Acetabular reinforcement rings and bone allografts in the reconstructive treatment of periprosthetic bone loss

Chir Organi Mov. 2002 Oct-Dec;87(4):217-24.
[Article in English, Italian]

Abstract

Medium-term results in the treatment of acetabular bone loss using bulk and/or morselized bone allografts supported by acetabular reinforcement rings are reported. A total of 164 hips in 157 patients were treated by means of this reconstruction technique. The devices employed were Müller ARRR in 24 cases and Burch-Schneider APC in 140. Mean follow-up was 67 months (minimum 12, maximum 123). A total of 4 patients developed deep infection that was treated by resection-arthroplasty. Aseptic loosening of acetabular implant following extensive resorption of bone graft was observed in 5 cases: 3 of the cases underwent acetabular revision. Clinical results were evaluated based on the Harris Hip Score: mean values of 35 and 78 were assessed preoperatively and at follow-up, respectively. X-ray signs of incorporation of bone graft were observed in all cases that progressed successfully.

MeSH terms

  • Acetabulum*
  • Adult
  • Aged
  • Aged, 80 and over
  • Arthroplasty, Replacement, Hip / adverse effects*
  • Bone Transplantation*
  • Device Removal
  • Female
  • Humans
  • Internal Fixators*
  • Male
  • Middle Aged
  • Osteolysis / surgery*
  • Prosthesis Failure
  • Prosthesis-Related Infections / therapy
  • Transplantation, Homologous