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Bulk Allograft Using the Proximal Part of the Femur for a Posterosuperior Acetabular DefectA Case Report
Matthew D. Beal, MD1; Kyle J. Hazelwood, MD2; David W. Manning, MD2
1 Department of Orthopaedic Surgery, The Ohio State University Medical Center, 543 Taylor Avenue, Suite 1074, Columbus, OH 43203
2 Department of Orthopaedic Surgery, University of Chicago Hospitals, 5841 South Maryland Avenue, MC 3079, Chicago, IL 60637. E-mail address for K. Hazelwood: Kyle.Hazelwood@uchospitals.edu
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Investigation performed at the University of Chicago Hospitals, Chicago, Illinois



Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. One or more of the authors, or his or her institution, has had a financial relationship, in the thirty-six months prior to submission of this work, with an entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. No author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2012 by The Journal of Bone and Joint Surgery, Inc.
JBJS Case Connector, 2012 Sep 12;2(3):e49 1-5. doi: 10.2106/JBJS.CC.L.00018
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Extract

Acetabular reconstruction in revision total hip arthroplasty can be quite challenging, especially in the presence of substantial acetabular osseous defects. Reconstruction of the acetabulum with severe acetabular bone loss using hemispherical cups with screw augmentation1, antiprotrusio cages2, metal augments3, bulk allografts4, and combinations of these methods2-6 has been described. We report the use of an ipsilateral proximal portion of a femur as a novel allograft source in addition to hemispherical, cementless acetabular reconstruction with screws in the treatment of a Paprosky type-IIIA acetabular defect. The patient was informed that data concerning this case would be presented for publication, and she provided consent.
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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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