The management of severe acetabular bone loss using structural allograft and acetabular reinforcement devices
| Autor: | John B. Sledge, Thomas J. Gill, Maurice E. Müller |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
Male
Reoperation medicine.medical_specialty Time Factors Arthroplasty Replacement Hip medicine.medical_treatment Radiography Aseptic loosening Clinical success Prosthesis Implantation Acetabular bone medicine Humans Transplantation Homologous Orthopedics and Sports Medicine Bone Transplantation business.industry Acetabulum Middle Aged Arthroplasty Prosthesis Failure Surgery Treatment Outcome Acetabular component Female Hip Joint Hip Prosthesis Complication business Follow-Up Studies |
| Zdroj: | The Journal of Arthroplasty. 15:1-7 |
| ISSN: | 0883-5403 |
| DOI: | 10.1016/s0883-5403(00)90973-2 |
| Popis: | The cases of 37 acetabular reconstructions in 35 patients with major structural pelvic bone loss were reviewed. At an average follow-up of 7.1 years, patients rated their results as excellent in 12 cases (32.4%), good in 22 (59.5%), fair in 2 (5.4%), and poor in 1 (2.7%). Thirty-four cases (91.9%) were classified as a clinical success. Thirty-six allografts (97.3%) had radiographic evidence of full incorporation. Of the unrevised hips, 1 (2.7%) was classified as definitely loose, 2 (5.4%) as probably loose, and 4 (10.8%) as possibly loose. One revision of an acetabular component was required because of late sepsis. This is the first reported series on the use of acetabular reinforcement devices with solid bulk allograft covering more than 50% of the socket. The allograft is protected in the early postoperative period, superior migration of the cup is virtually eliminated as a complication, and the incidence of aseptic loosening is greatly diminished. |
| Databáze: | OpenAIRE |
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