11.07.2015 Views

Convened under the auspicious of esteemed endorsers - ISTA

Convened under the auspicious of esteemed endorsers - ISTA

Convened under the auspicious of esteemed endorsers - ISTA

SHOW MORE
SHOW LESS
  • No tags were found...

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

PatientsOne hundred and ninety-two consecutive revision total hip arthroplasties were performed withallograft bone supported by <strong>the</strong> Kerboull or Kerboull type reinforcement acetabular device from1996 to 2009. There were 23 men and 169 women. Kerboull plates were applied to 18 patients,and 174 Kerboull type plates to 174. The mean follow up <strong>of</strong> <strong>the</strong> whole series was 5 years (onemonth – 13 years).Surgical TechniqueThe superior bone defect was reconstructed principally by a large bulky allo block with platesystem. Medial bone defect was reconstructed by adequate bone chips and/or sliced bone plates.After temporally fixation <strong>of</strong> bulky bone block with two 2.0mm K-wires, it was remodeled byreaming to fit <strong>the</strong> gap between host bone and plate, followed by fixation to <strong>the</strong> iliac bone byscrews. Finally, residual space <strong>of</strong> <strong>the</strong> defect between host bone and <strong>the</strong> fixed plated was filledup with morselized cancellous bones, bone chips, and/or wedged bony fragments withimpaction. This method is was sufficiently applicable to AAOS Typeâ… , II, and III bonedefects. In case <strong>of</strong> AAOS Typeâ…£, <strong>the</strong> procedure was also available after repairingdiscontinuation between distal and proximal bones by connecting <strong>the</strong> gap by allografting withtibial bone plates or sliced femoral head.ResultsEight patients (4.2%) required revision surgery due to infection 5, plate breakage 2,malalignment 1. The plate breakage was observed in 7 joints (3.6%). Five patients (71%)complaint pain and/or o<strong>the</strong>r symptoms after <strong>the</strong> breakage. Two required revision, but <strong>the</strong> o<strong>the</strong>rcases were carefully observed without additional surgical intervention.The 10 years survival rate by Kaplan-Meier method was 97.6% when <strong>the</strong> endpoint was set byrevision.ConclusionsThis study indicated that acetabular allograft reconstructions reinforced by Kerboull or Kerboulltype acetabular device were able to recover bone stock with anatomic reconstrution <strong>of</strong> femoralhead center, thus providing satisfactory clinical results in middle term period.Poster: 40Angiolieomyoma <strong>of</strong> <strong>the</strong> knee:Case Series and an Unusual Cause <strong>of</strong> KneePain*Azal Jalgaonkar - Royal National Orthopaedic Hospital Stanmore - Stanmore, UnitedKingdomSunil Dachepalli - South London Healthcare NHS Trust - Sidcup, United KingdomMohammed Farid - South London Healthcare NHS Trust - Sidcup, United Kingdomfile:///E|/<strong>ISTA</strong>2010-Abstracts.htm[12/7/2011 3:15:47 PM]

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!