TY - JOUR
T1 - Proximal femoral allografts for bone deficiencies in revision hip arthroplasty
T2 - A medium-term follow-up study
AU - Wang, Jun Wen
AU - Wang, Ching Jen
PY - 2004/10
Y1 - 2004/10
N2 - Fifteen patients who had undergone hip reconstruction using a proximal femoral allograft-prosthesis composite because of failed total hip arthroplasty were reviewed retrospectively. The average length of allograft was 11 cm. The average follow-up period was 7.6 years. Ten patients retained the allograft-prosthesis construct, yielding a success rate of 67% for the procedure. The average preoperative Harris Hip Score of all patients was 21.7 points. At the latest follow-up, the average hip score for 10 patients with retained allograft-prosthesis composite was 81 points. Complications included junction nonunion (13%), allograft fracture (6.7%), loosening of acetabular component (6.7%), trochanteric escape (26.7%), allograft infection (20%), and allograft resorption (20%). Although proximal femoral allograft-prosthesis composite achieved good clinical results in most of the patients at medium-term follow-up, the late development of infection and resorption of the allograft warranted continued observation of patients who had undergone such procedures.
AB - Fifteen patients who had undergone hip reconstruction using a proximal femoral allograft-prosthesis composite because of failed total hip arthroplasty were reviewed retrospectively. The average length of allograft was 11 cm. The average follow-up period was 7.6 years. Ten patients retained the allograft-prosthesis construct, yielding a success rate of 67% for the procedure. The average preoperative Harris Hip Score of all patients was 21.7 points. At the latest follow-up, the average hip score for 10 patients with retained allograft-prosthesis composite was 81 points. Complications included junction nonunion (13%), allograft fracture (6.7%), loosening of acetabular component (6.7%), trochanteric escape (26.7%), allograft infection (20%), and allograft resorption (20%). Although proximal femoral allograft-prosthesis composite achieved good clinical results in most of the patients at medium-term follow-up, the late development of infection and resorption of the allograft warranted continued observation of patients who had undergone such procedures.
KW - allograft-prosthesis composite
KW - proximal femoral allograft
KW - revision hip arthroplasty
UR - http://www.scopus.com/inward/record.url?scp=4644308092&partnerID=8YFLogxK
U2 - 10.1016/j.arth.2004.02.035
DO - 10.1016/j.arth.2004.02.035
M3 - 文章
C2 - 15483799
AN - SCOPUS:4644308092
SN - 0883-5403
VL - 19
SP - 845
EP - 852
JO - Journal of Arthroplasty
JF - Journal of Arthroplasty
IS - 7
ER -