A novel technique for impaction bone grafting in acetabular reconstruction of revision total hip arthroplasty using an ex vivo compaction device

Akiyama, Haruhiko; Morishima, Takkan; Takemoto, Mitsuru; Yamamoto, Kōji; Otsuka, Hiromi; Iwase, Toshiki; Kabata, Tamon; Soeda, Tsunemitsu; Kawanabe, Keiichi; Sato, Keiji; Nakamura, Takashi

doi:10.1007/s00776-010-0007-1

Cited by 8 publications

(7 citation statements)

References 27 publications

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“…Shortterm results indicate that impaction grafting is an effective method of dealing with loss of bone stock at revision hip surgery (Blom et al 2009). Compaction of the bone graft using smaller sized chips next to the host bone and larger size ones on the component side may stabilize the acetabular component and improve the biological response of the grafted aggregates (Akiyama et al 2011).…”

Section: Discussionmentioning

confidence: 99%

Role of mechanical compression on bone regeneration around a particulate bone graft material: an experimental study in rabbit calvaria

Romanos

Delgado-Ruíz

López-López

et al. 2015

Clinical Oral Implants Res

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Section: Discussionmentioning

confidence: 99%

Role of mechanical compression on bone regeneration around a particulate bone graft material: an experimental study in rabbit calvaria

Romanos

Delgado-Ruíz

López-López

et al. 2015

Clinical Oral Implants Res

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“…When appropriate well-compacted and graded morsellised allografts can be used to fill a contained defect, as the mechanical property of the bone aggregates depends on the density of the packed bone chips and optimum inter-particulate surface area contact. 10 The increase of these variables produces more stiffness and less recoil of the grafted bone. Analysis of the compression load versus displacement curve of morsellised bone aggregates and of the KT plate revealed that well-compacted, wellgraded morsellised bone aggregates with a thickness of 25 mm can provide sufficient stability for the KT plate, within 4 mm of deformity, which is the yield point of the base of the plate with the screw holes in the KT plate.…”

Section: Discussionmentioning

confidence: 99%

“…9,10 For cavitary defects, the morsellised bone chips were impacted as firmly as possible using metal impactors and a mallet and segmental defects were filled with structural grafts. The hook of the KT plate was placed under the teardrop area, as described previously.…”

Section: Methodsmentioning

confidence: 99%

“…The mechanical properties of structural or compacted allograft bone aggregates were analysed, as described previously. 10 Briefly, the compression stiffness of femoral heads removed from patients with osteoarthritis (n = 2) or with a femoral neck fracture (n = 2) and of the disc-shaped compacted bone aggregates (40 mm in diameter) produced using an ex vivo compaction device with various amounts of morsellised bone chips (n = 3 for each aggregate) was measured by loading the bone aggregates in a uniaxial load-testing machine (Model 1123; Instron, Norwood, Massachusetts). In order to assess the mechanical properties of the KT plate, the loaddisplacement behaviour and the strain distribution of the KT plate were measured in vitro.…”

Section: Methodsmentioning

confidence: 99%

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Revision total hip arthroplasty using a Kerboull-type acetabular reinforcement device with bone allograft

Akiyama

Yamamoto

Tsukanaka

et al. 2011

The Journal of Bone and Joint Surgery. British volume

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We retrospectively reviewed 40 hips in 36 patients who had undergone acetabular reconstruction using a titanium Kerboull-type acetabular reinforcement device with bone allografts between May 2001 and April 2006. Impacted bone allografts were used for the management of American Academy of Orthopaedic Surgeons Type II defects in 17 hips, and bulk bone allografts together with impacted allografts were used for the management of Type III defects in 23 hips. A total of five hips showed radiological failure at a mean follow-up of 6.7 years (4.5 to 9.3), two of which were infected. The mean pre-operative Merle d'Aubigné score was 10 (5 to 15) vs 13.6 (9 to 18) at the latest follow-up. The Kaplan-Meier survival rate at ten years, calculated using radiological failure or revision of the acetabular component for any reason as the endpoint, was 87% (95% confidence interval 76.3 to 97.7). A separate experimental analysis of the mechanical properties of the device and the load-displacement properties of bone grafts showed that a structurally hard allograft resected from femoral heads of patients with osteoarthritis should be preferentially used in any type of defect. If impacted bone allografts were used, a bone graft thickness of < 25 mm was acceptable in Type II defects. This clinical study indicates that revision total hip replacement using the Kerboull-type acetabular reinforcement device with bone allografts yielded satisfactory mid-term results.

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“…Other areas of innovation include the use of an ex vivo (on table and sterile) compaction device (to deliver reproducible grafts with consistent compression-stiffness and porosity). 49 Antibiotic impregnated morsellised bone graft for use in single stage infected acetabular revision has also been reported. 50 Photograph showing morselised bone graft with bone chips filling acetabular defects following acetabular preparation and prior to impaction.…”

Section: Advances In Impaction Bone Graftingmentioning

confidence: 99%

Acetabular impaction bone grafting in total hip replacement

Ibrahim

Raja

Haddad

2013

The Bone & Joint Journal

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The increasing need for total hip replacement (THR) in an ageing population will inevitably generate a larger number of revision procedures. The difficulties encountered in dealing with the bone deficient acetabulum are amongst the greatest challenges in hip surgery. The failed acetabular component requires reconstruction to restore the hip centre and improve joint biomechanics. Impaction bone grafting is successful in achieving acetabular reconstruction using both cemented and cementless techniques. Bone graft incorporation restores bone stock whilst providing good component stability. We provide a summary of the evidence and current literature regarding impaction bone grafting using both cemented and cementless techniques in revision THR.

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A novel technique for impaction bone grafting in acetabular reconstruction of revision total hip arthroplasty using an ex vivo compaction device

Cited by 8 publications

References 27 publications

Role of mechanical compression on bone regeneration around a particulate bone graft material: an experimental study in rabbit calvaria

Role of mechanical compression on bone regeneration around a particulate bone graft material: an experimental study in rabbit calvaria

Revision total hip arthroplasty using a Kerboull-type acetabular reinforcement device with bone allograft

Acetabular impaction bone grafting in total hip replacement

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