Impaction allografting with cement for the management of femoral bone loss

• Published in: The Orthopedic clinics of North America Vol. 29; no. 2; p. 297
• Main Authors: Duncan, C P, Masterson, E L, Masri, B A
• Format: Journal Article
• Language: English
• Published: United States 01.04.1998
• Subjects: Age Factors; Arthroplasty, Replacement, Hip - adverse effects; Arthroplasty, Replacement, Hip - instrumentation; Arthroplasty, Replacement, Hip - methods; Biocompatible Materials; Bone Cements - therapeutic use; Bone Resorption - diagnostic imaging; Bone Resorption - etiology; Bone Resorption - pathology; Bone Resorption - surgery; Bone Transplantation - methods; Femur - diagnostic imaging; Femur - pathology; Femur - surgery; Follow-Up Studies; Forecasting; Hip Prosthesis - adverse effects; Humans; Prosthesis Design; Prosthesis-Related Infections - surgery; Radiography; Reoperation; Transplantation, Autologous; Transplantation, Homologous; Treatment Outcome
• ISSN: 0030-5898
• DOI: 10.1016/S0030-5898(05)70327-8

Impaction allografting with cement is the only technique currently available which reverses the diminution of bone stock that occurs in a revision hip arthroplasty, and as such, has great potential. It is particularly appropriate in the younger patient, though older patients may also benefit from the technique. Although the short term results are encouraging, there is a need for further basic science research to determine the optimal graft material and prosthesis design. Refinements in surgical instrumentation and technique will continue to improve the predictability of the clinical result and expand the indications for this important addition to the available options in revision hip arthroplasty.