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. 2008 Aug;63(4):509-14.
doi: 10.1590/s1807-59322008000400016.

Acetabular reconstruction with human and bovine freeze-dried bone grafts and a reinforcement device

Ricardo Rosito  1 , Carlos Roberto Galia, Carlos Alberto Souza Macedo, Luis Fernando Moreira, Lourdes Maria Araújo C Quaresma, Humberto Moreira Palma
Affiliations

Acetabular reconstruction with human and bovine freeze-dried bone grafts and a reinforcement device

Ricardo Rosito et al. Clinics (Sao Paulo). 2008 Aug.

Abstract

Background: This is a cohort trial (1997-2005) of 49 patients submitted to an acetabular component revision of a total hip arthroplasty, using impacted human and bovine freeze-dried cancellous bone grafts (H&FDBG) and a reinforcement device.

Objective: To compare clinical/radiographic graft incorporation capability between cancellous bone grafts.

Patients/methods: There were two groups: I (n=26) receiving human grafts and II (n=25) receiving bovine grafts. The average follow-up times were 55 and 49 months, respectively. Clinical analysis was based on the Merle d'Aubigné and Postel score, and the radiographic analysis involved an established score based on Conn's et al. criteria for radiographic bone incorporation.

Results: No clinical/radiographic differences were found between the groups and both showed an overall rate of 88.5% and 76% of graft incorporation (p=0.424).

Conclusion: The results presented here are comparable to those in the literature with the use of deep-FG. Therefore, cancellous bone grafts can be safely and adequately used in acetabular component revision in total hip arthroplasty.

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Figures

Figure 1
Figure 1
Histology sample from a three-year follow-up human graft showing areas of new bone formation and residual spicules from the grafted material
Figure 2
Figure 2
Anteroposterior radiography of an acetabular loosening, type IV deficiency by D’Antonio et al.
Figure 3
Figure 3
Immediate post-operative radiography showing the acetabular reconstruction with lyophilized bovine graft and reinforcement device
Figure 4
Figure 4
Anteroposterior radiography of the reconstruction with lyophilized bovine graft and reinforcement device (three-year follow-up) showing suggestive signs of bone incorporation, as may be seen by the regularity of medium wall, graft density and absence of radiolucent lines
See this image and copyright information in PMC

References

    1. D’Antonio JA, Capello WN, Borden LS, Bargar WL, Bierbaun BF, Boettcher WG, et al. Classification and management of acetabular abnormalities in total hip arthroplasty. Clin Orthop. 1989;243:126–37. - PubMed
    1. Schreurs BW, Slooff TJ, Buma P, Gardeniers J, Huiskes R. Acetabular reconstruction with impacted morsellised cancelous bone graft and cement. A10 to 15 year follow-up study of 60 revision arthroplasties. J Bone Joint Surg Br. 1998;80B:391–5. - PubMed
    1. Shinar AA, Harris WH. Bulk structural autogenous grafts and allografts for reconstruction of the acetabulum in total hip arthroplasty. Sixteen-year-average-follow-up. J Bone Joint Surg Am. 1997;79A:159–68. - PubMed
    1. Kerboull M, Hamadouche M, Kerboull L. The Kerboull acetabular reinforcement device in major acetabular reconstructions. Clin Orthop. 2000;378:155–68. - PubMed
    1. Winter E, Piert M, Volkmann R, Maurer F, Eingartner C, Weise K, Weller S. Allogenic cancellous bone graft and a Burch-Schneider ring for acetabular reconstruction in revision hip arthroplasty. J Bone Joint Surg Am. 2001;83A:862–7. - PubMed