Acetabular Reconstruction with Cancellous Bone Grafts in Revision Hip Arthroplasty: A 10-year Follow-up Study

  • J. W. Schimmel


The main principles in acetabular reconstruction are restoring the centre of rotation, acetabular continuity and integrity, and replacing the subchondral bone layer with a metal mesh. From a biomechanical point of view it is very important that a stress pattern in the acetabular region is created comparable to the normal situation (Crowninshield et al. 1983). A trend towards a more biological reconstruction with bone grafts has therefore taken place, instead of reinforcing the acetabulum with massive amounts of non-viable materials. We strongly support this biological view, and use an acetabular bone grafting technique developed by Slooff (Slooff et al. 1984) in which we use morsellised bone as much as possible instead of solid blocks.


Cancellous Bone Graft Acetabular Reconstruction Radiographic Loosening Acetabular Region Acetabular Cavity 
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References and Further Reading

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  4. DeLee JD, Charnley J (1976) Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop 121:20–32PubMedGoogle Scholar
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  6. Oakeshott RD, Morgan DAF, Zukor DJ, Rudan JF, Brooks PJ, Gross AE (1987) Revision total hip arthroplasty with osseous allograft reconstruction. Clin Orthop 225:37–61PubMedGoogle Scholar
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  8. Sutherland CJ, Wilde AH, Borden LS, Marks KE (1982) A ten-year follow-up of one hundred consecutive Muller curved stem total hip replacement arthroplasties. J Bone Joint Surg (Am) 64:970–982Google Scholar

Copyright information

© Springer-Verlag London Limited 1992

Authors and Affiliations

  • J. W. Schimmel

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