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

2.50
Hdl Handle:
http://hdl.handle.net/11287/593880
Title:
Clinical and radiographic outcomes of acetabular impaction grafting without cage reinforcement for revision hip replacement: a minimum ten-year follow-up study
Authors:
Gilbody, J.; Taylor, C.; Bartlett, G. E.; Whitehouse, S. L.; Hubble, Matthew J.; Timperley, Andrew J.; Howell, Jonathan R.; Wilson, Matthew J.
Abstract:
Impaction 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.
Citation:
Bone Joint J. 2014 Feb;96-B(2):188-94.
Publisher:
Bone and Joint Society
Journal:
The bone & joint journal
Issue Date:
1-Feb-2014
URI:
http://hdl.handle.net/11287/593880
DOI:
10.1302/0301-620X.96B2.32121
PubMed ID:
24493183
Additional Links:
http://bjj.boneandjoint.org.uk/cgi/pmidlookup?view=long&pmid=24493183
Type:
Journal Article; Comparative Study
Language:
eng
ISSN:
2049-4408
Appears in Collections:
General Trauma & Orthopaedics; Exeter Hip Unit; 2014 RD&E publications

Full metadata record

DC FieldValue Language
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.identifier.citationBone Joint J. 2014 Feb;96-B(2):188-94.en
dc.identifier.issn2049-4408en
dc.identifier.pmid24493183en
dc.identifier.doi10.1302/0301-620X.96B2.32121en
dc.identifier.urihttp://hdl.handle.net/11287/593880en
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.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
dc.identifier.journalThe bone & joint journalen
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