Allogeneic Cancellous Bone Graft and a Burch-Schneider Ring for Acetabular Reconstruction in Revision Hip Arthroplasty by E. Winter, M. Piert, R. Volkmann,

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Presentation transcript:

Allogeneic Cancellous Bone Graft and a Burch-Schneider Ring for Acetabular Reconstruction in Revision Hip Arthroplasty by E. Winter, M. Piert, R. Volkmann, F. Maurer, C. Eingartner, K. Weise, and S. Weller J Bone Joint Surg Am Volume 83(6):862-867 June 1, 2001 ©2001 by The Journal of Bone and Joint Surgery, Inc.

Anteroposterior and axial radiographs of the hip of a sixty-eight-year-old woman, made nine years after a total hip arthroplasty performed with cement, showing a type-III combined defect33. Anteroposterior and axial radiographs of the hip of a sixty-eight-year-old woman, made nine years after a total hip arthroplasty performed with cement, showing a type-III combined defect33. E. Winter et al. J Bone Joint Surg Am 2001;83:862-867 ©2001 by The Journal of Bone and Joint Surgery, Inc.

Anteroposterior and axial radiographs of the hip of a sixty-eight-year-old woman, made nine years after a total hip arthroplasty performed with cement, showing a type-III combined defect33. Anteroposterior and axial radiographs of the hip of a sixty-eight-year-old woman, made nine years after a total hip arthroplasty performed with cement, showing a type-III combined defect33. E. Winter et al. J Bone Joint Surg Am 2001;83:862-867 ©2001 by The Journal of Bone and Joint Surgery, Inc.

Fig. 1-C Radiograph made six months after a revision hip arthroplasty with use of morselized cryopreserved cancellous allograft bone, a Burch-Schneider reinforcement ring, and a cup inserted into the ring with cement. Fig. 1-C Radiograph made six months after a revision hip arthroplasty with use of morselized cryopreserved cancellous allograft bone, a Burch-Schneider reinforcement ring, and a cup inserted into the ring with cement. E. Winter et al. J Bone Joint Surg Am 2001;83:862-867 ©2001 by The Journal of Bone and Joint Surgery, Inc.

Fig. 1-D Radiograph made five years after revision hip arthroplasty, showing the position of the implants to be unchanged and trabeculation of the osseous structures of the area in which the graft was implanted. Fig. 1-D Radiograph made five years after revision hip arthroplasty, showing the position of the implants to be unchanged and trabeculation of the osseous structures of the area in which the graft was implanted. E. Winter et al. J Bone Joint Surg Am 2001;83:862-867 ©2001 by The Journal of Bone and Joint Surgery, Inc.

Diagram of a bilateral acetabular reconstruction, showing the radiographic parameters with which migration is analyzed. Diagram of a bilateral acetabular reconstruction, showing the radiographic parameters with which migration is analyzed. Line A = reference line through the teardrop figure, Line B = perpendicular reference line through the teardrop figure, Line C = line through the axis of the antiprotrusio cage, HM = horizontal migration, VM = vertical migration, and AI = acetabular index. E. Winter et al. J Bone Joint Surg Am 2001;83:862-867 ©2001 by The Journal of Bone and Joint Surgery, Inc.