Results of Bone Plasty with Allografts in Revision Hip Arthroplasty

Full Text


Results of 79 revision hip arthroplasties using bone defects plasty with allografts were analyzed. Plasty of defects in the zone of acetabulum was performed in 62 operations (group I), alloplasty of femoral defects - in 17 interventions (group II). Mean follow up period made up 5 (3-14) years. In group I excellent treatment results were recorded in 18 (29.03%) cases, good - in 23 (37.1%), satisfactory - in 15 (24.19%), poor - in 6 (9.68%) cases and in II group in 4 (23.53%), 6 (35.29%), 5 (29.41%) and 2 (11.76%) cases, respectively. It was shown that in revision arthroplasty application of allografts increased the risk of suppurative complication development while insertion of distal fixation revision stems enabled to avoid allograft application in femoral defects.

About the authors

N. V Zagorodniy

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia

V. I Nuzhdin

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia

K. M Bukhtin

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia


S. V Kagramanov

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia


  1. Huiskes R. Total joint replacement: on innovation, ambition, courage, irony and morsellized bone, of course. Iowa Orthop. J. 1997; 17: 130-3.
  2. Gustilo R.B., Pastemak H.S. Revision total hip arthroplasty with titanium ingrowth prosthesis and bone grafting for failed cemented femoral component loosening. Clin. Orthop. Relat. Res. 1988; 235: 111-9.
  3. Kavanagh B.F., llstrup O.M., Fitzgerald R.H. Jr. Revision total hip arthroplasty. J. Bone Joint Surg. Am. 1985; 67: 517-26.
  4. Берченко Г.Н. Костные трансплантаты в травматологии и ортопедии В кн.: Сборник работ научно-практического семинара «Применение искусственного имплантата коллапан в травматологии и ортопедии». М.; 2008: 3-8.
  5. Harris W.H., Crothers O, Oh L. Total hip replacement and femoral-head bone-grafting for severe acetabular deficiency in adults. J. Bone Joint Surg. Am. 1977; 59 (6): 752-9.
  6. Kwong L.M., Jasty M., Harris W.H. High failure rate of bulk femoral head allografts in total hip acetabular reconstructions at 10 years. J. Arthroplasty. 1993; 8: 341-6.
  7. Shinar A.A., Harris W.H. Bulk structural autogenous grafts and allografts for reconstruction of the acetabulum in total hip arthroplasty. Sixteen-year- average follow-up. J. Bone Joint Surg. Am. 1997; 79 (2): 159-68.
  8. Garbuz D., Morsi E., Mohamed N., Gross A.E. Classification and reconstruction in revision acetabular arthroplasty with bone stock deficiency. Clin. Orthop. Relat. Res. 1996; 324: 98-107.
  9. Gross A.E., Hutchison C.R. Proximal femoral allografts for reconstruction of bone stock in revision hip arthroplasty. Orthopedics. 1998; 21: 999-1001.
  10. Head W.C., Wagner R.A., Emerson R.H. Jr, Malinin T.L. Revision total hip arthroplasty in the deficient femur with a proximal load-bearing prosthesis. Clin. Orthop. Relat. Res. 1994; 298: 119-26.
  11. Pak J.H., Paprosky W.G., Jablonsky W.S., Lawrence I.M. Femoral strut allografts in cementless revision total hip arthroplasty. Clin. Orthop. Relat. Res. 1993; 295: 172-8.
  12. Paprosky W, Perona P., Lawrence J. Acetaular defect classification and surgical reconstruction in revision arthroplasty: A 6-year follow-up evaluation. J. Arthroplasty. 1994; 9: 33-44.
  13. Загородний Н.В., Нуждин В.И., Бухтин К.М., Каграманов С.В. Результаты применения бедренных компонентов цементной фиксации при ревизионном эндопротезировании тазобедренного сустава. Вестник травматологии и ортопедии им. Н.Н. Приорова. 2012; 3: 32-8.
  14. Ling R.S.M. Revision total hip arthroplasty. Cemented revision for femoral failure. Orthopedics. 1996; 19: 763-4.
  15. Schreurs B.W., Slooff T.J., Buma P., Gardeniers J.W., Huiskes R. Acetabular reconstruction with impacted morsellised cancellous bone graft and cement. A 10- to 15-year follow-up of 60 revision arthroplasties. J. Bone Joint Surg. Br. 1998; 80 (3): 391-5.
  16. Slooff T.J., Buma P., Schreurs B.W., Schimmel J.W., Huiskes R., Gardeniers J. Acetabular and femoral reconstruction with impacted graft and cement. Clin. Orthop. Relat. Res. 1996; (324): 108-15.
  17. Bloem R.M., Tomford W.W., Mankin WW. Histological observations on retrieved human allografts. In: Czitrom A., Winter H., eds. Orthopedic allograft surgery. Vienna: Springer-Verlag; 1996: 61-6.
  18. Enneking W.F., Mindell E.R. Observations on massive retrieved human allografts. J. Bone Joint Surg. Am. 1991; 73 (8): 1123-42.
  19. Gouin F., Passuti N., Verriele V., Delecrin J., Bainvel J.V. Histological features oflarge bone allografts. J. Bone Joint Surg. Br. 1996; 78 (1): 38-41.
  20. Burwell R.G. Studies in the transplantation of bone: V. The capacity of fresh and treated homografts of bone to evoke transplantation immunity. J. Bone Joint Surg. Am. 1963; 65 (2): 239-46.
  21. Burwell R.G. Studies in the transplantation of bone: VII. The fresh composite homograft-autograft of cancellous bone. An analysis of factors leading to osteogenesis in marrow transplants and in marrow-containing bone grafts. J. Bone Joint Surg. Br. 1964; 46: 110-4.
  22. Friedlaender G.E., Strong D.M., Sell K.W. Studies on the antigenicity of bone. r. Freeze-dried and deep-frozen bone allografts in rabbits. J. Bone Joint Surg. Am. 1976; 58 (6): 854-8.
  23. Muscolo D.L., Kawai S., Ray R.D. Cellular and humoral immune response analysis of bone-allografted rats. J. Bone Joint Surg. Am. 1976; 58 (6): 826-32.
  24. Thoren K., Aspenberg P. Increased bone ingrowth distance into lipid-extracted bank bone at 6 weeks. A titanium chamber study in allogeneic and syngeneic rats Arch. Orthop. Trauma Surg. 1995; 114: 167-71.
  25. Eldridge J.D., Smith E.J., Hubble M.J., Whitehouse S.L., Learmonth I.D. Massive early subsidence following femoral impaction grafting. J. Arthroplasty. 1997; 12: 535-40.
  26. Masterson E.L., Duncan C.P. Subsidence and the cement mantle in femoral impaction allografting. Orthopedics. 1997; 20: 821-2.
  27. Meding J.B., Keating E.M., Faris P.M. Impaction bone- grafting before insertion of a femoral stem with cement in revision total hip arthroplasty. A minimum two-year follow-up study. J. Bone Joint Surg. Am. 1997: 79 (12): 1834-41



Abstract: 112


Article Metrics

Metrics Loading ...



  • There are currently no refbacks.

Copyright (c) 2014 Eco-Vector

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies