Allogeneic Cancellous Bone Graft and a Burch-Schneider Ring for Acetabular Reconstruction in Revision Hip Arthroplasty
- 1 June 2001
- journal article
- Published by Ovid Technologies (Wolters Kluwer Health)
- Vol. 83 (6), 862-867
- https://doi.org/10.2106/00004623-200106000-00007
Abstract
Background: There is an ever-increasing number of failed hip arthroplasties associated with massive deficiency of acetabular bone stock consisting of a segmental or cavitary defect. This study was undertaken to evaluate the long-term results after use of morselized cryopreserved allogeneic bone graft and an antiprotrusio cage to treat such a deficiency. Methods: From January 1, 1988, to January 1, 1994, forty-one patients (forty-one hips) with an acetabular defect classified as type III or IV according to the American Academy of Orthopaedic Surgeons system were operated on with use of a Burch-Schneider ring and morselized cryopreserved allogeneic cancellous bone graft. Thirty-eight patients (thirty-eight hips) were available for clinical and radiographic follow-up examinations at an average of 7.3 years (range, 4.2 to 9.4 years) after surgery. Results: All measured clinical parameters had improved significantly by the time of the follow-up examination (p < 0.0001). Radiographs confirmed that none of the thirty-eight hips had any measurable migration or displacement of the acetabular component and that osseous consolidation occurred only within the grafted area in all patients. Conclusion: Acetabular reconstruction with use of morselized cryopreserved allogeneic cancellous bone graft and the Burch-Schneider ring can be highly successful in managing massive acetabular deficiencies in revision hip arthroplasty.Keywords
This publication has 21 references indexed in Scilit:
- The Bürch-Schneider anti-protrusio cage in revision total hip arthroplastyThe Journal of Bone and Joint Surgery. British volume, 1998
- Blood Flow Measurements with [15O]H2O and [18F]Fluoride Ion PET in Porcine VertebraeJournal of Bone and Mineral Research, 1998
- Acetabular revision using a bone-ingrowth total hip component in patients who have acetabular bone stock deficiencyThe Journal of Arthroplasty, 1996
- Acetabular and Femoral Reconstruction With Impacted Graft and CementClinical Orthopaedics and Related Research, 1996
- Classification and Reconstruction in Revision Acetabular Arthroplasty With Bone Stock DeficiencyClinical Orthopaedics and Related Research, 1996
- Revision total hip arthroplasty with shelf bulk allografts: A long-term follow-up studyThe Journal of Arthroplasty, 1996
- Acetabular revision with the Burch-Schnieder antiprotrusio cage and cancellous allograft boneThe Journal of Arthroplasty, 1995
- Midterm results (5.5–10 years) of acetabular allograft reconstruction with the acetabular reinforcement ring during total hip revisionThe Journal of Arthroplasty, 1994
- A preliminary review of the Müller acetabular and Burch-Schneider antiprotrusio support ringsArchives of orthopaedic and trauma surgery, 1984
- Testing Marginal Homogeneity for Ordinal Categorical VariablesBiometrics, 1983