Management of the bone defects in revision total hip arthroplasty.
- Author:
Yan WANG
1
;
Yong-gang ZHOU
Author Information
- Publication Type:Journal Article
- MeSH: Aged; Arthroplasty, Replacement, Hip; adverse effects; methods; Bone Cements; Bone Substitutes; Bone Transplantation; methods; Female; Follow-Up Studies; Hip Prosthesis; Humans; Male; Middle Aged; Prosthesis Failure; Reoperation; Transplantation, Homologous; Treatment Outcome
- From: Chinese Journal of Surgery 2005;43(20):1309-1312
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo determine the efficiency and clinical outcome of impaction bone graft in revision total hip arthroplasty (THA).
METHODSSeventy-two revision THAs by using impaction bone graft in 48 patients with severe bone loss were gotten average 25 months follow-up. Harris hip scores and X-ray were used to evaluate the results.
RESULTSThe mean Harris hip scores improved from 44.6 before operation to 87.4 after operation. The excellent and good results were 90.3%. No stem subsidence and cup migration were found. Femoral fracture rate was 4.2%, and dislocation rate was 1.4%.
CONCLUSIONImpaction bone graft is an efficacious method to restore bone stock in revision THA, and using anatomic stem and freeze-drying cancellous bone allograft could also get good clinical result.
