Abstract
We reviewed the results of 17 consecutive revision total hip arthroplasties performed with the use of freeze-dried irradiated bone allograft in 15 patients. These allografts were used in conjunction with five Kerboull rings, two steel meshes and ten cemented isolated cups. All the patients have had a follow-up of at least 5 years. The patients were evaluated clinically and radiographically. No revisions were necessary and X-rays confirmed partial or total ingrowth of the allografts. In acetabular revision surgery, hip reconstruction can be successfully treated by freeze-dried irradiated and chemically treated allografts. Additional studies with longer term follow-up are necessary to confirm this outcome.
Résumé
Nous avons revu les résultats de 17 reprises consécutives de prothèses totales de hanche réalisées chez 15 patients. Nous avons utilisé pour toutes ces reprises des allogreffes lyophilisées irradiées. Ces reprises ont été réalisées de la façon suivante: 5 avec anneaux de Kerboull, 2 avec fonds de cotyle grillagés et 10 cupules cimentées sur lit d’allogreffes. Tous les patients ont été revus avec un minimum de 5 ans et ont été évalués sur le plan clinique et radiographique. Aucune re-révision n’a été nécessaire. L’analyse radiographique a confirmé l’incorporation partielle ou totale de ces allogreffes. La chirurgie de reprise acétabulaire des prothèses totales de hanche, en utilisant ce type d’allogreffes lyophilisées irradiées et rendues inertes chimiquement nous a donné de bons résultats. Une étude à plus long terme sera nécessaire pour déterminer de façon précise le niveau d’incorporation de ces allogreffes et leur devenir.
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The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, division, center, clinical practice, or other charitable or non-profit organisation with which the authors, or a member of their immediate families, are affiliated or associated.
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Vargas, B., Caton, J. Acetabular revision with freeze-dried irradiated and chemically treated allograft: a minimum 5-year follow-up of 17 cases. International Orthopaedics (SICO 33, 35–39 (2009). https://doi.org/10.1007/s00264-007-0444-4
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DOI: https://doi.org/10.1007/s00264-007-0444-4