[Management of the bone defects in revision total hip arthroplasty].
OBJECTIVE
To determine the efficiency and clinical outcome of impaction bone graft in revision total hip arthroplasty (THA).


METHODS
Seventy-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.


RESULTS
The 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%.


CONCLUSIONS
Impaction 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.
Wang
Yan
Y
Department of Orthopedics, General Hospital of Chinese People's Liberation Army, Beijing 100853, China. yanwang301@yahoo.com
Zhou
Yong-gang
YG
D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects / Q000379:methods*; D001843:Bone Cements; D018786:Bone Substitutes; D016025:Bone Transplantation / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D011475:Prosthesis Failure; D012086:Reoperation; D014184:Transplantation, Homologous; D016896:Treatment Outcome
D001843:Bone Cements; D018786:Bone Substitutes