Impaction Bone Grafting in Revision Arthroplasty

Impaction Bone Grafting in Revision Arthroplasty

by Christian Delloye, Gordon C. Bannister

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Product Details

ISBN-13: 9780203913680
Publisher: CRC Press
Publication date: 02/25/2004
Sold by: Barnes & Noble
Format: NOOK Book
Pages: 476
File size: 12 MB
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Table of Contents

1.The History of the Use of Bone Impaction Grafting in Primary and Revision Total Hip Arthroplasty1
I.Introduction1
II.Bone Banking4
III.Bone Grafts Combined with Total HIP Replacement6
References9
2.Harvest, Storage, and Microbiological Security of Bone Allografts11
I.Introduction11
II.Donor Selection12
III.Bone Retrieval13
IV.Risk of Viral Transmission14
V.Bacterial Transmission Risks15
VI.Processing15
VII.Preservation16
VIII.Sterilization17
IX.From Femoral Head to Bone Morsel18
X.Record Keeping18
XI.Conclusions20
References20
3.The Procurement, Processing, and Preservation of Allograft Bone23
I.Introduction23
II.Allograft Procurement23
III.Disease Transmission24
IV.Processing Methods25
V.Preservation Techniques28
VI.Recommendations29
References29
4.Conserving Stocks in the Bone Bank33
I.Introduction33
II.Availability of Bone34
III.Identification of Potential Donors36
IV.Alternative Donation Sites36
V.Summary of Recommendations39
References39
5.Mechanical Considerations in Impaction Bone Grafting: The Nijmegen Experience41
I.Introduction41
II.Inherent Mechanical Characteristics of Morselized Particles42
III.Application to the Acetabular Side44
IV.Application to the Femoral Side50
V.Conclusions53
References53
6.Impaction Bone Grafting: A Mechanical Appraisal with Reference to Soil Engineering57
I.Introduction57
II.Basic Science57
III.Grading58
IV.Mechanical Shear Testing59
V.Results67
VI.Discussion68
VII.Summary72
References72
7.Stability of Impaction-Grafted Hip and Knee Prostheses: Surgical Technique, Implant Design, and Graft Compaction75
I.Introduction75
II.In vitro Sawbone Experiments76
III.Why is Graft Compaction Important?84
IV.Discussion89
Acknowledgments92
References93
8.Preparation of the Femoral Head Prior to Milling: Does Inclusion of the Articular Cartilage Influence Impaction?--An In Vitro Study with Human Femoral Heads95
I.Introduction95
II.Materials and Methods96
III.Results100
IV.Discussion103
Acknowledgments106
References106
9.Impaction Bone Grafting with Processed Freeze-Dried Allografts: Evolution of the Compactness and Stiffness During Impaction109
I.Introduction109
II.Materials and Methods110
III.Results114
IV.Discussion116
Acknowledgments118
References118
10.Bone Graft Substitutes for Impaction Grafting121
I.Xenograft122
II.Polymethylmethacrylate (Bone Cement)123
III.Calcium Sulfate (Plaster of Paris)123
IV.Glass-Ionomer Ceramics124
V.Polyhydroxy Acids125
VI.Collagen Matrix125
VII.Coralline-Derived Hydroxyapatite126
VIII.Absorbable Ceramics126
IX.Summary and Discussion133
References134
11.The Contribution of Synthetic Bone Grafting Material to Impaction141
I.Introduction141
II.Mechanical Aspects142
III.Biological Aspects142
IV.In vitro Modeling143
V.In vivo Modeling143
VI.Summary151
References151
12.Comparative Dynamic Loading of Paired Femurs: Comparison of Freeze-Dried Versus Fresh-Frozen Bone Allografts157
I.Introduction157
II.Materials and Methods158
III.Results166
IV.Discussion169
V.Conclusion173
References174
13.The Influence of Particle Size at the Femur: Is Morsel Size a Critical Parameter? Does It Influence the Stiffness of the Impacted Layer?177
I.Introduction177
II.Materials and Methods178
III.Results182
IV.Discussion184
References185
14.Mechanical Studies of the Bone Particle Size at the Femur187
I.Introduction187
II.Study 1188
III.Study 2195
