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The Journal of Bone and Joint Surgery 81:420-36 (1999)
© 1999 The Journal of Bone and Joint Surgery, Inc.


Instructional Course Lecture

Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Femoral Bone Loss in Patients Managed with Revision Hip Replacement: Results of Circumferential Allograft Replacement*{dagger}

FARES S. HADDAD, B.SC., F.R.C.S.(ORTH){ddagger}, DONALD S. GARBUZ, M.D., F.R.C.S.(C){ddagger}, BASSAM A. MASRI, M.D., F.R.C.S.(C){ddagger}, CLIVE P. DUNCAN, M.D., F.R.C.S.(C){ddagger}, VANCOUVER, BRITISH COLUMBIA, CAROL R. HUTCHISON, B.SC., M.D., M.ED., F.R.C.S.(C)§ and ALLAN E. GROSS, M.D., F.R.C.S.(C)§, TORONTO, ONTARIO, CANADA

An Instructional Course Lecture, American Academy of Orthopaedic Surgeons


    Introduction
 
Surgeons who perform reconstructive procedures about the hip are faced increasingly with complex cases in which severe loss of bone makes conventional revision techniques difficult or impossible18,47,48,51,90,91. In such situations, one alternative is the use of a composite consisting of a proximal femoral allograft and a prosthesis to restore mechanical integrity to the proximal part of the femur. This technique has attracted increased attention because of its potential for reconstituting bone stock in young patients96 and because the allograft-cement-implant composite is a strong reconstruction that does not require sacrifice of host tissue and theoretically improves the bone stock for future reconstructions. Allografts also have been used in revision hip arthroplasty to replace or reinforce the calcar24,47,48,60 and to treat or prevent periprosthetic fractures16,17,40,62. The present study concentrates on the indications, biological mechanisms, techniques, and results associated with use of circumferential proximal femoral allografts in the revision of a . . . [Full Text of this Article]


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