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Acetabular Revision with Impaction Bone Grafting

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Acetabular Revision Surgery in Major Bone Defects

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Abstract

Most acetabular hip revisions are associated with bone stock loss. Bone impaction grafting is one of the few techniques that really restores the bone stock loss and hence is based on biological bone stock repair. Both in animal studies as well as in human biopsies incorporation of the bone grafts have been proved. The technique of the impaction is important, use larger chips (around 8–12 mm) and use a metal impactor and a hammer. In case of segmental bone defects meshes are used to reconstruct these defects and convert these defects to contained reconstructions. Most experience is with cemented cups, however some studies show also satisfying results with noncemented cups. Like all techniques, the reconstructions of more extensive defects (Paprosky 2C-3B) are associated with less favourable long term outcomes, however re-revisions after impaction bone grafting can be more easily as in many cases there is more bone than in the previous revision surgery.

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Author information

Authors and Affiliations

  1. Radboud university medical center, Nijmegen, The Netherlands

    Berend Willem Schreurs & Wim Rijnen

Authors
  1. Berend Willem Schreurs
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  2. Wim Rijnen
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Correspondence to Berend Willem Schreurs .

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Editors and Affiliations

  1. Orthopaedic Surgery Department, Hospital Universitario La Paz-IdiPaz, Madrid, Spain

    Eduardo García-Rey

  2. Orthopaedic Surgery Department, Hospital Universitario La Paz-IdiPaz, Madrid, Spain

    Eduardo García-Cimbrelo

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Schreurs, B.W., Rijnen, W. (2019). Acetabular Revision with Impaction Bone Grafting. In: García-Rey, E., García-Cimbrelo, E. (eds) Acetabular Revision Surgery in Major Bone Defects. Springer, Cham. https://doi.org/10.1007/978-3-319-98596-1_5

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  • DOI: https://doi.org/10.1007/978-3-319-98596-1_5

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  • Online ISBN: 978-3-319-98596-1

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