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Tian Jialiang,Sun Li,Hu Ruyin,Tian Xiaobin.[J].Chin J Traumatol,2014,17(6):331-334. [doi] |
Cementless total hip arthroplasty with structural allograft for massive acetabular defect in hip revision |
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DOI: |
KeyWord: Arthroplasty, replacement, hip Allografts Bone transplantation |
FundProject: |
Author Name | Affiliation | Tian Jialiang | Orthopedic Department, Guizhou Provincial People's Hospital, Guiyang 550002, China | Sun Li | Orthopedic Department, Guizhou Provincial People's Hospital, Guiyang 550003, China | Hu Ruyin | Orthopedic Department, Guizhou Provincial People's Hospital, Guiyang 550004, China | Tian Xiaobin | Orthopedic Department, Guizhou Provincial People's Hospital, Guiyang 550005, China |
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Abstract: |
Objective: To study retrospectively 20 hip revison patients treated by cementless total hip
arthroplasty with structural allograft.
Methods: Twenty patients suffering from aseptic loosening of an uncemented cup complicated by a large
defect underwent cementless total hip arthroplasty with structural allograft and were followed up for at least 5 years. Clinical results were evaluated by Harris score and leg length measurements. Radiographic analysis included implants migration, graft absorbance, osteolysis and liner wear.
Results: No cup loosening or graft reabsorption was found at final follow-up. Clinical improvements
in pain and functional status were demonstrated during the follow-up period. The mean Harris hip scores improved from 29 preoperatively (range 20-41) to 81 postoperatively (range 73-89).
Conclusion: Our study shows that cementless total hip arthroplasty with allograft is a good way for massive defect in acetabular bone stock. |
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