IV.Discussion201
References202
15.Impaction Grafting: How Does It Work?205
I.Introduction205
II.Hypotheses208
III.Impaction and Ingrowth208
IV.Immunogenicity211
V.Fracture Surface and Endogenous Proteins212
VI.Impaction and Exogenous Growth Factors213
VII.Bone Remodeling in Response to Load214
VIII.The Fate of the Impacted Graft During Remodeling216
IX.Is Remodeling Necessary?218
X.Conclusions219
References219
16.Human Bone Histology After Morselized Cortico-Cancellous Bone Impaction225
I.Introduction225
II.Biomechanical Aspects225
III.Clinical and Radiological Results226
IV.Healing of the Graft Bed Studied with PET231
V.Histology of Impacted Bone Graft Incorporation232
VI.Discussion235
References238
17.Histological Evaluation of Impaction Bone Grafting in Humans and Animals241
I.Introduction241
II.Material and Methods242
III.Results245
IV.Discussion251
References253
18.Biological Enhancement of Bone Graft Materials by Osteogenic Factors257
I.Introduction257
II.Preclinical Evaluation of the OP-1 Implant259
III.Discussion263
References266
19.Adding Growth Factors to Impacted Grafts: A Good Idea that Might Be Bad269
I.Introduction269
II.What Makes Impaction Successful?269
III.Warning Against Using Growth Factors270
IV.Conclusion272
References272
20.Acetabular Bone Impaction Grafting: Classification of the Bone Stock Loss and Surgical Technique275
I.Introduction275
II.X-change Technique and the AAOS Classification278
III.Surgical Technique281
References286
21.Long-Term Results of Acetabular Reconstruction Using Impaction Bone Grafting and a Cemented Cup287
I.Introduction287
II.Clinical Results290
III.Discussion and Recommendations298
References303
22.Impaction Bone Technique at the Acetabular Side307
I.Introduction307
II.Materials and Methods308
III.Results311
IV.Discussion314
References318
23.Impaction Bone Grafting on the Femoral Side323
I.The Exeter Technique--Indications323
II.Preoperative Planning323
III.Positioning The Patient324
IV.Surgical Approach325
V.Preparation of the Graft329
VI.Preparation of the Femur330
VII.Impaction of the Graft333
VIII.Reduction and Closure346
IX.Postoperative Management346
X.Lessons We Have Learned During Evolution of the Technique346
References347
24.Impaction Grafting of the Proximal Femur with Freeze-Dried Bone in Revision Arthroplasty349
I.Introduction349
II.Surgical Technique350
III.The Hacettepe Experience352
IV.Scintigraphic Study355
V.Discussion358
References360
25.Enmeshed Impacted Bone Allograft at the Femoral Side363
I.Introduction363
II.The Technique365
III.Clinical Data372
IV.Discussion373
References374
26.Impaction Bone Grafting at the Hip: A Clinical Review377
I.Introduction377
II.History of Impaction Allografting380
III.Algorithm For Femoral Reconstruction381
IV.Surgical Approaches and Technical "Pearls"381
V.Problems and Complications of Impaction Allografting388
VI.Clinical Results of Impaction Allografting394
VII.Summary394
References395
27.Revision of Total Knee Arthroplasty by Impaction Bone Grafting399
I.Introduction399
II.Indications400
III.Technique401
IV.Clinical Experience409
V.Conclusions413
References414
28.Revision Knee Arthroplasty with Impaction Bone Grafting417
I.Biomechanical Aspect417
II.Surgical Method417
III.Results420
References421
29.Revision Knee Arthroplasty with Impaction423
I.Introduction423
II.Material and Methods424
III.Results430
IV.Discussion433
References436
30.Different Types of Biomechanical Tests on Morselized Grafts439
I.Contained Compression Test439
II.Biaxial Shear Test439
III.Triaxial Shear Test441
IV.Axial Compression on Cup441
V.Shear on Cup441
VI.Axial Compression on Stem441
VII.Torsion on Stem442
VIII.Walking Simulation442
References442
Index443

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