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We retrospectively reviewed the use of impaction bone grafting with cement for the fixation of femoral and acetabular components in revision hip arthroplasty. Seventy hips formed the basis of the study, with a mean follow-up time of 37 months. Sixty-eight percent of the femurs showed severe bone loss (Endoklinik grades 3 and 4). The mean Harris hip and Merle D'Aubigne Postel scores were 84 and 15.4, respectively. Massive subsidence occurred in only one femoral revision (>10 mm) and cup migration >5 mm in 6 cases. Loosening was seen in 1 revision for sepsis but none for aseptic loosening. Five complications were identified that were related to the surgical technique. We therefore support the use of this technique in revision surgery in patients with extensive bone loss.

Original publication

DOI

10.1016/s0883-5403(03)00281-x

Type

Journal article

Journal

The Journal of arthroplasty

Publication Date

10/2003

Volume

18

Pages

852 - 859

Addresses

Orthopaedic Department, Queen Alexandra Hospital, Portsmouth, United Kingdom, UK.

Keywords

Humans, Bone Resorption, Bone Cements, Treatment Outcome, Arthroplasty, Replacement, Hip, Bone Transplantation, Reoperation, Retrospective Studies, Hip Prosthesis, Adult, Aged, Aged, 80 and over, Middle Aged, Female, Male