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The Journal of Bone and Joint Surgery, Vol 73, Issue 10 1460-1468, Copyright © 1991 by Journal of Bone and Joint Surgery, Inc
The use of bone allografts in two-stage reconstruction after failure of hip replacements due to infection
DJ Berry, HP Chandler and DT Reilly
Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts 02115.
Bone allografts were used to reconstruct deficient acetabular and femoral
bone in eighteen patients during two-stage revision of a hip arthroplasty
that had failed due to infection. At a mean of 4.2 years after
reimplantation, only two patients had had recurrence of the infection. Four
patients needed another revision arthroplasty for reasons other than
infection. These results suggest that allografts of bone are useful for the
reconstruction of osseous deficiencies in carefully selected patients who
have a hip arthroplasty after infection. The results do not support the
concern that allografts that are used under these circumstances necessarily
lead to a high rate of recurrence of infection. However, the long-term
results of the use of allografts in hip arthroplasty after infection remain
unknown.
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