Femoral impaction grafting.
Femoral impaction grafting is a reconstruction option applicable to both simple and complex femoral component revisions. It is one of the preferred techniques for reconstructing large femoral defects when the isthmus is non-supportive. The available level of evidence is primarily derived from case series, which shows a mean survivorship of 90.5%, with revision or re-operation as the end-point, with an average follow-up of 11 years. The rate of femoral fracture requiring re-operation or revision of the component varies between several large case series, ranging from 2.5% to 9%, with an average of 5.4%.
John A Scanelli, Thomas E Brown, Department of Orthopedic Surgery, University of Virginia School of Medicine, Charlottesville, VA 22908, United States.
John A
JA
Scanelli
Thomas E
TE
Brown
Bone grafting; Bone loss; Femoral impaction grafting; Femoral revision; Revision total hip arthroplasty