Bone Stock Loss and Allografting: Acetabulum
Reconstructive surgery of the failed acetabulum in revision arthroplasty is increasingly difficult to perform because of the increased bone loss as compared with that in a primary procedure. Being able to predict the bony defect preoperatively allows the surgeon to create the appropriate armamentarium for successful reconstruction. As the number of joint replacements and the time they remain in vivo increase, bony defects also increase.1–7 A historical and clinical perspective of the patient must be combined with a radiographic assessment to determine a protocol for the appropriate reconstructive procedure.
KeywordsAcetabular Component Anterior Column Posterior Column Acetabular Defect Structural Allograft
Unable to display preview. Download preview PDF.
- 11.Kavanaugh BF, Ilstrup DM, Fitzgerald RH Jr. Revision total hip arthroplasty. J Bone Joint Surg Am. 1985;67:517–526.Google Scholar
- 12.Kavanaugh BF, Fitzgerald RH. Multiple revisions for failed total hip arthroplasty not associated with infection. J Bone Joint Surg Am. 1987;69:1144–1149.Google Scholar
- 28.Chandler HP, Penenberg BL. Bone Stock Deficiency in Total Hip Replacement: Classification and Management. Thorofare, NJ: Slack; 1989.Google Scholar
- 32.Paprosky WG, Bradford MS, Jablonsky WS. Acetabular reconstruction with massive acetabular allografts. Instr Course Led. 1996;45:149–159.Google Scholar
- 34.Patch DA, Lewallen DG. Reconstruction of deficient ac-etabula using bone graft and a fixed porous ingrowth cup: a 5 year roentgenographic study. Orthop Trans. 1993;17:151.Google Scholar
- 36.Berry DJ, Muller ME. Revision arthroplasty using an anti-protrusio cage for massive acetabular bone deficiency. J Bone Joint Surg Br. 1992;74:711–715.Google Scholar
- 39.Paprosky WG, Bradford MS, Jablonsky WS. Acetabular reconstruction with massive acetabular grafts. Instr Course Led. 1996;45:149–159.Google Scholar