By by Christian Delloye (Editor), Gordon C. Bannister (Editor)
This publication presents the reader with the cutting-edge in bone inventory reconstruction with impaction. Written particularly for surgeons who desire to optimize their grafting suggestions and base their judgements at the most modern medical facts on mechanical and organic elements of impaction tools, this reference familiarizes readers with impaction bone grafting innovations for reconstruction and diverse bone grafting fabrics
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Extra info for Impaction Bone Grafting in Revision Arthroplasty
The pathology of bone allograft. J Bone Joint Surg 1999; 81-B: 33 – 35. Henman P, Finlayson D. Ordering allograft by weight. J Arthroplasty 2000; 15: 368– 371. 7. 8. 9. 10. 11. 5 Mechanical Considerations in Impaction Bone Grafting The Nijmegen Experience N. Verdonschot, S. B. Bolder, Pieter Buma, and B. Willem Schreurs University Medical Center Nijmegen Nijmegen, The Netherlands I. INTRODUCTION Initial mechanical stability is a prerequisite for long-term survival of cemented components. , who found that in both revisions and primary cemented hips, those with a higher migration rate failed signiﬁcantly earlier than more stable reconstructions .
Early identiﬁcation of potential donors 2. Increased pool of potential donors by considering patients having knee arthroplasty and hip fractures 3. Increased harvest from present donors by utilizing femoral canal cancellous bone, which is normally discarded B. Avoiding Wastage 1. Bone discarded as unsuitable for freezing because of microbiological contamination should be sent for processing by freeze-drying and sterilization. 2. Issue bone by weight only. 3. Use pieces of bone from varying sites.
REFERENCES 1. 2. 3. 4. 5. Greenwald AF, Boden SD, Goldberg VM, Khan Y, Laurencin CT, Rosier RN. Bone graft substitutes: facts, ﬁctions and applications. J Bone Joint Surg 2001; 83A (suppl 2): 98 – 103. Slooff TJJH, Huiskes R, Van Horn J, Lemmens AJ. Bone grafting in total hip replacement for acetabular protrusion. Acta Orthop Scand 1984; 55: 593– 596. Gie GA, Linder L, Ling RSM, Simon J-P, Slooff TJJH, Timperley AJ. Impacted cancellous allografts and cement for revision total hip arthroplasty. J Bone Joint Surg 1993; 73-B: 14 – 21.