Seventy cemented cups associated with impacted morsellised allograft in revision surgery in hips with an acetabular bone defect greater than 30% (Paprosky Grades 3A and 3B) were analyzed. The mean follow-up was 6.8 years. One hip showed cup migration and was re-revised; this represents a total cumulative probability of re-revision of the cup of 1.4 ± 2.8%. Radiolucent lines were uncommon: six cups showed radiolucent lines in DeLee and Charnley zone 1, five in zones 1 and 2, one in all three zones, while one hip showed migration. Although the frequent use of a metallic mesh makes graft remodeling difficult to evaluate, six hips showed minor and one major bone resorption. The midterm results with impacted allograft and cemented all-polyethylene cups are favourable in acetabular revision surgery.
TanzerM., DruckerD., JastyM., McDonaldM., HarrisW.H.. Revision of the acetabular component with an uncemented Harris-Galante porous-coated prosthesis.J Bone Joint Surg1992; 74-A: 987–94.
4.
PadgettD.E., KullL., RosenbergA., SumnerD.R., GalanteJ.O.. Revision of the acetabular component without cement after total hip arthroplasty. Three to six-year follow-up.J Bone Joint Surg1993; 75-A: 663–73.
5.
PaproskyW.G., MagnusR.E.. Principles of bone grafting in revision total hip arthroplasty: acetabular technique.Clin Orthop1994; 298: 147–55.
6.
PaproskyW.G., PeronaP.G., LawrenceJ.M.. Acetabular defect classification and surgical reconstruction in revision arthroplasty: a 6-year follow-up evaluation.J Arthroplasty1994; 9: 33–44.
7.
HootenJ.P.Jr., EnghC.A.Jr., EnghC.A.. Failure of structural acetabular allografts in cementless revision hip arthroplasty.J Bone Joint Surg1994; 76B: 419–22.
8.
MorsiE., GarbuzD., GrossA.E.. Total hip arthroplasty with shelf grafts using cemented cups. A long-term follow-up study.J Arthroplasty1996; 11: 81–5.
9.
Garcia-CimbreloE.. Porous-coated cementless acetabular cups in revision surgery. A 6- to 11-year follow-up study.J Arthroplasty1999; 14: 397–406.
10.
McCollumD.E., NunleyJ.A., HarrelsonJ.M.. Bone-grafting in total hip replacement for acetabular protrusion.J Bone Joint Surg1980; 62A: 1065–73.
11.
SlooffTJJH, HuiskesR., Van HornJ., LemmensA.J.. Bone grafting in total hip replacement for acetabular protrusion.Acta Orthop Scand1984; 55: 593–66.
12.
HirstP., EsserM., MurphyJ.C.M., HardingeK.. Bone grafting for protrusio acetabuli during total hip replacement: a review of the Wrightington method in 61 hips.J Bone Joint Surg1987; 69B: 229–33.
13.
Garcia-CimbreloE., Diaz-MartinA., MaderoR., MunueraL.. Loosening of the cup after low-friction arthroplasty in patients with acetabular protrusion. The importance of the position of the cup.J Bone Joint Surg2000; 82B: 108–15.
14.
WeltenM.L.M., SchreursB.W., BumaP., VerdonschotN., SlooffTJJH. Acetabular reconstruction with impacted morcellized cancellous bone autograft and cemented primary total hip arthroplasty. A 10- to 17-year follow-up study.J Arthroplasty200015: 819–24.
15.
SlooffTJJH, SchimmelJ.W., BumaP.. Cemented fixation with bone grafts.Orthop Clin North Am1993; 24: 667–77.
16.
SchreursB.W., SlooffTJJH, BumaP., GardeniersJ.W.M., HuiskesR.. Acetabular reconstruction with impacted morcellized cancellous bone graft and cement. A 10-to 15-year follow-up of 60 revision arthroplasties.J Bone Joint Surg1998; 80B: 391–5.
17.
Merle D'AubignéR., PostelM.. Functional results of hip arthroplasty with acrylic prosthesis.J Bone Joint Surg1954; 36A: 451–75.
18.
PupparoF., EnghC.A.. Comparison of porous-threaded and smooth-threaded acetabular components of identical design. Two- to four-year results.Clin Orthop1991; 271: 201–6.
19.
García-CimbreloE., Diez-VázquezV., MaderoR., MunueraL.. Progression of radiolucent lines adjacent to the acetabular component and factors influencing migration after Charnley low-friction total hip arthroplasty.J Bone Joint Surg1997; 79A: 1373–80.
20.
JohnstonR.C., FitzgeraldR.H.Jr., HarrisW.H., PossR., MüllerM.E., SledgeC.B.. Clinical and radiographic evaluation of total hip replacement: a standard system of terminology for reporting results.J Bone Joint Surg1990; 72A: 161–8.
21.
DeLeeJ.G., CharnleyJ.. Radiological demarcation of cemented sockets in total hip arthroplasty.Clin Orthop1976; 121: 20–32.
22.
HodgkinsonJ.P., ShelleyP., WroblewskyB.M.. The correlation between the roentgenographic appearance and operative findings at the bone-cement juntion of the socket in Charnley low-friction arthroplasties.Clin Orthop1988; 228: 105–9.
23.
SchmalzriedT.P., HarrisW.H.. The Harris-Galante porous-coated acetabular component with screw fixation: radiographic analysis of eighty-three primary hip replacement at a minimum of five years.J Bone Joint Surg1992; 74A: 1130–9.
24.
OlivierH., SanouillerJ.L.. Reconstructions cotyloïdiennes par greffes spongieuses dans révisions d'arthroplasties totales de hanche.Rev Chir Orthop1991; 77: 232–40.
25.
GerberS.D., HarrisW.H.. Femoral head autografting to augment acetabular deficiency in patients requiring total hip replacement: a minimum five-year and an average seven-year follow-up study.J Bone Joint Surg1986; 68A: 1241–8.
26.
KaplanE.L., MeierP.. Nonparametric estimation from incomplete observations.J Am Stat Assoc1958; 53: 457–81.
27.
MorscherE.W.. Management of acetabular deficiency.J Bone Joint Surg1997; 79B(suppl III): 297.
28.
SchimmelJ.W., BumaP., VersleyenD., HuiskesR., SlooffTJJH. Acetabular reconstruction with impacted morcellized cancellous allografts in cemented hip arthroplasty: A histologic and biomechanical study on the goat.J Arthroplasty1998; 13: 438–48.
