Download presentation
Presentation is loading. Please wait.
Published bySimon Holmes Modified over 9 years ago
1
The Use of Allografts in Orthopaedic Surgery - Part II: The Role of Allografts in Revision Arthroplasty of the Hip by Allan E. Gross, Hugh Blackley, Paul Wong, Khaled Saleh, and Ian Woodgate J Bone Joint Surg Am Volume 84(4):655-667 April 1, 2002 ©2002 by The Journal of Bone and Joint Surgery, Inc.
2
Drawing showing a contained (cavitary) acetabular defect. Allan E. Gross et al. J Bone Joint Surg Am 2002;84:655-667 ©2002 by The Journal of Bone and Joint Surgery, Inc.
3
Radiograph of a thirty-year-old man with a superomedial contained defect, made ten years after a hemiarthroplasty for the treatment of avascular necrosis of the femoral head. Allan E. Gross et al. J Bone Joint Surg Am 2002;84:655-667 ©2002 by The Journal of Bone and Joint Surgery, Inc.
4
Radiograph made 11.5 years after revision surgery with use of morselized allograft bone and an uncemented cup. Allan E. Gross et al. J Bone Joint Surg Am 2002;84:655-667 ©2002 by The Journal of Bone and Joint Surgery, Inc.
5
Radiograph of a sixty-year-old woman with a contained defect, made several years after a hemiarthroplasty for the treatment of a fracture of the right hip. Allan E. Gross et al. J Bone Joint Surg Am 2002;84:655-667 ©2002 by The Journal of Bone and Joint Surgery, Inc.
6
Radiograph made five years after revision surgery with a roof reinforcement ring and morselized allograft bone. Allan E. Gross et al. J Bone Joint Surg Am 2002;84:655-667 ©2002 by The Journal of Bone and Joint Surgery, Inc.
7
Drawing showing an uncontained defect involving <50% of the acetabulum. Allan E. Gross et al. J Bone Joint Surg Am 2002;84:655-667 ©2002 by The Journal of Bone and Joint Surgery, Inc.
8
The structural allograft (shelf or minor column), which is fixed by cancellous screws, supports <50% of the cup. Allan E. Gross et al. J Bone Joint Surg Am 2002;84:655-667 ©2002 by The Journal of Bone and Joint Surgery, Inc.
9
Radiograph of a thirty-two-year-old woman who had a bipolar arthroplasty because of hip dysplasia and osteoarthritis, showing the poor coverage of the bipolar cup. Allan E. Gross et al. J Bone Joint Surg Am 2002;84:655-667 ©2002 by The Journal of Bone and Joint Surgery, Inc.
10
Radiograph made fourteen years after revision surgery with a minor column (shelf) allograft and an uncemented cup. Allan E. Gross et al. J Bone Joint Surg Am 2002;84:655-667 ©2002 by The Journal of Bone and Joint Surgery, Inc.
11
Drawing showing an uncontained defect involving >50% of the acetabulum and pelvic discontinuity. Allan E. Gross et al. J Bone Joint Surg Am 2002;84:655-667 ©2002 by The Journal of Bone and Joint Surgery, Inc.
12
The hip is reconstructed with a structural allograft that is fixed with two cancellous screws and protected by a reconstruction ring that is fixed to the ilium and the ischium. Allan E. Gross et al. J Bone Joint Surg Am 2002;84:655-667 ©2002 by The Journal of Bone and Joint Surgery, Inc.
13
Radiograph of the pelvis of a seventy-seven-year-old man with a loose cemented cup and massive osteolysis of the right acetabulum involving >50% of the acetabulum and pelvic discontinuity. Allan E. Gross et al. J Bone Joint Surg Am 2002;84:655-667 ©2002 by The Journal of Bone and Joint Surgery, Inc.
14
Radiograph made five years after reconstruction with a major column allograft protected by a reconstruction ring that extended from host ilium to host ischium. Allan E. Gross et al. J Bone Joint Surg Am 2002;84:655-667 ©2002 by The Journal of Bone and Joint Surgery, Inc.
15
A proximal femoral allograft with an implant cemented into the allograft.. Allan E. Gross et al. J Bone Joint Surg Am 2002;84:655-667 ©2002 by The Journal of Bone and Joint Surgery, Inc.
16
A proximal femoral allograft-implant composite is inserted into the host canal without cement. Allan E. Gross et al. J Bone Joint Surg Am 2002;84:655-667 ©2002 by The Journal of Bone and Joint Surgery, Inc.
17
Radiograph of a sixty-six-year-old woman with a periprosthetic fracture and loss of proximal femoral bone stock. Allan E. Gross et al. J Bone Joint Surg Am 2002;84:655-667 ©2002 by The Journal of Bone and Joint Surgery, Inc.
18
The femur was reconstructed with a proximal femoral allograft. Allan E. Gross et al. J Bone Joint Surg Am 2002;84:655-667 ©2002 by The Journal of Bone and Joint Surgery, Inc.
19
Drawing of a cortical strut allograft held by cerclage wires over a noncircumferential cortical defect. Allan E. Gross et al. J Bone Joint Surg Am 2002;84:655-667 ©2002 by The Journal of Bone and Joint Surgery, Inc.
20
Figs. 6-B, 6-C, and 6-D Radiographs of the hip of a forty-five-year-old woman with avascular necrosis after failed internal fixation of a subcapital fracture. Allan E. Gross et al. J Bone Joint Surg Am 2002;84:655-667 ©2002 by The Journal of Bone and Joint Surgery, Inc.
21
Figs. 6-B, 6-C, and 6-D Radiographs of the hip of a forty-five-year-old woman with avascular necrosis after failed internal fixation of a subcapital fracture. Allan E. Gross et al. J Bone Joint Surg Am 2002;84:655-667 ©2002 by The Journal of Bone and Joint Surgery, Inc.
22
Figs. 6-B, 6-C, and 6-D Radiographs of the hip of a forty-five-year-old woman with avascular necrosis after failed internal fixation of a subcapital fracture. Allan E. Gross et al. J Bone Joint Surg Am 2002;84:655-667 ©2002 by The Journal of Bone and Joint Surgery, Inc.
Similar presentations
© 2025 SlidePlayer.com. Inc.
All rights reserved.