The Use of Wire Mesh in Total Hip Replacement Surgery

Harris, William H.; Jones, William N.

doi:10.1097/00003086-197501000-00016

Cited by 48 publications

(10 citation statements)

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“…The technical procedure of total hip replacement combined with acetabuloplasty for protrusion has been well described (Harris & Jones 1975, Salvati et al 1975, McCollum & Nunley 1978, Schatzker et al 1979, Schneider 1980. All authors stress the necessity of repairing and reinforcing the medial wall of the acetabulum and recommend that the acetabulum should be placed in the normal anatomical position.…”

Section: Discussionmentioning

confidence: 99%

“…Metal devices to redistribute the stresses and to reinforce the medial wall were developed by Eichler (1973), Harris & Jones (1975) and Schneider (1980). The application of acrylic cement was suggested by Sotelo-Gana & Charnley (1978), whereas Parker & Hastings (1974) and McCollum & Nunley (1978) preferred bone grafts; the autogenous femoral head can be used for previously unoperated hips, or else autogenous iliac bone or allografts.…”

mentioning

confidence: 99%

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Bone grafting in total hip replacement for acetabular protrusion

Slooff

Huiskes

Horn

et al. 1984

Acta Orthopaedica Scandinavica

361

154

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Bone grafting in total hip replacement for acetabular protrusion

Slooff

Huiskes

Horn

et al. 1984

Acta Orthopaedica Scandinavica

361

154

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“…Harris and Jones presented a series of 10 patients with acetabular medial wall defects reconstructed with metal mesh and no bone grafts without loosening or mechanical failure at 11 months average followup [21]. At an average of 6.8 years followup, the complication rate was 75% with 11% of the cups showing migration [23].…”

Section: Discussionmentioning

confidence: 99%

Acetabular Revision with Metal Mesh, Impaction Bone Grafting, and a Cemented Cup

Buttaro

Comba

Pusso

et al. 2008

Clinical Orthopaedics &Amp; Related Research

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“…When segmental defects are present, the combination of morcellised grafts with metal meshes has been associated with a favourable outcome [8,12,22]. The main advantages of meshes are their adaptability to the remaining bone and the fact that they allow easier revascularisation of the grafts since the meshes are fenestrated and cancellous bone grafts are in contact with the surrounding soft tissue [2,15].…”

Section: Discussionmentioning

confidence: 99%

Initial stability of circumferential meshes with impacted bone allografts for massive femoral defects

Guala

Buttaro

Piccaluga

2007

International Orthopaedics (SICO

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When the proximal femur is absent due to a failed femoral stem in total hip arthroplasty, impacted bone grafts contained within circumferential meshes could be an alternative reconstructive method. The purpose of this study was to analyse the initial resistance to axial and rotational forces in a fresh frozen bovine model with complete loss of the proximal femur reconstructed with a circumferential metal mesh, impacted bone allografts and a long cemented stem. Four bovine femurs with a complete proximal bone defect were reconstructed with a circumferential mesh, impacted bone grafts and a cemented stem. The results were compared with four intact femurs using the same implant. Under axial load, subsidence was observed at an average of 617 kg in the experimental group, and a cortical fracture occured at 1335 kg in the control group. Under rotational load, experimental femurs failed at an average of 79 kg and the control femurs fractured at 260 kg. This model provided 50% of the resistance to axial load and 30% of the resistance to rotational load compared to an intact femur, which is enough to resist physiological load. This stability encourages the use of circumferential meshes, impacted bone allografts and cemented stems in revision hip surgery with massive bone loss.Résumé Dans l'arthroplastie totale de hanche les pertes de substances fémorales secondaires à un descellement de la pièce fémorale peuvent être traitées par des greffes impactées. Il s'agit d'une méthode de reconstruction alternative et satisfaisante. Le propos de cette étude est d'analyser la résistance axiale et en rotation d'allogreffes fraîches impactées d'origine bovine et servant de lit à une pièce fémorale longue. 4 fémurs bovins ont été reconstruits de la sorte, les résultats ont été comparés à 4 fémurs intacts avec le même implant en charge axiale, la migration de la prothèse est observée avec une charge de 617 kg dans le groupe des fémurs greffés et une fracture corticale est survenue à 1335 kg dans le groupe contrôle. En rotation, la pièce fémorale présente une mobilité en moyenne à 79 kg alors que dans le groupe contrôle ceci ne survient qu'à 260 kg. Ce modèle présente donc une résistance de 50% en charge axiale et de 30% en rotation, si on le compare à un modèle fémoral sur fémur intact. Cette stabilité nous encourage à utiliser une telle technique d'allogreffes impactées avec une pièce fémorale cimentée dans les révisions de prothèses totales de hanches avec pertes osseuses massives.

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The Use of Wire Mesh in Total Hip Replacement Surgery

Cited by 48 publications

References 0 publications

Bone grafting in total hip replacement for acetabular protrusion

Bone grafting in total hip replacement for acetabular protrusion

Acetabular Revision with Metal Mesh, Impaction Bone Grafting, and a Cemented Cup

Initial stability of circumferential meshes with impacted bone allografts for massive femoral defects

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