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World J Orthop. Jan 18, 2013; 4(1): 7-11
Published online Jan 18, 2013. doi: 10.5312/wjo.v4.i1.7
Femoral impaction grafting
John A Scanelli, Thomas E Brown
John A Scanelli, Thomas E Brown, Department of Orthopedic Surgery, University of Virginia School of Medicine, Charlottesville, VA 22908, United States
Author contributions: Scanelli JA contributed to background research, formulation of manuscript, revision of manuscript, procurement and management of images, final approval of manuscript; Brown TE contributed to background research, planning of manuscript, revision of manuscript, selecting of images, oversight/guidance, final approval of manuscript.
Correspondence to: Thomas E Brown, MD, Department of Orthopaedic Surgery, University of Virginia School of Medicine, PO Box 800159, Charlottesville, VA 22908, United States.
Telephone: +1-434-2430278 Fax: +1-434-2430242
Received: January 30, 2012
Revised: December 9, 2012
Accepted: December 23, 2012
Published online: January 18, 2013

Femoral impaction grafting is a reconstruction option applicable to both simple and complex femoral component revisions. It is one of the preferred techniques for reconstructing large femoral defects when the isthmus is non-supportive. The available level of evidence is primarily derived from case series, which shows a mean survivorship of 90.5%, with revision or re-operation as the end-point, with an average follow-up of 11 years. The rate of femoral fracture requiring re-operation or revision of the component varies between several large case series, ranging from 2.5% to 9%, with an average of 5.4%.

Keywords: Femoral impaction grafting, Femoral revision, Bone grafting, Revision total hip arthroplasty, Bone loss