Allograft Prosthetic Composite Arthroplasty for Limb Salvage and Revision Arthroplasty
The use of allograft bone to replace defects about the hip and knee is not a new technique first popularized for tumor reconstruction. Several authors have published encouraging clinical results with osteoarticular allografts [9, 10, 14–20, 22]. This surgical procedure, however, is associated with many reported complications, especially in weight-bearing joints . Some of the complications inherently associated with osteoarticular allografts include instability, joint collapse with malalignment, and cartilage fragmentation with secondary degenerative arthritis. Various techniques have been attempted to improve the cartilage viability during processing [2, 7, 8, 21]. These attempts have centered around the use of cryoprotective agents to prevent crystal formation during the freezing process. Despite the use of these techniques, the viability of the articular surface remains in doubt.
KeywordsLimb Salvage Host Bone Dynamic Compression Plate Osteoarticular Allograft Soft Tissue Repair
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- 1.Brandish CF, Kemp HBS, Scales JT, Wilson IN (1987) Distal femoral replacement by custom-made prosthesis. J Bone Joint Surg [Br] 69: 276Google Scholar
- 3.Burchardt H, Glowczewskie FP Jr, Enneking WF (1983) The effect ofadriamycin and methotrexate on the repair of segmental cortical allografts in dogs. J Bone Joint Surg [Am] 65: 103Google Scholar
- 5.Enneking WF (1987) A system for the functional evaluation of the surgical management of musculoskeletal tumors. In: Enneking WF (ed) Limb salvage in musculoskeletal oncology. Livingstone, New YorkGoogle Scholar
- 7.Friedlander G, Mankin HJ (1981) Bone banking: Current methods and suggested guidelines. In: Murray G (ed) AAOS instructional course lecture series, vol 30. Mosby St LouisGoogle Scholar
- 8.Friedlander G, Mankin HJ (1979) Guidelines for the banking of musculoskeletal tissues. Newsl Am Assoc Tissue Banks 3: 2Google Scholar
- 12.Langer F, Czitrom A, Pritzker KP, Gross AE (1975) The immunogenicity of fresh and frozen allogeneic bone. J Bone Joint Surg [Am] 57: 217Google Scholar
- 13.Mankin HJ (1983) Complications of allograft surgery. In: Friedlander GE, Mankin HJ, Sell KW (eds) Bone allografts: current state-of-the-art. Little Brown, BostonGoogle Scholar
- 17.Mnaymneh W, Malinin T, Head W, Borja F, Burkhalter W, Ballard A, Zych G, Reyes F (1986) Massive osseous and osteoarticular allografts in non tumorous disorders. Contemp Orthop 13: 13Google Scholar
- 19.Parrish FF (1973) Allograft replacement of part of the end of a long bone following excision of a tumor: report of twenty-one cases. J Bone Joint Surg [Am] 55: 1Google Scholar
- 20.Parrish FF (1966) Treatment of bone tumors by total excision and replacement with massive autologous and homologous grafts. J Bone Joint Surg [Am] 48: 968Google Scholar
- 21.Tomford WW, Fredericks GR, Mankin HJ (1982) Cryopreservation of intact articular cartilage. Trans Orthop Res Soc 7: 176Google Scholar
- 22.Volkov M (1970) Allotransplantation of joints. J Bone Joint Surg [Br] 52: 49Google Scholar