Impaction bone grafting using freeze-dried allograft in revision hip arthroplasty.
We report on 32 patients undergoing revision hip arthroplasty using cemented components and impaction allografting with processed freeze-dried bone. The survivorship with this type of graft at a mean follow-up of 4 years was 91%. There were no femoral component failures, although revision was required in 3 patients because of failure of the acetabulum. Freeze-dried graft can require prolonged rehydration for satisfactory impaction. The results of impaction bone grafting with freeze-dried bone alone have been satisfactory, although we recommend caution in its use alone in the hostile acetabulum.
de Roeck
N J
NJ
Orthopaedic Research Unit, East Surrey Hospital, Redhill, Surrey RH1 5RH, United Kingdom.
Drabu
K J
KJ
D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip; D016025:Bone Transplantation; D005260:Female; D005500:Follow-Up Studies; D005612:Freeze Drying; D006085:Graft Survival; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D014184:Transplantation, Homologous