We are presenting the cases of five patients that illustrate the uses of
large, frozen bone and osteoarticular allografts in dealing with severe
structural deficiency about the hip joint associated with prior failed
total hip replacement. The status of the grafts was assessed at a minimum
follow-up of twenty-four months (average, thirty months). In four patients
extensive grafts in the proximal part of the femur in conjunction with
total hip-replacement components were used, and in the fifth patient a
matched whole-joint transplant of the proximal part of the femur and the
acetabulum was employed. The short-term clinical advantage of these massive
grafts is clear, but the long-term results are uncertain.