The revision acetabulum - allograft and bone substitutes VESTIGIAL ORGANS FOR BONE DEFICIENCY

被引:10
作者
Callaghan, J. J. [1 ]
Liu, S. S. [1 ]
Phruetthiphat, O. -A. [1 ]
机构
[1] Univ Iowa, Dept Orthopaed, UIHC, Iowa City, IA 52242 USA
关键词
COMPUTED-TOMOGRAPHY; GRAFT; DEFECTS;
D O I
10.1302/0301-620X.96B11.34452
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
A common situation presenting to the orthopaedic surgeon today is a worn acetabular liner with substantial acetabular and pelvic osteolysis. The surgeon has many options for dealing with osteolytic defects. These include allograft, calcium based substitutes, demineralised bone matrix, or combinations of these options with or without addition of platelet rich plasma. To date there are no clinical studies to determine the efficacy of using bone-stimulating materials in osteolytic defects at the time of revision surgery and there are surprisingly few studies demonstrating the clinical efficacy of these treatment options. Even when radiographs appear to demonstrate incorporation of graft material CT studies have shown that incorporation is incomplete. The surgeon, in choosing a graft material for a surgical procedure must take into account the efficacy, safety, cost and convenience of that material.
引用
收藏
页码:70 / 72
页数:3
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