Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Jul 15;29(14):591-595.
doi: 10.5435/JAAOS-D-20-00481.

Cemented Revision Hip Arthroplasty With Femoral Impaction Bone Grafting

Mukai Chimutengwende-Gordon  1 , Markus P Baker, Jakub Jagiello, Roumen Stamenkov, Stuart A Callary, Peter Smitham, Donald W Howie, Lucian B Solomon
Affiliations

Cemented Revision Hip Arthroplasty With Femoral Impaction Bone Grafting

Mukai Chimutengwende-Gordon et al. J Am Acad Orthop Surg. .

Abstract

Long-stemmed uncemented implants are commonly used during revision hip arthroplasty but may be difficult to re-revise. Impaction bone grafting allows for the use of a shorter cemented stem during revision hip arthroplasty and may restore bone stock in patients with substantial femoral defects. Femoral impaction bone grafting is particularly beneficial in younger patients, who are more likely to require additional revision procedures in the future. The surgical technique used at our institution includes improvements to previous methods including the use of modular tamps and nonirradiated, size-profiled bone graft.

PubMed Disclaimer

References

    1. Howie DW, Callary SA, McGee MA, Russell NC, Solomon LB: Reduced femoral component subsidence with improved impaction bone grafting at revision hip arthroplasty. Clin Orthop Relat Res 2010;468:3314-3321.
    1. Howie DW, McGee MA, Solomon LB: Impaction grafting of the femur, in Callaghan JJ, Rosenberg AG, Rubash HE, Clohisy JC, Beaulé PE, Della Valle CJ, eds: The Adult Hip: Hip Arthroplasty Surgery, ed 3. Philadelphia, PA, Wolters Kluwer, 2016, pp 1431-1444.
    1. Aribindi R, Barba M, Solomon MI, Arp P, Paprosky W: Bypass fixation. Orthop Clin North Am 1998;29:319-329.
    1. Spangehl MJ, Younger AS, Masri BA, Duncan CP: Diagnosis of infection following total hip arthroplasty. Instr Course Lect 1998;47:285-295.
    1. Alfaro-Adrian J, Gill HS, Murray DW: Cement migration after THR: A comparison of charnley elite and Exeter femoral stems using RSA. J Bone Joint Surg Br 1999;81:130-134.