Acetabular Reconstruction Technique

  • H. Winkler
  • F. Bohmann
  • W. Schwögerl


Acetabular bone deficiencies are an increasingly frequent problem in revision total hip arthroplasty. As long as there is enough host bone available to grant stable fixation for a new implant, defects can easily be filled with milled or morsellized bone. Whenever the remaining bone cannot support a prosthesis, structural allografting will be necessary. Known techniques for such cases generally are considered to be very demanding and results often seem to be unpredictable. The fate of the reconstruction depends on several factors, which can be summarized to four major areas of interest:
  1. 1.

    Biomechanical principles

  2. 2.

    Host Bone

  3. 3.


  4. 4.




Femoral Head Acetabular Component Allograft Bone Primary Stability Host Bone 
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.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. Callaghan JJ, Salvati EA, Pellici PM, Wilson PD, Ranawat CS (1985) Results of revision for mechanical failure after cemented total hip replacement, 1979 to 1982. A two to five—year follow-up. J Bone Joint Surg (Am) 67-A: 1074 – 1085Google Scholar
  2. Engh CH, Griffin WL, Marx CL (1990) Cementless acetabular components. J Bone Joint Surg (Br) 72-B: 53 – 59Google Scholar
  3. Flechter T, Weber GG (1993) Excessive cementing of acetabular components in total hip revision, ler Congress European d’Orthopedie (EFORT). Revue de Chirurgie Orth Nr, 504Google Scholar
  4. Goldstein SA, Matthews LS (1991) The response of trabecular bone to implant load. Orthopaedics and Related Sciences, German 2G: 185 – 190Google Scholar
  5. Gross AE (1992) Revision arthroplasty of the hip using allograft bone. In: Czitrom AA, Gross AE (eds) Allografts in orthopaedic practice. Baltimore: Williams and Wilkins, pp 147 – 176Google Scholar
  6. Hooten JP Jr, Engh CA Jun, Engh CA (1994) Failure of structural acetabular allografts in cementless revision hip arthroplasty. J Bone Joint Surg (Br) 76-B: 419 – 422Google Scholar
  7. Huk Olga L, Bansal M, Betts F, Rimnac CM, Lieberman JR, Huo MH, Salvati EA (1994) Polyethylene and metal debris generated by non-articulating surfaces of modular acetabular components. J Bone Joint Surg (Br) 76-B: 568 – 574Google Scholar
  8. Jasty M, Harris WH (1990) Experience with cementless porous-surfaced acetabular components. Orthopaedics and Related Sciences, German 1G: 52 – 60Google Scholar
  9. Jasty MJ, Harris WH (1990) Salvage total hip reconstruction in patients with major acetabular bone deficiency using structural femoral head allografts. J Bone Joint Surg (Br) 72-B: 63 – 67Google Scholar
  10. Linde F, Jensen J (1988) Socket loosening in arthroplasty for congenital dislocation of the hip. Acta Orthop Scand 59: 254PubMedCrossRefGoogle Scholar
  11. Paprosky W (1993) Allograft reconstruction in massive acetabular defects. Techniques Orthop 7 (4): 44 – 57CrossRefGoogle Scholar
  12. Silber DA, Engh CA (1990) Cementless total hip arthroplasty with femoral head bone grafting for hip dysplasia. J Arthroplasty 5 (3): 231 – 240PubMedCrossRefGoogle Scholar
  13. Trancik TM, Stulberg BN, Wilde AH, Feiglin DH (1986) Allograft reconstruction of the ace¬tabulum during revision total hip arthroplasty. J Bone Joint Surg (Am) 68-A: 527 – 533Google Scholar
  14. Winkler H, Bohmann F, Lintner F, Schwagerl W (1992) Gleichmassige Belastung allogener Knochentransplantate durch fugenlose Einpassung. Osteologie 1 [Suppl 1]: 82Google Scholar
  15. Winkler H, Bohmann F, Schwagerl W (1992) Einheilverhalten tiefgefrorener Femurkopfe bei Kombination mit zementfreier Schraubpfanne. Orthop Praxis 1: 47 – 53Google Scholar
  16. Wolff J (1892) Das Gesetz der Transformation der Knochen. Berlin: HirschwaldGoogle Scholar

Copyright information

© Springer-Verlag/Wien 1996

Authors and Affiliations

  • H. Winkler
    • 1
  • F. Bohmann
    • 2
  • W. Schwögerl
    • 2
  1. 1.Department of OrthopaedicsDonauspital,SMZOViennaAustria
  2. 2.Department of OrthopaedicsPulmologisches ZentrumViennaAustria

Personalised recommendations