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A Review and Description of Acetabular Impaction Bone Grafting: Updating the Traditional Technique

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Restoring acetabular bone loss in revision hip arthroplasty is a major challenge for the orthopaedic surgeon. This paper discusses the traditional cemented technique of impaction bone grafting as applied to the acetabulum, as well as the evolution of the technique to employ uncemented implants. Some of the recent published literature regarding these techniques is reviewed and the personal experiences of the senior author with these techniques are also reported.

Abstract

Restoring acetabular bone loss in revision hip arthroplasty is a major challenge for the orthopaedic surgeon. This paper discusses the traditional cemented technique of impaction bone grafting as applied to the acetabulum, as well as the evolution of the technique to employ uncemented implants. Some of the recent published literature regarding these techniques is reviewed and the personal experiences of the senior author with these techniques are also reported.

참고문헌 (21)

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  3. Oakes DA, "Impaction bone grafting for revision hip arthroplasty : biology and clinical applications", J Am Acad Orthop Surg, 14, pp.620~628 (2006)
  4. Blom AW, "Impaction bone grafting of the acetabulum at hip revision using a mix of bone chips and a biphasic porous ceramic bone graft substitute", Acta Orthop, 80, pp.150~154 (2009)
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  13. Arts JJ, "Larger bone graft size and washing of bone grafts prior to impaction enhances the initial stability of cemented cups : experiments using a synthetic acetabular model", Acta Orthop, 77, pp.227~233 (2006)
  14. Ibrahim MS, "Acetabular impaction bone grafting in total hip replacement", Bone Joint J, 95-B(11Suppl A), pp.98~102 (2013)
  15. Issack PS, "Reconstruction of the failed acetabular component using cemented shells and impaction grafting in revision hip arthroplasty", Am J Orthop(Belle Mead NJ), 37, pp.510~512 (2008)
  16. Brewster NT, "Mechanical considerations in impaction bone grafting", J Bone Joint Surg Br, 81, pp.118~124 (1999)
  17. Gilbody J, "Clinical and radiographic outcomes of acetabular impaction grafting without cage reinforcement for revision hip replacement: a minimum ten-year follow-up study", Bone Joint J., 96-B, pp.188~194 (2014)
  18. van Haaren EH, "High rate of failure of impaction grafting in large acetabular defects", J Bone Joint Surg Br, 89, pp.296~300 (2007)
  19. Stigbrand H, "A 2-to 16-year clinical follow-up of revision total hip arthroplasty using a new acetabular implant combined with impacted bone allografts and a cemented cup", J Arthroplasty, 33, pp.815~822 (2018)
  20. Perlbach R, "Good implant survival after acetabular revision with extensive impaction bone grafting and uncemented components", Bone Joint J., 102-B, pp.198~204 (2020)
  21. Gill K, "Results using trabecular metal™ augments in combination with acetabular impaction bone grafting in deficient acetabula", Hip Int, 23, pp.522~528 (2013)

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