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Acetabular Revision in Total Hip Arthroplasty Using Bone Impaction Grafting and Cement

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European Surgical Orthopaedics and Traumatology

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Abstract

Aseptic loosening of an acetabular component is often associated with extensive bone loss. This chapter describes a technique to reconstruct these defects with impacted allograft bone chips and cement in revision arthroplasty after failed total hip arthroplasty. With this biological technique, it is possible to reconstruct the bone loss and normal hip biomechanics in combination with a standard hip prosthesis and thereby achieving a long-lasting stable reconstruction.

An overview is given of the essential steps and issues in bone impaction grafting and, in particular, the use of morsellized allografts in combination with cement, as well as the rationale of the reconstruction method in acetabular revision arthroplasty. Subsequently, the chapter describes the surgical technique, the supporting scientific studies, and the clinical and radiographic results of the reconstruction.

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References

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Authors and Affiliations

  1. Department of Orthopedics, Radboud University Nijmegen Medical Centre, 9101, Nijmegen, 6500, The Netherlands

    W. H. C. Rijnen, J. W. M. Gardeniers, P. Buma & B. W. Schreurs

Authors
  1. W. H. C. Rijnen
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  2. J. W. M. Gardeniers
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  3. P. Buma
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  4. B. W. Schreurs
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Corresponding author

Correspondence to W. H. C. Rijnen .

Editor information

Editors and Affiliations

  1. Royal National Orthopaedic Hospital, Stanmore, United Kingdom

    George Bentley

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© 2014 EFORT

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Rijnen, W.H.C., Gardeniers, J.W.M., Buma, P., Schreurs, B.W. (2014). Acetabular Revision in Total Hip Arthroplasty Using Bone Impaction Grafting and Cement. In: Bentley, G. (eds) European Surgical Orthopaedics and Traumatology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-34746-7_246

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  • DOI: https://doi.org/10.1007/978-3-642-34746-7_246

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-34745-0

  • Online ISBN: 978-3-642-34746-7

  • eBook Packages: MedicineReference Module Medicine

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