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European Journal of Orthopaedic Surgery & Traumatology
Published in: European Journal of Orthopaedic Surgery & Traumatology 4/2020

01-05-2020 | Bone Defect | Original Article

Bone integration in acetabular revision hip arthroplasty using equine-derived bone grafts: a retrospective study

Authors: Nicola Piolanti, Andrea Del Chiaro, Fabrizio Matassi, Lorenzo Nistri, Angelo Graceffa, Massimiliano Marcucci

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 4/2020

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Abstract

Purpose

During the last decade, total hip arthroplasty has become a common procedure performed in young patients, as well as elderly ones. This has led to an increase in total hip arthroplasty revisions. Loosening of primary components with associated bone loss represents the major cause of total hip arthroplasty revision. This study evaluates the safety and performance of an enzyme-deantigenic equine-derived bone graft material in acetabular defect reconstruction.

Methods

Records of 55 patients who were treated for Paprosky type II or III acetabular bone defects with arthroplasty revisions using equine-derived bone and followed for an average of 34 months (range from 24 to 48 months) were analyzed.

Results

Of the 55 revisions, 49 (89%) were regarded as successful, showing good osteointegration without signs of mobilization. Failures included six cases (11%) of mobilization: five cases of aseptic mobilization (9.1% of revisions, 83% of failures) and one case of septic mobilization (1.9% of revisions, 17% of failures). These results are consistent with those of studies having a similar follow-up period for allografts used in combination with trabecular metal components.

Conclusions

Results of the present study suggest that enzyme-treated equine-derived bone grafts may be a valid alternative to autogenous and homologous bone grafts in total hip arthroplasty revision.
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Metadata
Title
Bone integration in acetabular revision hip arthroplasty using equine-derived bone grafts: a retrospective study
Authors
Nicola Piolanti
Andrea Del Chiaro
Fabrizio Matassi
Lorenzo Nistri
Angelo Graceffa
Massimiliano Marcucci
Publication date
01-05-2020
Publisher
Springer Paris
Published in
European Journal of Orthopaedic Surgery & Traumatology / Issue 4/2020
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI
https://doi.org/10.1007/s00590-019-02613-1

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