects during revision total knee arthroplasty (RTKA). CASE PRESENTATION A 67-year-old female with degenerative arthritis underwent bilateral total knee arthroplasty (TKA) using the Press Fit Condylar ...
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ورودعنوان ژورنال:
- Acta orthopaedica Belgica
دوره 73 5 شماره
صفحات -
تاریخ انتشار 2007