Skip to main content

Acetabular Impaction Grafting (AIG)

  • Chapter
  • First Online:
The Adult Hip - Master Case Series and Techniques

Abstract

AIG was first described as a primary hip arthroplasty technique by Hastings and Parker in 1975 for rheumatoid patients with acetabular protrusion [1]. It was subsequently used for revision THR by Slooff [2, 3]. Initially, AIG was described as a cemented implantation technique. Now it can be used with a cementless acetabular component as well [4–6].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

References

  1. Hastings DE, Parker SM. Protrusio acetabuli in rheumatoid arthritis. Clin Orthop Relat Res. 1975;108:76–83.

    Article  Google Scholar 

  2. Slooff TJ, Huiskes R, van Horn J, Lemmens AJ. Bone grafting in total hip replacement for acetabular protrusion. Acta Orthop Scand. 1984;55:593–6.

    Article  CAS  PubMed  Google Scholar 

  3. Slooff TJ, Buma P, Schreurs BW, et al. Acetabular and femoral reconstruction with impacted graft and cement. Clin Orthop Relat Res. 1996;324:108–15.

    Article  Google Scholar 

  4. Lee JM, Nam HT. Acetabular revision total hip arthroplasty using an impacted morselized allograft and a cementless cup: minimum 10-year follow-up. J Arthroplast. 2011;26:1057–60.

    Article  Google Scholar 

  5. Palm L, Jacobsson SA, Kvist J, et al. Acetabular revision with extensive allograft impaction and uncemented hydroxyapatite-coated implants:results after 9 (7-11) years follow-up. J Arthroplast. 2007;22:1083–91.

    Article  Google Scholar 

  6. Deirmengian GK, Zmistowski B, O'Neil JT, Hozack WJ. Management of acetabular bone loss in revision total hip arthroplasty. J Bone Joint Surg Am. 2011;93A:1842–52.

    Article  Google Scholar 

  7. Ibrahim MS, Raja S, Haddad FS. Acetabular impaction bone grafting in total hip replacement. Bone Joint J. 2013;95-B(Supple A):98–102.

    Article  CAS  PubMed  Google Scholar 

  8. Petheram TG, Howell JR. The Exeter method-acetabular impaction grafting with cemented reimplantation. Oper Orthop Traumatol. 2014;26(2):114–25.

    Article  CAS  PubMed  Google Scholar 

  9. Buckup J, Salinas EA, Valle AG, Boettner F. Treatment of large acetabular defects: a surgical technique utilizing impaction grafting into a metallic mesh. HSS J. 2013;9(3):242–6.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Garcia-Cimbrelo E, Cruz-Pardos A, Garcia-Rey E, Ortega-Chamarro J. The survival and fate of acetabular reconstruction with impaction grafting for large defects. Clin Orthop Relat Res. 2010;468:3304–13.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Gill K, Wilson MJ, Whitehouse SL, Timperley AJ. Results using trabecular metal™ augments in combination with acetabular impaction bone grafting in deficient acetabula. Hip Int. 2013;23:522–8.

    Article  PubMed  Google Scholar 

  12. Borland WS, Bhattacharya R, Holland JP, Brewster NT. Use of porous trabecular metal augments with impaction bone grafting in management of acetabular bone loss. Acta Orthop. 2012;83:347–52.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Schreurs BW, Luttjeboer J, Thien TM, de Waal Malefijt MC, Buma P, Veth RP, Slooff TJ. Acetabular revision with impacted morselized cancellous bone graft and a cemented cup in patients with rheumatoid arthritis. A concise follow-up, at eight to nineteen years, of a previous report. J Bone Joint Surg Am. 2009;91(3):646–51.

    Article  PubMed  Google Scholar 

  14. Schreurs BW, et al. Acetabular reconstruction with impaction bone-grafting and a cemented cup in patients younger than fifty years old. J Bone Joint Surg Am. 2004;86:2385–92.

    Article  PubMed  Google Scholar 

  15. Busch VJ, Gardeniers JW, Verdonschot N, et al. Acetabular reconstruction with impaction bone-grafting and a cemented cup in patients younger than fifty years old: a concise follow-up at twenty to twenty-eight years, of a previous report. J Bone Joint Surg Am. 2011;93:367–71.

    Article  PubMed  Google Scholar 

  16. Comba F, Buttaro M, Pusso R, Piccaluga F. Acetabular revision surgery with impacted bone allografts and cemented cups in patients younger than 55 years. Int Orthop. 2009;33:611–6.

    Article  PubMed  Google Scholar 

  17. Te Stroet MA, Rijnen WH, Gardeniers JW, van Kampen A, Schreurs BW. Satisfying outcomes scores and survivorship achieved with impaction graftingfor revision THA in young patients. Clin Orthop Relat Res. 2015;473(12):3867–75.

    Article  Google Scholar 

  18. van Haaren EH, Heyligers IC, Alexander FGM, Wuisman PIJM. High rate of failure of impaction grafting in large acetabular defects. J Bone Joint Surg (Br). 2007;89-B:296–300.

    Article  Google Scholar 

  19. Colo E, Rijnen WH, Schreurs BW. The biological approach in acetabular revision surgery: impaction bone grafting and a cemented cup. Bone Joint J. 2014;96-B(2):188–94.

    Article  Google Scholar 

  20. Schreurs BW, Keurentjes JC, Gardeniers JW, et al. Acetabular revision with impacted morsellised cancellous bone grafting and a cemented acetabular component: a 20 to 25year follow-up. J Bone Joint Surg (Br). 2009;91-B:1148–53.

    Article  Google Scholar 

  21. Comba F, Buttaro M, Pusso R, Piccaluga F. Acetabular reconstruction with impacted bone allografts and cemented acetabular components: a 2 to 13 year follow- up study of 142 aseptic revisions. J Bone Joint Surg (Br). 2006;88-B:865–9.

