Uncemented Cups and Impaction Bone Grafting for Acetabular Bone Loss in Revision Hip Arthroplasty: A Review of Rationale, Indications, and Outcomes
Total hip arthroplasty (THA) is increasingly performed in young patients and the number of revisions is estimated to rise over time. Acetabular osteolysis and bone loss are frequently encountered during revision and may be classified and treated in different ways. Impaction bone grafting (IBG) with...
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| Format: | Article |
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MDPI AG
2022-05-01
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| Series: | Materials |
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| Online Access: | https://www.mdpi.com/1996-1944/15/10/3728 |
| _version_ | 1797498207269289984 |
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| author | Rocco D’Apolito Luigi Zagra |
| author_facet | Rocco D’Apolito Luigi Zagra |
| author_sort | Rocco D’Apolito |
| collection | DOAJ |
| description | Total hip arthroplasty (THA) is increasingly performed in young patients and the number of revisions is estimated to rise over time. Acetabular osteolysis and bone loss are frequently encountered during revision and may be classified and treated in different ways. Impaction bone grafting (IBG) with morselized allograft offers a viable option. IBG was introduced over 40 years ago in combination with cemented cups, and is also used with uncemented cups. The impacted bone chips act as a void filler to restore bone stock; once incorporated they are substituted by host bone. Surgery entails assessment of the defect, acetabular preparation, preparation of the morselized graft, impaction of the graft, and cup implantation. Satisfactory medium- and long-term results have now been reported in most studies. With the advent of high-porosity cups, indications have been extended, enhancing the potential of IBG, in which primary stability of the cup to the host bone is essential for a successful procedure. Synthetic bone substitutes have also been used in combination with allogenic grafts and may extend the original technique for which long-term studies are warranted. |
| first_indexed | 2024-03-10T03:30:08Z |
| format | Article |
| id | doaj.art-aaab2ca5a8e941628f4e2910e9efc672 |
| institution | Directory Open Access Journal |
| issn | 1996-1944 |
| language | English |
| last_indexed | 2024-03-10T03:30:08Z |
| publishDate | 2022-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Materials |
| spelling | doaj.art-aaab2ca5a8e941628f4e2910e9efc6722023-11-23T11:59:48ZengMDPI AGMaterials1996-19442022-05-011510372810.3390/ma15103728Uncemented Cups and Impaction Bone Grafting for Acetabular Bone Loss in Revision Hip Arthroplasty: A Review of Rationale, Indications, and OutcomesRocco D’Apolito0Luigi Zagra1Hip Department, IRCCS Istituto Ortopedico Galeazzi, 20161 Milan, ItalyHip Department, IRCCS Istituto Ortopedico Galeazzi, 20161 Milan, ItalyTotal hip arthroplasty (THA) is increasingly performed in young patients and the number of revisions is estimated to rise over time. Acetabular osteolysis and bone loss are frequently encountered during revision and may be classified and treated in different ways. Impaction bone grafting (IBG) with morselized allograft offers a viable option. IBG was introduced over 40 years ago in combination with cemented cups, and is also used with uncemented cups. The impacted bone chips act as a void filler to restore bone stock; once incorporated they are substituted by host bone. Surgery entails assessment of the defect, acetabular preparation, preparation of the morselized graft, impaction of the graft, and cup implantation. Satisfactory medium- and long-term results have now been reported in most studies. With the advent of high-porosity cups, indications have been extended, enhancing the potential of IBG, in which primary stability of the cup to the host bone is essential for a successful procedure. Synthetic bone substitutes have also been used in combination with allogenic grafts and may extend the original technique for which long-term studies are warranted.https://www.mdpi.com/1996-1944/15/10/3728total hip arthroplastyrevisionacetabular bone lossimpaction bone graftingporous cup |
| spellingShingle | Rocco D’Apolito Luigi Zagra Uncemented Cups and Impaction Bone Grafting for Acetabular Bone Loss in Revision Hip Arthroplasty: A Review of Rationale, Indications, and Outcomes Materials total hip arthroplasty revision acetabular bone loss impaction bone grafting porous cup |
| title | Uncemented Cups and Impaction Bone Grafting for Acetabular Bone Loss in Revision Hip Arthroplasty: A Review of Rationale, Indications, and Outcomes |
| title_full | Uncemented Cups and Impaction Bone Grafting for Acetabular Bone Loss in Revision Hip Arthroplasty: A Review of Rationale, Indications, and Outcomes |
| title_fullStr | Uncemented Cups and Impaction Bone Grafting for Acetabular Bone Loss in Revision Hip Arthroplasty: A Review of Rationale, Indications, and Outcomes |
| title_full_unstemmed | Uncemented Cups and Impaction Bone Grafting for Acetabular Bone Loss in Revision Hip Arthroplasty: A Review of Rationale, Indications, and Outcomes |
| title_short | Uncemented Cups and Impaction Bone Grafting for Acetabular Bone Loss in Revision Hip Arthroplasty: A Review of Rationale, Indications, and Outcomes |
| title_sort | uncemented cups and impaction bone grafting for acetabular bone loss in revision hip arthroplasty a review of rationale indications and outcomes |
| topic | total hip arthroplasty revision acetabular bone loss impaction bone grafting porous cup |
| url | https://www.mdpi.com/1996-1944/15/10/3728 |
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