title: Acetabular reconstruction in revision hip surgery using femoral head block allograft.
abstract: This prospective study analyzed the clinical and radiological results of 140 consecutive cases of acetabular revision using large frozen femoral head allografts and cemented all-polyethylene acetabular components. Mean follow-up was 10 years (range: 5-16 years). Thirty patients died, seven were lost to follow-up, and 26 had failed and undergone further surgery. Nineteen failures were due to aseptic failure and collapse of the graft. Kaplan-Meier survival analysis calculated a mean survival at 10 years of 88.5% for revision for any reason. We compared all reported techniques of acetabular reconstruction for similar defects and recommend a surgical strategy based on the available evidence, but weighted towards a preference to reconstitute bone stock rather than removing further bone in the revision situation.
authors.affiliation: Hôpital Raymond Poincaré, Garches, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Piriou
authors.forename: Mark
authors.initials: M
authors.lastname: Norton
authors.forename: Jean-Luc
authors.initials: JL
authors.lastname: Marmorat
authors.forename: Thierry
authors.initials: T
authors.lastname: Judet
mesh_terms: D000077:Acetabulum / Q000601:surgery*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation / Q000379:methods* / Q000706:statistics & numerical data; D015897:Comorbidity; D018572:Disease-Free Survival; D005260:Female; D005270:Femur Head / Q000637:transplantation*; D005602:France / Q000453:epidemiology; D006622:Hip Prosthesis / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology*; D015995:Prevalence; D011379:Prognosis; D019651:Plastic Surgery Procedures / Q000706:statistics & numerical data*; D020127:Recovery of Function; D012086:Reoperation / Q000295:instrumentation / Q000379:methods / Q000706:statistics & numerical data; D018570:Risk Assessment / Q000379:methods*; D012307:Risk Factors; D014184:Transplantation, Homologous / Q000706:statistics & numerical data; D016896:Treatment Outcome