    Article  Google Scholar 

  22. Garcia-Cimbrelo E, Cordero J. Impacted morsellised allograft and cemented cup in acetabular revision surgery. A five to nine year follow-up study. Hip Int. 2002;12:281–8.

    Article  CAS  PubMed  Google Scholar 

  23. Schreurs BW, et al. Acetabular reconstruction with impacted morsellised cancellous bone graft and cement: a 10- to 15-year follow-up of 60 revision arthroplasties. J Bone Joint Surg Br. 1998;80:391–5.

    Article  CAS  PubMed  Google Scholar 

  24. Schreurs BW, et al. Acetabular revision with impacted morsellised cancellous bone grafting and a cemented cup: a 15- to 20- year follow-up. J Bone Joint Surg Br. 2004;86:492–297.

    Article  CAS  PubMed  Google Scholar 

  25. Rigby M, Kenny PJ, Sharp R, et al. Acetabular impaction grafting in total hip replacement. Hip Int. 2011;21:399–408.

    Article  PubMed  Google Scholar 

  26. Buttaro MA, Comba F, Pusso R, Piccaluga F. Acetabular revision with metal mesh, impaction bone grafting, and a cemented cup. Clin Orthop Relat Res. 2008;466:2482–90.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Azuma T, Yasuda H, et al. Compressed allograft chips for acetabular reconstruction in revision hip arthroplasty. J Bone Joint Surg Br. 1994;76(5):740–4.

    Article  CAS  PubMed  Google Scholar 

  28. Iwase T, Ito T, Morita D. Massive bone defect compromises postoperative cup survivorship of acetabularrevision hip arthroplasty with impaction bone grafting. J Arthroplast. 2014;29(12):2424–9.

    Article  Google Scholar 

  29. Arumugam G, Nanjayan SK, Quah C, Wraighte P, Howard P. Revision hip arthroplasty using impacted cancellous bone and cement: a long-term follow-up study. Eur J Orthop Surg Traumatol. 2015;25(8):1279–84.

    Article  PubMed  Google Scholar 

  30. García-Rey E, Madero R, García-Cimbrelo E. THA revisions using impaction allografting with mesh is durable for medial but not lateral acetabular defects. Clin Orthop Relat Res. 2015;473(12):3882–91.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Gilbody J, Taylor C, Bartlett GE, Whitehouse SL, Hubble MJ, Timperley AJ, Howell JR, Wilson MJ. 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. 2014;96-B(2):188–94.

    Article  CAS  PubMed  Google Scholar 

  32. van Egmond N, De Kam DC, Gardeniers JW, Schreurs BW. Revisions of extensive acetabular defects with impaction grafting and a cement cup. Clin Orthop Relat Res. 2011;469(2):562–73. https://doi.org/10.1007/s11999-010-1618-8. Epub 2010 Oct 8.

    Article  PubMed  Google Scholar 

  33. Dorairajan A, Reddy RM, Krikler S. Outcome of acetabular revision using an uncemented hydroxyapatite-coated component: two to five year results and review. J Arthroplast. 2005;20:209–18.

    Article  Google Scholar 

  34. Lachiewicz PF, Poon ED. Revision of a total hip arthroplasty with a Harris-Galante porous-coated acetabular component inserted without cement: a follow-up note on the results at five to twelve years. J Bone Joint Surg Am. 1998;80:980–4.

    Article  CAS  PubMed  Google Scholar 

  35. Tanzer M, Drucker D, Jasty M, McDonald M, Harris WH. Revision of the acetabular component with an uncemented Harris-Galante porous-coated prosthesis. JBone Joint Surg [Am]. 1992;74-A:987–94.

    Article  Google Scholar 

  36. Jasty M. Jumbo cups and morsalized graft. Orthop Clin North Am. 1998;29:249–54.

    Article  CAS  PubMed  Google Scholar 

  37. Garcia-Cimbrelo E. Porous-coated cementless acetabular cups in revision surgery:a 6 to 11 year follow-up study. J Arthroplast. 1999;14:397–406.

    Article  CAS  Google Scholar 

  38. Patel S, Sukeik M, Haddad FS. Initial implant stability predicts migration but not failure in cementless acetabular revision with bone grafting. J Arthroplast. 2013;28:832–7.

    Article  Google Scholar 

  39. Te Stroet MA, Keurentjes JC, Rijnen WH, Gardeniers JW, Verdonschot N, Slooff TJ, Schreurs BW. Acetabular revision with impaction bone grafting and a cemented polyethylene acetabular component: comparison of the Kaplan-Meier analysis to the competing risk analysis in 62 revisions with 25 to 30 years follow-up. Bone Joint J. 2015;97-B(10):1338–44. https://doi.org/10.1302/0301-620X.97B10.34984. PMID: 26430007

    Article  Google Scholar 

  40. Colo E, Rijnen WH, Schreurs BW. The biological approach in acetabular revision surgery: impaction bone grafting and a cemented cup. Hip Int. 2015;25(4):361–7. doi:10.5301/hipint.5000267. Epub 2015 May 20. PubMed PMID: 26044533

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding authors

Correspondence to Martin Buttaro M.D. , Martin Buttaro or Eduardo García-Cimbrelo .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Cite this chapter

Kenanidis, E., Tsiridis, E., Buttaro, M., García-Cimbrelo, E., García-Rey, E. (2018). Acetabular Impaction Grafting (AIG). In: Tsiridis, E. (eds) The Adult Hip - Master Case Series and Techniques. Springer, Cham. https://doi.org/10.1007/978-3-319-64177-5_18

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-64177-5_18

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-64175-1

  • Online ISBN: 978-3-319-64177-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics