Acetabular reconstruction with impacted morcellized cancellous bone autograft and cemented primary total hip arthroplasty

Welten, M.L.M.; Schreurs, B.W.; Buma, P.; Verdonschot, Nico; Slooff, T. J. J. H.

doi:10.1054/arth.2000.7110

Cited by 65 publications

(55 citation statements)

References 23 publications

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“…It is clear, however, that this rate is less favourable than the published rates for prosthetic survival of up to 96.4% for a primary prosthesis [24][25][26] and up to 94% for a revision prosthesis, ten to 14 years after surgery. [27][28][29] Patients with cirrhosis have a reduced life expectancy, 30 and the reduced longevity of their hip implants may not be important. The improvement in the quality of life after hip arthroplasty may outweigh the risk of failure.…”

Section: Discussionmentioning

confidence: 99%

Hip arthroplasty in patients with cirrhosis of the liver

Hsieh

Chen

Lee

et al. 2003

The Journal of Bone and Joint Surgery. British volume

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e retrospectively reviewed 45 hip arthroplasties which were performed over a period of 20 years in 38 patients with cirrhosis of the liver. There was a high perioperative 30-day complication rate (26.7%). Advanced cirrhosis was associated with a higher risk of complications (p = 0.004) as also was increased age, a high level of creatinine, a low level of albumin, a low platelet count, ascites, encephalopathy and an increased operative blood loss. The survival of the prosthesis at five years was 77.8% and infection was a major cause of failure.In view of the high rate of early complications and the limited longevity of the prosthesis, surgeons who perform hip arthroplasty on such patients should counsel them appropriately preoperatively.

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Section: Discussionmentioning

confidence: 99%

Hip arthroplasty in patients with cirrhosis of the liver

Hsieh

Chen

Lee

et al. 2003

The Journal of Bone and Joint Surgery. British volume

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“…The long-term clinical results are satisfying, making it difficult to believe that NSAIDs have an important negative effect on graft incorporation (Welten et al 2000, Schreurs et al 2004. Also, in a study on the outcome of femoral revision with bone impaction grafting at a minimum follow-up of 10 years, the administration of indomethacin did not appear to influence longterm results (Schreurs et al 2005).…”

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confidence: 99%

No effect of ketoprofen and meloxicam on bone graft ingrowth: A bone chamber study in goats

et al. 2008

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Background and purpose There is increasing awareness that non-steroidal anti-inflammatory drugs (NSAIDs), and especially the cyclooxygenase-2 (COX-2) selective ones, may retard bone healing. We have used NSAIDs (indomethacin for at least 7 days) to prevent heterotopic ossification after acetabular reconstructions using impacted bone grafts. The long-term clinical results have been satisfying, making it difficult to believe that there is an important negative effect of NSAIDs on graft incorporation. We studied the effect of two different NSAIDs on bone and tissue ingrowth in a bone chamber model in goats, using autograft, rinsed allograft, and allograft that had been rinsed and subsequently irradiated.Methods 9 goats received no NSAIDs, 9 received ketoprofen, and 9 received meloxicam-all for 6 weeks. In each goat 6 bone chambers were implanted: 2 filled with autograft, 2 with rinsed allograft, and 2 with allograft that had been rinsed and irradiated. The amount of bone ingrowth and total tissue ingrowth was compared between the groups.Results There were no statistically significant differences in bone ingrowth between the different groups. Also, no differences in bone ingrowth were found with respect to the type of graft used. Furthermore, there was no statistically significant difference in the total amount of ingrowth of fibrous tissue between the treatment groups.Interpretation No differences in bone ingrowth in titanium bone chambers could be detected with both ketoprofen and meloxicam compared to untreated control animals. This confirms our hypothesis that the effect of NSAIDs on the incorporation and ingrowth of bone graft is limited.

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“…In the same period, reports from the Swedish National Total Hip Arthroplasty Register have shown that the number of revision arthroplasties has remained constant (Herberts and Malchau 2000). Cemented prostheses, surrounded by an envelope of impacted morsellized bone, are widely used in revision hip surgery (Gie et al 1993, Welten et al 2000, Schreurs et al 2003. Early axial subsidence and torsion may disturb the geometry of the implant system and hence reduce the durability of the revised prosthesis (Franzén et al 1995, Eldridge et al 1997, Brodt et al 1998, Ornstein et al 2002.…”

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confidence: 99%