O2513 ACETABULAR RECONSTRUCTION IN REVISION HIP SURGERY USING FEMORAL HEAD BLOCK ALLOGRAFT AND A CEMENTED COMPONENT WITHOUT THE USE OF A REINFORCEMENT CAGE. A PROSPECTIVE STUDY OF 140 CONSECUTIVE CASES WITH A MEAN TEN-YEAR FOLLOW UP, AND A REVIEW OF THE ALTERNATIVE RECONSTRUCTIVE TECHNIQUES

Philippe Piriou; M.R. Norton; J.L. Marmorat; T. Judet

doi:10.1302/0301-620X.86BSUPP_III.0860323b

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O2513 ACETABULAR RECONSTRUCTION IN REVISION HIP SURGERY USING FEMORAL HEAD BLOCK ALLOGRAFT AND A CEMENTED COMPONENT WITHOUT THE USE OF A REINFORCEMENT CAGE. A PROSPECTIVE STUDY OF 140 CONSECUTIVE CASES WITH A MEAN TEN-YEAR FOLLOW UP, AND A REVIEW OF THE ALTERNATIVE RECONSTRUCTIVE TECHNIQUES

Philippe Piriou
M.R. Norton
J.L. Marmorat
T. Judet

O2513 ACETABULAR RECONSTRUCTION IN REVISION HIP SURGERY USING FEMORAL HEAD BLOCK ALLOGRAFT AND A CEMENTED COMPONENT WITHOUT THE USE OF A REINFORCEMENT CAGE. A PROSPECTIVE STUDY OF 140 CONSECUTIVE CASES WITH A MEAN TEN-YEAR FOLLOW UP, AND A REVIEW OF THE ALTERNATIVE RECONSTRUCTIVE TECHNIQUES

Piriou P, Norton M, Marmorat J, Judet T. O2513 ACETABULAR RECONSTRUCTION IN REVISION HIP SURGERY USING FEMORAL HEAD BLOCK ALLOGRAFT AND A CEMENTED COMPONENT WITHOUT THE USE OF A REINFORCEMENT CAGE. A PROSPECTIVE STUDY OF 140 CONSECUTIVE CASES WITH A MEAN TEN-YEAR FOLLOW UP, AND A REVIEW OF THE ALTERNATIVE RECONSTRUCTIVE TECHNIQUES. Orthop Procs. 2004;86-B(SUPP_III):323-323. doi:10.1302/0301-620X.86BSUPP_III.0860323b

Piriou, Philippe, et al. “O2513 ACETABULAR RECONSTRUCTION IN REVISION HIP SURGERY USING FEMORAL HEAD BLOCK ALLOGRAFT AND A CEMENTED COMPONENT WITHOUT THE USE OF A REINFORCEMENT CAGE. A PROSPECTIVE STUDY OF 140 CONSECUTIVE CASES WITH A MEAN TEN-YEAR FOLLOW UP, AND A REVIEW OF THE ALTERNATIVE RECONSTRUCTIVE TECHNIQUES.” Orthopaedic Proceedings, vol. 86-B, no. SUPP_III, 2004, pp. 323-323., https://doi.org/10.1302/0301-620X.86BSUPP_III.0860323b

Piriou, P., Norton, M., Marmorat, J., & Judet, T. (2004). O2513 ACETABULAR RECONSTRUCTION IN REVISION HIP SURGERY USING FEMORAL HEAD BLOCK ALLOGRAFT AND A CEMENTED COMPONENT WITHOUT THE USE OF A REINFORCEMENT CAGE. A PROSPECTIVE STUDY OF 140 CONSECUTIVE CASES WITH A MEAN TEN-YEAR FOLLOW UP, AND A REVIEW OF THE ALTERNATIVE RECONSTRUCTIVE TECHNIQUES. Orthopaedic Proceedings, 86-B(SUPP_III), 323-323. https://doi.org/10.1302/0301-620X.86BSUPP_III.0860323b

Piriou, P., Norton, M., Marmorat, J. and Judet, T. (2004) “O2513 ACETABULAR RECONSTRUCTION IN REVISION HIP SURGERY USING FEMORAL HEAD BLOCK ALLOGRAFT AND A CEMENTED COMPONENT WITHOUT THE USE OF A REINFORCEMENT CAGE. A PROSPECTIVE STUDY OF 140 CONSECUTIVE CASES WITH A MEAN TEN-YEAR FOLLOW UP, AND A REVIEW OF THE ALTERNATIVE RECONSTRUCTIVE TECHNIQUES.” Orthopaedic Proceedings, 86-B(SUPP_III), pp. 323-323. Available at: https://doi.org/10.1302/0301-620X.86BSUPP_III.0860323b

Piriou, Philippe, M.R. Norton, J.L. Marmorat, and T. Judet. “O2513 ACETABULAR RECONSTRUCTION IN REVISION HIP SURGERY USING FEMORAL HEAD BLOCK ALLOGRAFT AND A CEMENTED COMPONENT WITHOUT THE USE OF A REINFORCEMENT CAGE. A PROSPECTIVE STUDY OF 140 CONSECUTIVE CASES WITH A MEAN TEN-YEAR FOLLOW UP, AND A REVIEW OF THE ALTERNATIVE RECONSTRUCTIVE TECHNIQUES.” Orthopaedic Proceedings 86-B, no. SUPP_III (2004): 323-323. https://doi.org/10.1302/0301-620X.86BSUPP_III.0860323b

Piriou P, Norton M, Marmorat J, Judet T. O2513 ACETABULAR RECONSTRUCTION IN REVISION HIP SURGERY USING FEMORAL HEAD BLOCK ALLOGRAFT AND A CEMENTED COMPONENT WITHOUT THE USE OF A REINFORCEMENT CAGE. A PROSPECTIVE STUDY OF 140 CONSECUTIVE CASES WITH A MEAN TEN-YEAR FOLLOW UP, AND A REVIEW OF THE ALTERNATIVE RECONSTRUCTIVE TECHNIQUES. Orthop Procs. 2004 Mar 1;86-B(SUPP_III):323-323. https://doi.org/10.1302/0301-620X.86BSUPP_III.0860323b

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Abstract

We report the results of a prospective study of 140 consecutive cases of acetabular revision using large frozen femoral head allografts and cemented all polyethylene acetabular components. The mean follow-up time was 10 years (5 Ð 16).

Thirty patients died, seven were lost to follow-up and 26 had failed and undergone further surgery. Nineteen failures were due to aseptic failure and collapse of the graft. Kaplan-Meier survival analysis calculated a mean survival at 10 years of 88.5% for revision for any reason.

We compare all reported techniques of acetabular reconstruction for similar defects and recommend a surgical strategy based on the available evidence, but weighted towards a preference to reconstitute bone stock rather than removing further bone in the revision situation.

Theses abstracts were prepared by Professor Dr. Frantz Langlais. Correspondence should be addressed to him at EFORT Central Office, Freihofstrasse 22, CH-8700 Küsnacht, Switzerland.