Long-term results of acetabular reconstruction using irradiated allograft bone

被引:16
作者
Green, C. M. [1 ,2 ]
Buckley, S. C. [1 ,3 ]
Hamer, A. J. [1 ,3 ]
Kerry, R. M. [1 ,3 ]
Harrison, T. P. [1 ,3 ]
机构
[1] Sheffield Teaching Hosp, Northern Gen Hosp, Sheffield, S Yorkshire, England
[2] Golden Jubilee Natl Hosp, Glasgow, Lanark, Scotland
[3] Northern Gen Hosp, Lower Limb Arthroplasty Unit, Sheffield, S Yorkshire, England
关键词
CHEMICALLY-TREATED ALLOGRAFT; REVISION ARTHROPLASTY; CANCELLOUS BONE; CEMENTED CUP; FOLLOW-UP; MECHANICAL-PROPERTIES; GRAFT; SURGERY; FROZEN; CLASSIFICATION;
D O I
10.1302/0301-620X.100B11.BJJ-2018-0478.R2
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Aims The management of acetabular defects at the time of revision hip arthroplasty surgery is a challenge. This study presents the results of a long-term follow-up study of the use of irradiated allograft bone in acetabular reconstruction. Patients and Methods Between 1990 and 2000, 123 hips in 110 patients underwent acetabular reconstruction for aseptic loosening, using impaction bone grafting with frozen, irradiated, and morsellized femoral heads and a cemented acetabular component. A total of 55 men and 55 women with a mean age of 64.3 years (26 to 97) at the time of revision surgery are included in this study. Results At a mean follow-up of 16.9 years, there had been 23 revisions (18.7%), including ten for infection, eight for aseptic loosening, and three for dislocation. Of the 66 surviving hips (58 patients) that could be reassessed, 50 hips (42 patients; 75.6%) were still functioning satisfactorily. Union of the graft had occurred in all hips with a surviving implant. Survival analysis for all indications was 80.6% at 15 years (55 patients at risk, 95% confidence interval (CI) 71.1 to 87.2) and 73.7% at 20 years (eight patients at risk, 95% CI 61.6 to 82.5). Conclusion Acetabular reconstruction using frozen, irradiated, and morsellized allograft bone and a cemented acetabular component is an effective method of treatment. It gives satisfactory long-term results and is comparable to other types of reconstruction.
引用
收藏
页码:1449 / 1454
页数:6
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