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Major Loss of Acetabular Bone Stock at Revision Total Hip Arthroplasty

  • K. B. Otto
  • E. Nieder
  • D. Klüber

Abstract

The surgeons at the Endo-Klinik have been performing joint replacement operations since the mid-nineteen-sixties—at first in cases of femoral neck fractures and arthritis, and then for severe hip dysplasia [1,10, 13]. At that time small defects in the secondary acetabulum were closed using cement, which was often reinforced by screws. But in the following years we observed in more and more cases that these cement wedges were pressed out of position and the acetabular cup became loose.

Keywords

Femoral Head Femoral Neck Fracture Joint Replacement Operation Acetabular Roof Acetabular Reconstruction 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Buchholz HW, Baars GW, Dahmen G, Behrend R (1985) Friiherfahrungen mit der Mini-Hiiftge- lenkstotalendoprothese (Modell “St. Georg-Mini”) bei Dysplasie-Coxarthrose. Z Orthop 123: 829PubMedCrossRefGoogle Scholar
  2. 2.
    Biirkle de la Camp H (1954) Uber die Kaltekonservierung von Knochengewebe und dessen Verwendung zur homoisoplastischen Verpflanzung. Zentralbl Chir 79: 163Google Scholar
  3. 3.
    Dick W, Morscher E (1982) Homologe Spongiosa als Werkstoff bei Problemfallen der Hiiftchirur- gie. In: Hackenbroch M, Refior H-J, Jager M (eds) Osteogenese und Knochenwachstum. 4. Miinchner Symposium fur Experimented Orthopadie. Stuttgart, New York: Thieme, pp 226 – 230Google Scholar
  4. 4.
    Friedlaender GE (1982) Current concepts review bone banking. J Bone Joint Surg [Am] 64: 307 – 311Google Scholar
  5. 5.
    Gie GA, Linder L, Ling RSM, Simon J-P, Slooff TJJH, Timperley AJ (1993) Impacted cancellous allografts and cement for revision total hip arthroplasty. J Bone Joint Surg [Br] 75: 14Google Scholar
  6. 6.
    Harris WH, Crothers O, Oh I (1977) Total hip replacement and femoral-head bone-grafting for severe acetabular deficiency in adults. J Bone Joint Surg [Am] 59: 752Google Scholar
  7. 7.
    Harris WH (1982) Allografting in total hip arthroplasty. Clin Orthop 162: 150PubMedGoogle Scholar
  8. 8.
    Heywood AWB (1980) Arthroplasty with a solid bone graft for protrusio acetabuli. J Bone Joint Surg [Br] 62: 332 – 336Google Scholar
  9. 9.
    Nieder E, Engelbrecht E, Steinbrink K, Elson RA, Kasselt MR, Keller A (1990) The saddle prosthesis for salvage of the destroyed acetabulum. J Bone Joint Surg [Br] 72: 1014Google Scholar
  10. Otto KB (1982) Verwendung des Hiiftkopfes als zusatzliche Pfannendachplastik bei Versorgung schwerer angeborener Hiiftgelenksdysplasien mit einer totalen Hiiftgelenksendoprothese. In: Hackenbroch M, Refior H-J, Jager M (eds) Osteogenese und Knochenwachstum. 4. Miinchner Symposium fiir Experimentelle Orthopadie. Stuttgart, New York: Thieme, pp 266Google Scholar
  11. 11.
    Otto KB (1984) Lokaler Substanzverlust im Bereich der Hiiftgelenk Beckenregion bei Implantat- lockerung. Versorgungsmoglichkeiten mit autologen und homologen Knochentransplantaten. Acta Med Austr [Suppl] 32: 25Google Scholar
  12. 12.
    Otto KB, Baars GW, Nieder E (1987) Beckenknochendefekte in der Alloarthroplastik. Orthopade 16: 261PubMedGoogle Scholar
  13. 13.
    Otto KB, Baars GW, Nieder E (1989) Alloarthroplastische Therapie der kongenitalen Hiiftgelenks- dysplasie. Orthopade 18: 470PubMedGoogle Scholar
  14. 14.
    Tscherne H, Trentz O (1981) Transplantation von Knochen. In: Pichlmayr R (ed) Transplantations- chirurgie. Berlin, Heidelberg, New York: Springer, pp 923’950Google Scholar

Copyright information

© Springer-Verlag/Wien 1996

Authors and Affiliations

  • K. B. Otto
    • 1
  • E. Nieder
    • 1
  • D. Klüber
    • 1
  1. 1.Endo-KlinikHamburgFederal Republic of Germany

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