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

  • J. W. Schimmel

Abstract

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.

Keywords

Cancellous Bone Graft Acetabular Reconstruction Radiographic Loosening Acetabular Region Acetabular Cavity 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References and Further Reading

  1. Conn RA, Peterson LFA, Stauffer RN, Ilstrup D (1985) Management of acetabular deficiency: long term results of bone grafting the acetabulum in total hip arthroplasty. Orthop Trans 9:451Google Scholar
  2. Crowninshield RD, Brand RA, Pederson DR (1983) A stress analysis of acetabular reconstruction in protrusio acetabuli. J Bone Joint Surg (Am) 65:495–499Google Scholar
  3. D’Antonio JA, Capello WN, Borden LS, Bargar WL, Bierbaum BF, Boettcher WG, Steinberg ME, Stulberg SD, Wedge JH (1989) Classification and management of acetabular abnormalities in total hip arthroplasty. Clin Orthop 243:126–137PubMedGoogle Scholar
  4. DeLee JD, Charnley J (1976) Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop 121:20–32PubMedGoogle Scholar
  5. Marti RK, Schuller HM, Besselaar PP, Vanfrank Haasnoot EL (1990) Results of revision of hip arthroplasty with cement. A five to fourteen year follow-up study. J Bone Joint Surg (Am) 72:346–354Google Scholar
  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
  7. Slooff TJ, Huiskes R, van Horn J, Lemmens AJ (1984) Bone grafting in total hip replacement for acetabular protrusion. Acta Orthop Scan 55(6):593–596CrossRefGoogle Scholar
  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

There are no affiliations available

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