Abstract
Numerous options are available today to reconstruct large bony defects after tumor resection, failed total joint arthroplasty, or trauma. Custom-designed segmental bone and joint implants [2] are being used widely, but the conventional prosthetic fixation method may lead to stem loosening or fracture after prolonged in vivo utilization. Since these late complications are mainly attributed to failure of the bone cement [3], biological fixation. using porous implants has been advocated. Porous coating applied to the stems to achieve biological fixation of segmental prostheses has several disadvantages which may predispose the implants to stem fracture or cause bone resorption. A new concept of prosthetic fixation through extracortical bone bridging and growth over the porous-coated segmental portion of the implant has been introduced [4–6]. Morselized corticocancellous autogenous bone grafts are applied over the porous-coated segment and adjacent to cortex to induce bone formation. The stems of these implants are solid and are cemented to achieve initial implant stability.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Bolander ME, Balian G (1986) The use of demineralized bone matrix in the repair of segmental defects. Augmentation with extracted matrix proteins and a comparison with autologous grafts. J Bone Joint Surg [Am] 68: 1264–1274
Bradish CF, Kemp HBS, Scales JT, Wilson JN (1987) Distal femoral replacement by custom made prosthesis: clinical foJlow-up and survivorship analysis. J Bone Joint Surg [Br] 69: 276–284
Chao EY, Coventry MB (1981) Fracture of the femoral component after total hip replacement. J Bone Joint Surg [Am] 63: 1078–1094
Chao EY, Sim FH (1985) Modular prosthetic system for segmental bone and joint replacement after tumor resection. Orthopedics 8: 641–651
Chao EY, Okada Y, Hein T, Sim FH, Pritchard DJ, Shives TC (1987) Extracortical bone bridging: a new concept for implant fixation. Transactions of the 33rd ORS 12: 435
Chao EYS (1989) A composite fixation principle for modular segmental defect replacement (SDR) prostheses. Orthop Clin North Am: 20(3): 439–453
Heck DA, Chao EYS, Sim FH, Pritchard DJ, Shives TC (1986) Titanium fibermetal segmental replacement prostheses. Clin Orthop 204: 266–285
Heck DA, Nakajima I, Kelly PJ, Chao EY (1986) The effect ofload alteration on the biological and biomechanical performance of a titanium fibermetal segmental prosthesis. J Bone Joint Surg [Am] 68: 118–126
Kohler P, Kreichbergs A (1987) Incorporation of autoclaved antogeneic bone supplemented with allogenic demineralized bone matrix. An experimental study in the rabbit. Clin Orthop 218: 247–258
Kuo KN, Gitelis S, Sim FH, Pritchard D, Chao E, Rostoker W, Galante JO, McDonald P (1983) Segmental replacement of long bones using titanium fiber metal composite following tumor resection. Clin Orthop 176: 108–114
Lindholm TS, Urist MR (1980) A quantitative analysis of new bone formation by induction in compositive grafts of bone marrow and bone matrix. Clin Orthop 150: 288–300
Nilsson OS, Urist MR, Dawson EG, Schmalzried TP, Finerman GA (1986) Bone repair induced by bone morphogenetic protein in ulnar defects in dogs. J Bone Joint Surg [Br] 68: 4: 635–642
Okada Y, Suka T, Sim FR, Gorski JP, Chao EYS (1988) Comparison of replacement prostheses for segmental defects of bone. Different porous coatings for extracortical fixation. J Bone Joint Surg [Am] 70(2): 160–172
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1991 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Wippermann, B.W., Hsu, R.W.W., Chao, E.Y.S., Sim, F.H. (1991). Comparison of Autogenous Cortical Graft and Demineralized Allogenic Bone Matrix (DABM) in the Fixation of Segmental Prosthesis. In: Langlais, F., Tomeno, B. (eds) Limb Salvage. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-75879-9_46
Download citation
DOI: https://doi.org/10.1007/978-3-642-75879-9_46
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-75881-2
Online ISBN: 978-3-642-75879-9
eBook Packages: Springer Book Archive