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Advances in Orthopedics
Volume 2011 (2011), Article ID 257572, 7 pages
http://dx.doi.org/10.4061/2011/257572
Review Article

Proximal Femoral Allograft for Major Segmental Femoral Bone Loss: A Systematic Literature Review

Department of Orthopaedic Surgery, Mount Sinai Hospital, Toronto, ON, Canada M5G 1X5

Received 27 March 2011; Revised 16 June 2011; Accepted 7 July 2011

Academic Editor: Robert Michael Meneghini

Copyright © 2011 B. A. Rogers et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

As the indications for total hip arthroplasty increase, the prevalence of extensive proximal femoral bone loss will increase as a consequence of massive osteolysis, stress shielding and multiple revisions. Proximal femoral bone stock deficiency provides a major challenge for revision hip arthroplasty and is likely to account for a significant future caseload. Various surgical techniques have been advocated included impaction allografting, distal press-fit fixation and massive endoprosthetic reconstruction. This review article provides a systematic review of the current literature to assess the outcome of revision hip arthroplasty using allograft to reconstruction massive proximal femoral bone loss.