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Acetabular Reconstruction with Impaction Bone-Grafting and a Cemented Cup in Patients Younger than Fifty Years OldA Concise Follow-up, at Twenty to Twenty-eight Years, of a Previous Report*
Vincent J.J.F. Busch, MD1; Jean W.M. Gardeniers, MD, PhD1; Nico Verdonschot, PhD1; Tom J.J.H. Slooff, MD, PhD1; B. Willem Schreurs, MD, PhD1
1 Department of Orthopaedics 357, Radboud University Nijmegen Medical Centre, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands. E-mail address for B.W. Schreurs: b.schreurs@orthop.umcn.nl
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Disclosure: In support of their research for or preparation of this work, one or more of the authors received, in any one year, outside funding or grants of less than $10,000 from Stryker (United Kingdom). Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity.

Investigation performed at Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
Original Publication Schreurs BW, Busch VJJF, Welten ML, Verdonschot N, Slooff TJJH, Gardeniers JWM. Acetabular reconstruction with impaction bone-grafting and a cemented cup in patients younger than fifty years old. J Bone Joint Surg Am. 2004;86:2385-92.

Copyright © 2011 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2011 Feb 16;93(4):367-371. doi: 10.2106/JBJS.I.01532
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Abstract

Abstract: 

In a previous report, we presented our results of forty-two acetabular reconstructions, performed with use of impaction bone-grafting and a cemented polyethylene cup, in thirty-seven patients who were younger than fifty years and had a minimum of fifteen years of follow-up. The present update study shows the results after twenty to twenty-eight years. Eight additional cups had to be revised—four because of aseptic loosening, three because of wear, and one during a revision of the stem. Three additional cups were considered loose on radiographs. Survivorship of the acetabular reconstructions, with an end point of revision for any reason, was 73% after twenty years and 52% after twenty-five years. With revision for aseptic loosening as the end point, survival was 85% after twenty years and 77% after twenty-five years; for signs of loosening on radiographs, survival was 71% at twenty years and 62% at twenty-five years. In conclusion, our previous results have declined but the technique of using impacted morselized bone graft and a cemented cup is useful for the purpose of restoring bone stock in young patients whose acetabular defects require primary or revision total hip arthroplasty.

Level of Evidence: 

Therapeutic Level IV. See Instructions to Authors for a complete description of levels of evidence.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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