The Use of Allografts in Revision Hip Alloarthroplasty

  • D. Bettin


Many publications described the progressive bone destruction in endoprosthetic surgery [4,9,11,18,22]. After removal of the cement or curretage of an infection the quality of the bone bed is impaired [13]. Often a new prosthesis cannot be fixed firmly. Increasingly these bone defects cannot be reconstructed with autogenous bone transplants alone [5,16]. Allografts offer structural stability and osteoconductive properties [3]. However, large parts of the bone transplants remain avital. If the osteointegration at the junction sites has taken place, the allograft offers an improved biomechanical situation [9, 15].


Partial Weight Bearing Bone Transplant Screw Anchorage Acetabular Reconstruction Structural Allograft 
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  1. 1.
    Aebi M, Richner L, Ganz R (1989) Langzeitergebnisse der primaren Hiifttotalprothese mit Acetabulumstiitzring. Orthopade 18: 504 – 510PubMedGoogle Scholar
  2. 2.
    Bloem R (1989) A study on cortical remodelling and cartilage in a series of retrieved tumor allograft. International Symposium on Allografts. Leuven, BelgiumGoogle Scholar
  3. 3.
    Burchardt H (1983) The biology of bone graft repair. Clin Orthop Rel Res 174: 28 – 42Google Scholar
  4. 4.
    Chandler HP, Penneberg BL (eds) (1989) Bone stock deficiency. In: Chandler HP (ed) Total hip replacement classification and management. Thorofare: SLACKGoogle Scholar
  5. 5.
    Convery, R, Minteer-Convery M, Devine S, Meyers M (1990) Acetabular augmentation in primary and revision total hip arthroplasty with cementless prosthesis. Clin Orthop Rel Res 252: 167 – 175Google Scholar
  6. 6.
    Delloye Ch, Vincent A, Nayer P (1989) Contribution of Allografts in prosthetic surgery. In: Abstract book, 5th International Symposium on Limb Salvage, Saint MarioGoogle Scholar
  7. 7.
    Enneking WF (1983) Musculoskeletal tumor surgery. Philadelphia: SaundersGoogle Scholar
  8. 8.
    Ganz R (1993) Pfannenprobleme bei Hiiftprothesenwechsel. 42. Jahrestagung der Vereinigung Norddeutscher Orthopaden, HannoverGoogle Scholar
  9. 9.
    Gross A, Lavoie M, McDermott P, Marks P (1985) The use of allograft bone in revision of total hip arthroplasty. Clin Orthop Rel Res 197: 115 – 122Google Scholar
  10. 10.
    Harrington K (1992) The use of hemipelvic allografts or autoclaved grafts for reconstruction after wide resection of malignant tumors of the pelvis. J Bone Joint Surg 74 A (3): 331 – 341PubMedGoogle Scholar
  11. 11.
    Harris W, Crothers O, Indong O (1977) Total hip replacement and femoral head bone grafting for severe acetabular deficiency in adults. J Bone Joint Surg 59 A (6): 752 – 759PubMedGoogle Scholar
  12. 12.
    Harle A (1981) Die postoperative Wund-Saug-Drainage and ihr Einfluss auf die Wundheilung. Habilitationsschrift Minister.Google Scholar
  13. 13.
    Jasty M, Harris W (1987) Total hip reconstruction using frozen femoral head allografts in patients with acetabular bone loss. Orthop Clin North Amer 18 (2): 291 – 299Google Scholar
  14. 14.
    Katthagen B-D (1993) Knochentransplantation beim Prothesenwechsel. 42. Jahrestagung der Vereinigung Norddeutscher Orthopaden, HannoverGoogle Scholar
  15. 15.
    Mankin H, Gebhardt M, Tomford W (1987) The use of frozen cadaveric allografts in the management of patients with bone tumors of the extremities. Orthop Clin North Amer 18 (2): 275 – 289Google Scholar
  16. 16.
    McCollum D, Nunley J, Harrelson J (1980) Bone grafting in total hip replacement for acetabular reconstruction protrusion. J Bone Joint Surg 62 A (7): 1065: 1073Google Scholar
  17. 17.
    Mnaymneh W, Malinin T, Mnaymneh L, Robinson D (1990) Pelvic allograft, a case report with a follow-up evaluation of 5.5 years. Clin Orthop Rel Res 255: 128 – 132Google Scholar
  18. 18.
    Morscher E, Jick W, Seeling W (1989) Klassifikation der Knochendefekte bei Hiiftpfannenre- konstruktion. Orthopadie 18: 428Google Scholar
  19. 19.
    Paprowsky W, Lawrence J, Schwarzt C, Cameron H (1989) Methods of allografting in deficient acetabulum—an eight year clinical experiment. 57th annual meeting of the American Academy of Orthopaedic Surgeons New Orleans LAGoogle Scholar
  20. 20.
    Pauwels F (1965) Gesammelte Abhandlungen zur funktionellen Anatomie des Bewegungsap- parates. Berlin, Heidelberg, New York: SpringerGoogle Scholar
  21. 21.
    Trancik T, Toledo B, Stulberg B, Wilde A, Feiglin D (1989) Allograft reconstruction of the acetabulum during revision total hip arthroplasty. J Bone Joint Surg 68 A (4): 527 – 533Google Scholar
  22. 22.
    Wagner H (1987) Revisionsprothese fur das Hiiftgelenk bei schwerem Knochenverlust. Orthopade 16: 295 – 300PubMedGoogle Scholar

Copyright information

© Springer-Verlag/Wien 1996

Authors and Affiliations

  • D. Bettin
    • 1
  1. 1.Klinik und Poliklinik für Allgemeine OrthopädieWestfälische Wilhelms Universität MünsterFederal Republic of Germany

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