The Hip: Preservation, Replacement and Revision

Morselized Allograft Graft

- see:  structural bone grafts:


- Discussion:
     - can be used to help recreate bone stock w/ protrusio, cavitary, or medial wall deficiency;
     - cannot be expected to provide ingrowth or stability, but over time the morselized graft can undergo revascularization and remodeling;
     - antiprotrusio cage or gap cup can be placed over the graft; 




- References:
     - Cortical and cancellous morselized allograft in acetabular revision total hip replacement. Minimum 5-year follow-up
     - Acetabular reconstruction with a bipolar prosthesis and morseled bone grafts.
     - Morselized allograft in acetabular reconstruction. A postmortem retrieval analysis.
     - The use of a biodegradable mesh plate to augment grafting of an acetabular defect. Laboratory investigation and clinical pilot study.
     - The Otto Aufranc Award: Demineralized Bone Matrix Around Porous Implants Promotes Rapid Gap Healing and Bone Ingrowth
     - Cancellous Impaction Bone Grafting of Acetabular Defects in Complex Primary and Revision Total Hip Arthroplasty
     - Improving Initial Acetabular Component Stability in Revision THA: Calcium Phosphate Cement vs Reverse Reamed Cancellous Allograft

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Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Wednesday, February 20, 2013 8:20 am