ArticleClinical orthopaedics and related research2010
The survival and fate of acetabular reconstruction with impaction grafting for large defects.
Article in Clinical orthopaedics and related research, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 81 citations in OpenAlex.
- Systematic review on outcomes of acetabular revisions with highly-porous metals.International orthopaedics · 2014Pooled it
- Decreased migration with locally administered bisphosphonate in cemented cup revisions using impaction bone grafting technique.Acta orthopaedica · 2018Trial
- Graft Incorporation and Cup Migration in Acetabular Impaction Bone Grafting for Revision Hip Arthroplasty: A Systematic Review and Meta-Analysis of 1093 Hips.Arthroplasty today · 2026Article
- The Role of Unexpected Infection in Acetabular Erosion After Hip Hemiarthroplasty.Medicina (Kaunas, Lithuania) · 2025Observational
- Case Report: Double trabecular metal cup without auxiliary screws for severe acetabular bone defects.Frontiers in surgery · 2025Article
- Use of morselized bone allograft in revision hip arthroplasty for massive acetabular defect: A systematic review and meta-analysis.Journal of experimental orthopaedics · 2024Review
- The Dome Technique for Managing Massive Anterosuperior Medial Acetabular Bone Loss in Revision Total Hip Arthroplasty: Short-Term Outcomes.Hip & pelvis · 2023Article
- Impaction Bone Grafting Combined with Titanium Mesh for Acetabular Bone Defects Reconstruction in Total Hip Arthroplasty Revision: A Retrospective and Mini-Review Study.Orthopaedic surgery · 2022Article
- The Diagnosis and Treatment of Acetabular Bone Loss in Revision Hip Arthroplasty: An International Consensus Symposium.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2022Review
- Mid-term results of revision surgery using double-trabecular metal cups alone or combined with impaction bone grafting for complex acetabular defects.Journal of orthopaedic surgery and research · 2020Article
- Reconstruction options and outcomes for acetabular bone loss in revision hip arthroplasty.Orthopedic reviews · 2020Article
- Post-operative hip centre restoration and migration after impaction bone grafting in revision and complex primary hip arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2019Article
- CORR Insights®: Novel Acetabular Cup for Revision THA Improves Hip Center of Rotation: A Radiographic Evaluation.Clinical orthopaedics and related research · 2018Article
- Excellent long-term results of the Müller acetabular reinforcement ring in primary cup revision.Acta orthopaedica · 2017Article
- Allografts supercharged with bone-marrow-derived mesenchymal stem cells possess equivalent osteogenic capacity to that of autograft: a study with long-term follow-ups of human biopsies.International orthopaedics · 2017Article
- Reconstruction of acetabulum in revision total hip arthroplasty for pelvic discontinuity: report of a difficult case requiring four revision arthroplasty.SpringerPlus · 2016Article
- Does cup-cage reconstruction with oversized cups provide initial stability in THA for osteoporotic acetabular fractures?Clinical orthopaedics and related research · 2015Article
- THA revisions using impaction allografting with mesh is durable for medial but not lateral acetabular defects.Clinical orthopaedics and related research · 2015Article
- Supercharging irradiated allografts with mesenchymal stem cells improves acetabular bone grafting in revision arthroplasty.International orthopaedics · 2014Article
- Method of fixation does not influence the overall risk of rerevision in first-time cup revisions.Clinical orthopaedics and related research · 2013Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundImpaction bone grafting has been used for acetabular reconstruction in revision surgery. However, most series do not establish differences in survival in revisions with differing severity of bone loss. QUESTIONS/PURPOSES: We therefore determined (1) the survival rate for rerevision associated with varying degrees of bone loss; (2) the frequency with which bone graft resorption occurred; and (3) whether the reconstruction restored the anatomic center of rotation of the hip.
methodsWe retrospectively reviewed 165 patients (181 hips) who underwent rerevision for major bone loss. Using the classification of Paprosky et al. 98 hips had a Grade 3A defect and 83 a Grade 3B. We determined survival rates for revision and graft resorption. Cup position was determined measuring vertical and horizontal positions and the distance from the center of the prosthetic femoral head to the normal center of rotation of the hip in both groups according to Ranawat. The minimum followup until rerevision or the latest evaluation was 0.3 years months (mean, 7.5 years; range, 0.3-17.7 years).
resultsThe survival rate for revision at 8 years was 84% (95% confidence interval: 61-100) for Grade 3A and 82% (95% confidence interval: 68-100) for Grade 3B. Twelve hips were rerevised. Seventeen grafts showed bone resorption. Acetabular cup position was anatomically restored in both Grades 3A and 3B.
conclusionsThe midterm results for impacted bone allograft and cemented all-polyethylene cups were similar in both Grade 3A and Grade 3B hips. Acetabular reconstruction allows anatomic positioning of the cups and is associated with a low rate of rerevision.
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