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

dc.contributor.authorGilbody, J.en
dc.contributor.authorTaylor, C.en
dc.contributor.authorBartlett, G. E.en
dc.contributor.authorWhitehouse, S. L.en
dc.contributor.authorHubble, Matthew J.en
dc.contributor.authorTimperley, Andrew J.en
dc.contributor.authorHowell, Jonathan R.en
dc.contributor.authorWilson, Matthew J.en
dc.date.accessioned2016-01-19T12:36:13Zen
dc.date.available2016-01-19T12:36:13Zen
dc.date.issued2014-02-01en
dc.description.abstractImpaction bone grafting for the reconstitution of bone stock in revision hip surgery has been used for nearly 30 years. Between 1995 and 2001 we used this technique in acetabular reconstruction, in combination with a cemented component, in 304 hips in 292 patients revised for aseptic loosening. 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 ten years after the index operation. Mean follow-up was 12.4 years (sd 1.5) (10.0 to 16.0). Kaplan-Meier survival 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 radiologically loose.en
dc.identifier.citationBone Joint J. 2014 Feb;96-B(2):188-94.en
dc.identifier.doi10.1302/0301-620X.96B2.32121en
dc.identifier.issn2049-4408en
dc.identifier.journalThe bone & joint journalen
dc.identifier.pmid24493183en
dc.identifier.urihttp://hdl.handle.net/11287/593880en
dc.language.isoengen
dc.publisherBone and Joint Societyen
dc.relation.urlhttp://bjj.boneandjoint.org.uk/cgi/pmidlookup?view=long&pmid=24493183en
dc.titleClinical and radiographic outcomes of acetabular impaction grafting without cage reinforcement for revision hip replacement: a minimum ten-year follow-up studyen
dc.typeJournal Articleen
dc.typeComparative Studyen
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