Impaction Bone Grafting With Proximal and Distal Femoral Arthroplasty

Atul F. Kamath, Pramod B. Voleti, Tae Won B. Kim, Jonathan P. Garino, Gwo Chin Lee

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Capacious diaphyses and poor bone stock in revision arthroplasty can lead to fracture and poor component fixation. Impaction bone grafting can be performed in salvage reconstructions in cases with extensive circumferential bone loss. We present a consecutive series of patients who underwent proximal or distal femoral reconstructions in combination with impaction bone grafting. The average age was 62 years, and the mean follow-up was 36 months (range, 24-84). No revisions were performed for mechanical failure, and radiographs revealed no evidence of implant loosening. No patient complained of end-of-stem thigh pain. There were 3 failures: 1 for periprosthetic fracture, 1 for instability, and 1 for infection. Impaction bone grafting can be used in combination with proximal and distal femoral arthroplasty to successfully manage cases with extensive bone loss after failed hip and knee arthroplasty. The procedure reconstitutes necessary bone stock, improves stress shielding, and provides immediate fixation in capacious canals.

Original languageEnglish (US)
Pages (from-to)1520-1526
Number of pages7
JournalJournal of Arthroplasty
Volume26
Issue number8
DOIs
StatePublished - Dec 2011
Externally publishedYes

Fingerprint

Bone Transplantation
Thigh
Arthroplasty
Bone and Bones
Periprosthetic Fractures
Diaphyses
Knee Replacement Arthroplasties
Hip
Pain
Infection

Keywords

  • Bone loss
  • Distal femoral arthroplasty
  • Impaction grafting
  • Proximal femoral arthroplasty
  • Revision hip arthroplasty
  • Revision knee arthroplasty

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

Impaction Bone Grafting With Proximal and Distal Femoral Arthroplasty. / Kamath, Atul F.; Voleti, Pramod B.; Kim, Tae Won B.; Garino, Jonathan P.; Lee, Gwo Chin.

In: Journal of Arthroplasty, Vol. 26, No. 8, 12.2011, p. 1520-1526.

Research output: Contribution to journalArticle

Kamath, Atul F. ; Voleti, Pramod B. ; Kim, Tae Won B. ; Garino, Jonathan P. ; Lee, Gwo Chin. / Impaction Bone Grafting With Proximal and Distal Femoral Arthroplasty. In: Journal of Arthroplasty. 2011 ; Vol. 26, No. 8. pp. 1520-1526.
@article{556ab5c65621495383ffb78e23c529a6,
title = "Impaction Bone Grafting With Proximal and Distal Femoral Arthroplasty",
abstract = "Capacious diaphyses and poor bone stock in revision arthroplasty can lead to fracture and poor component fixation. Impaction bone grafting can be performed in salvage reconstructions in cases with extensive circumferential bone loss. We present a consecutive series of patients who underwent proximal or distal femoral reconstructions in combination with impaction bone grafting. The average age was 62 years, and the mean follow-up was 36 months (range, 24-84). No revisions were performed for mechanical failure, and radiographs revealed no evidence of implant loosening. No patient complained of end-of-stem thigh pain. There were 3 failures: 1 for periprosthetic fracture, 1 for instability, and 1 for infection. Impaction bone grafting can be used in combination with proximal and distal femoral arthroplasty to successfully manage cases with extensive bone loss after failed hip and knee arthroplasty. The procedure reconstitutes necessary bone stock, improves stress shielding, and provides immediate fixation in capacious canals.",
keywords = "Bone loss, Distal femoral arthroplasty, Impaction grafting, Proximal femoral arthroplasty, Revision hip arthroplasty, Revision knee arthroplasty",
author = "Kamath, {Atul F.} and Voleti, {Pramod B.} and Kim, {Tae Won B.} and Garino, {Jonathan P.} and Lee, {Gwo Chin}",
year = "2011",
month = "12",
doi = "10.1016/j.arth.2011.04.030",
language = "English (US)",
volume = "26",
pages = "1520--1526",
journal = "Journal of Arthroplasty",
issn = "0883-5403",
publisher = "Churchill Livingstone",
number = "8",

}

TY - JOUR

T1 - Impaction Bone Grafting With Proximal and Distal Femoral Arthroplasty

AU - Kamath, Atul F.

AU - Voleti, Pramod B.

AU - Kim, Tae Won B.

AU - Garino, Jonathan P.

AU - Lee, Gwo Chin

PY - 2011/12

Y1 - 2011/12

N2 - Capacious diaphyses and poor bone stock in revision arthroplasty can lead to fracture and poor component fixation. Impaction bone grafting can be performed in salvage reconstructions in cases with extensive circumferential bone loss. We present a consecutive series of patients who underwent proximal or distal femoral reconstructions in combination with impaction bone grafting. The average age was 62 years, and the mean follow-up was 36 months (range, 24-84). No revisions were performed for mechanical failure, and radiographs revealed no evidence of implant loosening. No patient complained of end-of-stem thigh pain. There were 3 failures: 1 for periprosthetic fracture, 1 for instability, and 1 for infection. Impaction bone grafting can be used in combination with proximal and distal femoral arthroplasty to successfully manage cases with extensive bone loss after failed hip and knee arthroplasty. The procedure reconstitutes necessary bone stock, improves stress shielding, and provides immediate fixation in capacious canals.

AB - Capacious diaphyses and poor bone stock in revision arthroplasty can lead to fracture and poor component fixation. Impaction bone grafting can be performed in salvage reconstructions in cases with extensive circumferential bone loss. We present a consecutive series of patients who underwent proximal or distal femoral reconstructions in combination with impaction bone grafting. The average age was 62 years, and the mean follow-up was 36 months (range, 24-84). No revisions were performed for mechanical failure, and radiographs revealed no evidence of implant loosening. No patient complained of end-of-stem thigh pain. There were 3 failures: 1 for periprosthetic fracture, 1 for instability, and 1 for infection. Impaction bone grafting can be used in combination with proximal and distal femoral arthroplasty to successfully manage cases with extensive bone loss after failed hip and knee arthroplasty. The procedure reconstitutes necessary bone stock, improves stress shielding, and provides immediate fixation in capacious canals.

KW - Bone loss

KW - Distal femoral arthroplasty

KW - Impaction grafting

KW - Proximal femoral arthroplasty

KW - Revision hip arthroplasty

KW - Revision knee arthroplasty

UR - http://www.scopus.com/inward/record.url?scp=80755140163&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=80755140163&partnerID=8YFLogxK

U2 - 10.1016/j.arth.2011.04.030

DO - 10.1016/j.arth.2011.04.030

M3 - Article

VL - 26

SP - 1520

EP - 1526

JO - Journal of Arthroplasty

JF - Journal of Arthroplasty

SN - 0883-5403

IS - 8

ER -