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INCIDENCE OF EARLY AND LATE INFECTION IN REVISION HIP ARTHROPLASTY WITH IMPACTED MORSELLISED BONE ALLOGRAFT TECHNIQUE.



Abstract

Introduction: We conducted a retrospective study at our institution to see what effect, if any, the use of impacted morsellised bone allograft technique had on the incidence of early and late infection in revision hip arthroplasty where contemporary measures were taken.

Patients and Methods: This study included 120 patients.

Patients were 36 male and 84 females with the mean age at the time of revision surgery was 71.4 years (range 42 – 89 SD 9.7).

In all the patients their indication for revision surgery was aseptic loosening.

All the patients had impacted morsellised bone allograft as part of the reconstruction used with cemented prostheses.

Clinical and radiological assessments of all patients were conducted for average of four years follow up.

Results: At mean follow up period of 4 years the early infection rate was 0.8% and late infection rate was 0%.

Conclusion: In our study the use of morsellised bone allograft does not appear to have added risk effect on the incidence of early or late hip joint infection provided contemporary measures are taken.

Editoral Secretary Mr Peter Howard. Correspondence should be addressed to BHS at the Royal College of Surgeons, 35 - 43 Lincoln’s Inn Fields, London WC2A 3PN.