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- W2000517495 abstract "Revision total hip arthroplasty is usually complicated by bone loss associated with osteolysis secondary to polyethylene debris or defects caused by migration of loose components. This bone loss manifests itself in a variety of femoral and acetabular defects which need to be classified and managed appropriately, due to the variance in results associated with revision arthroplasty. Cementless revision of these defects has demonstrated positive results. A calcar bearing prosthesis was utilized successfully in several grades of deficient femurs with impressive results. In the first study, 264 patients with minimally deficient femurs were treated with a calcar bearing prosthesis. An average follow-up of greater than 5 years (range, 3–10 years) exhibited a 4% revision rate. In a second study, in which cortical strut allografts were used to correct larger femoral defects, a similar follow-up yielded a 2.4% revision rate. The revisions in these series were usually a result of undersizing or attempting to support the prosthesis with graft material. Acetabular deficiencies are also successfully managed with graft material. In the natural acetabulum, most of the support comes from the cortical struts. The acetabulum is fairly easy to revise if the cortical structure is present. Acetabular reconstruction with structural bone loss is possible, but much more technique-dependent." @default.
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- W2000517495 date "1997-11-01" @default.
- W2000517495 modified "2023-09-27" @default.
- W2000517495 title "Principles of reconstruction in revision hip arthroplasty: Technique and results of bone grafts for treatment of femoral and acetabular deficits" @default.
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- W2000517495 doi "https://doi.org/10.1007/bf02488933" @default.
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