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The use of bone allografts in two-stage reconstruction after failure of hip replacements due to infection

The Journal of Bone & Joint Surgery.  1991; 73:1460-1468 
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Abstract

Bone allografts were used to reconstruct deficient acetabular and femoral bone in eighteen patients during two-stage revision of a hip arthroplasty that had failed due to infection. At a mean of 4.2 years after reimplantation, only two patients had had recurrence of the infection. Four patients needed another revision arthroplasty for reasons other than infection. These results suggest that allografts of bone are useful for the reconstruction of osseous deficiencies in carefully selected patients who have a hip arthroplasty after infection. The results do not support the concern that allografts that are used under these circumstances necessarily lead to a high rate of recurrence of infection. However, the long-term results of the use of allografts in hip arthroplasty after infection remain unknown.

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    Accreditation Statement
    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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