ArticleJournal of orthopaedics2017
Long term results of impaction Bone grafting using a synthetic graft (Apapore) in revision hip surgery.
Article in Journal of orthopaedics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 12 citations in OpenAlex.
- Mid- to Long-term Follow-up of Severe Acetabular Bone Defect after Revision Total Hip Arthroplasty Using Impaction Bone Grafting and Metal Mesh.Orthopaedic surgery · 2023Article
- Revision of Total Hip Arthroplasty with Acetabular Bone Defects: Are Biological Grafts Really Better than Synthetic Bone Graft Substitutes?The archives of bone and joint surgery · 2022Article
- Short uncemented femoral component for hip revision: prognosis and risk factors associated with failure.BMC surgery · 2021Article
- Advances in Biodegradable 3D Printed Scaffolds with Carbon-Based Nanomaterials for Bone Regeneration.Materials (Basel, Switzerland) · 2020Review
- Synthetic Bone Grafting in Aseptic Loosening of Acetabular Cup: Good Clinical and Radiological Outcomes in Contained Bone Defects at Medium-Term Follow Up.International journal of environmental research and public health · 2020Article
- Surgical management of hip prosthetic failure in metallosis: A case series and literature review.Journal of orthopaedicsReview
- Revision total hip arthroplasty is associated with poorer clinically meaningful improvements and patient satisfaction compared to primary total hip arthroplasty.Journal of orthopaedicsArticle
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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
introductionImpaction Bone grafting (IBG) in Revision THR is challenging and places demands on allograft stores. Identifying a potential synthetic replacement that works in the longer term was the aim of this study.
methodsWe retrospectively reviewed 21 sequential patients who had undergone revision THR using IBG. They were randomised to receive either combined allograft and synthetic graft or Allograft alone. Among the surviving 15 patients, there were total of 25 procedures were carried out. 15 hips underwent IBG in the acetabulum and 10 hips underwent femoral IBG. Eight patients received a 50/50 mixture of allograft and synthetic Bone graft (Apapore) and seven allograft alone. Bone loss was classified using Paprosky classification. The average follow up was 10 years.
resultsOf the 21 patients, 6 had died of unrelated causes and were excluded. There were 3 re-operations but no revision of the original components. There was no significant implant migration detected. 3 acetabular components had confluent lucent lines in zone-1 which remained stable on long term follow up. 2 patients sustained femoral peri-prosthetic fractures after a simple fall and one patient who developed deep infection treated by DAIR. The modified oxford hip score post-operatively was 18 in allograft group and 22 in Apapore group.
conclusionLong-term results indicate that the combined use of synthetic graft in Impaction Bone grafting is an effective substitute.
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