Use of structural bone graft with cementless acetabular cups in total hip arthroplasty

DeWal, Hargovind; Chen, Fanglin; Su, Edward T.; Cesare, Paul E. Di

doi:10.1054/arth.2003.50013

Cited by 39 publications

(22 citation statements)

References 20 publications

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“…This noncustomized device was partly or totally supported by femoral head allografts at the superior acetabular roof. Although the allograft bone was all incorporated by radiographical identification reported in Kerboull's cases, we didn't use bulk structure allografts due to difficult availability, cost, and worrying about collapse, immunogenicity and viral contamination [7,[27][28][29][30][31].…”

Section: Discussionmentioning

confidence: 99%

The use of customized cages in revision total hip arthroplasty for Paprosky type III acetabular bone defects

Mao

et al. 2015

International Orthopaedics (SICOT)

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Section: Discussionmentioning

confidence: 99%

The use of customized cages in revision total hip arthroplasty for Paprosky type III acetabular bone defects

Mao

et al. 2015

International Orthopaedics (SICOT)

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“…Numerous other reconstructive options have been reported with mixed results. These include placement of a smaller hemispheric cup at a high hip center [7], a reconstruction cage [11], a bilobed oblong cup [4], extra large cementless cup (jumbo) [24], impaction grafting with a cemented cup [18], and use of a structural allograft [9].…”

Section: Discussionmentioning

confidence: 99%

Modular Tantalum Augments for Acetabular Defects in Revision Hip Arthroplasty

Siegmeth¹,

Duncan

Masri

et al. 2009

Clinical Orthopaedics &Amp; Related Research

129

112

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Large acetabular defects can be reconstructed with various methods depending on size and location of the defect. We prospectively followed our first 37 patients in whom we reconstructed the acetabulum with a trabecular metal augment combined with a trabecular metal shell. Three patients died before completing the minimum 24 months followup while the remaining 34 were followed a minimum of 24 months (mean, 34 months; range, 24-55 months).

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“…Various surgical options including impaction grafting (Schreurs et al 2001), reconstruction cages (Berry et al 1999, Gross 1999, Saleh et al 2000, Gross and Goodman 2004), bi-lobed acetabular components (DeBoer and Christie 1998, Berry et al 2000, Chen et al 2000) and structural allograft (Paprosky et al 1994, Dewal et al 2003) are available to deal with bone loss. Trabecular metal (TM) augments are a more recently available option to address bone loss and restore the center of the hip.…”

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confidence: 99%

Use of porous trabecular metal augments with impaction bone grafting in management of acetabular bone loss

et al. 2012

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Background The use of impaction grafting in revisions with larger acetabular bone defects has mixed outcomes and sometimes high failures rates.Patients and methods This prospective, single-center study involved a consecutive series of 24 patients who underwent complex reconstruction of the acetabulum using a trabecular metal augment, impaction bone grafting, and a cemented high-density polyethylene cup. Patients were followed for median 5 (3–7) years.Results The 2-year WOMAC pain, function, and stiffness scores improved, as did certain components (bodily pain, physical function, role physical, role emotional, physical component score, and social function) of the SF-36 (p < 0.05). 23 of the patients were very satisfied with the overall outcome of the surgery and would have undergone the surgery again for a similar problem, and 19 reported great improvement in their quality of life after surgery. Radiographs at the latest follow-up revealed incorporation of the augment with mean change in acetabular component inclination of less than 1 degree (p > 0.05) and cup migration of less than 5 mm in both horizontal and vertical axes (p > 0.05). 1 patient required further revision at 13 months and was found to have a fractured augment at re-revision.Interpretation This study shows that trabecular metal augments are effective in filling the bone defect and provide a stable foundation for impaction bone grafting. We found satisfactory clinical and radiographic results using this technique, with low failure rate at a median follow-up time of 5 years.

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Use of structural bone graft with cementless acetabular cups in total hip arthroplasty

Cited by 39 publications

References 20 publications

The use of customized cages in revision total hip arthroplasty for Paprosky type III acetabular bone defects

The use of customized cages in revision total hip arthroplasty for Paprosky type III acetabular bone defects

Modular Tantalum Augments for Acetabular Defects in Revision Hip Arthroplasty

Use of porous trabecular metal augments with impaction bone grafting in management of acetabular bone loss

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