Clinical and radiographic outcomes of acetabular impaction grafting without cage reinforcement for revision hip replacement : a minimum ten-year follow-up study

Gilbody, Julian, Taylor, Clare, Bartlett, Gavin, Whitehouse, Sarah L., Hubble, Matthew, Timperley, A. John, Howell, Jonathan, & Wilson, Matthew (2014) Clinical and radiographic outcomes of acetabular impaction grafting without cage reinforcement for revision hip replacement : a minimum ten-year follow-up study. The Bone & Joint Journal, 96-B(2), pp. 188-194.

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Impaction bone grafting for reconstitution of bone stock in revision hip surgery has been used for nearly 30 years. We used this technique, in combination with a cemented acetabular component, in the acetabula of 304 hips in 292 patients revised for aseptic loosening between 1995 and 2001. The only additional supports used were stainless steel meshes placed against the medial wall or laterally around the acetabular rim to contain the graft. All Paprosky grades of defect were included. Clinical and radiographic outcomes were collected in surviving patients at a minimum of 10 years following the index operation. Mean follow-up was 12.4 years (SD 1.5; range 10.0-16.0). Kaplan-Meier survivorship with revision for aseptic loosening as the endpoint was 85.9% (95% CI 81.0 to 90.8%) at 13.5 years. Clinical scores for pain relief remained satisfactory, and there was no difference in clinical scores between cups that appeared stable and those that appeared loose radiographically.

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9 citations in Scopus
11 citations in Web of Science®
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ID Code: 66890
Item Type: Journal Article
Refereed: Yes
Keywords: bone grafting, joint revision, arthroplasty, replacement, hip
DOI: 10.1302/0301-620X.96B2.32121
ISSN: 2049-4394
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > CLINICAL SCIENCES (110300) > Orthopaedics (110314)
Divisions: Current > Schools > School of Chemistry, Physics & Mechanical Engineering
Current > Institutes > Institute of Health and Biomedical Innovation
Current > QUT Faculties and Divisions > Science & Engineering Faculty
Copyright Owner: Copyright 2014 The British Editorial
Society of Bone & Joint Surgery
Deposited On: 04 Feb 2014 23:50
Last Modified: 04 Mar 2014 07:26

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