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 journalArticlepeer-review

5 Scopus citations


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
Issue number8
StatePublished - Dec 2011
Externally publishedYes


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

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine


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