Proximal femoral allografts in revision total hip arthroplasty

W. C. Head, F. M. Berklacich, T. I. Malinin, R. H. Emerson

Research output: Contribution to journalArticlepeer-review

69 Scopus citations

Abstract

Patients with total hip arthroplasty (THA) and aseptic loosening associated with severe bone deficiency were treated with freeze-dried bone allografts of the proximal one-third of the femur. Twenty-two of the first 25 patients were available for review with an average follow-up period of 28 months. Significant functional improvement was obtained in 16 patients (73%). The following complications occurred with allograft revisions: dislocation, wound hematoma, joint instability, non-union, implant failure, and acetabular loosening. Nine patients required additional surgical procedures. There have been no infections or rapid lysis indicative of an allograft rejection phenomenon. The 73% success at the two-year postoperative interval of incorporation of freeze-dried allografts for salvage situations has been encouraging. However, the long-term durability of these grafts is not known and will require further follow-up study.

Original languageEnglish (US)
Pages (from-to)22-36
Number of pages15
JournalClinical orthopaedics and related research
Issue number225
DOIs
StatePublished - 1987

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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