Orthopaedic Allograft Surgery

This volume is the work product of an international group of authors who are experienced in the field of musculoskeletal allografts. The chapters are written by experts in many differing areas of allografting and represents the current knowledge in this rapidly changing dynamic field. The reconstructive community and their patients owe a significant debt of gratitude to Doctors Czitrom and Winkler for this volume. William F. Enneking, M. D. Preface What follows is the result of a timely project bringing together the newest ideas of top experts worldwide in a rapidly growing technology: Orthopaedic Allograft Surgery. The title of the book reflects a method rather than a speciality. It transgresses well established subspecialities of orthopaedic surgery such as joint replacement, oncology, spine, trauma and sports medicine. The technology encompasses knowledge of tissue banking, biology and biomechanics, both in a research and clinical sense. The common denominator for those interested is the need and ability to provide or use allogeneic tissues in orthopaedic applications. Inherent to a multiauthored text based on chapters written by authors from many parts of the world is a variety in format and style. While we tried to some extent reducing large discrepancies, there was no attempt made to eliminate dissimilar­ ities. We did not aim for a homogeneous textbook. Rather, we asked for originality, novelty, individuality in the presentation of data and concepts. Consequently, chapters vary in format from that seen in a scientific article to that of a descriptive essay. Front Matter....Pages i-x Front Matter....Pages 1-1 Current Concepts in Bone Grafting....Pages 3-10 Infectious Hazards of Bone Allograft Transplantation: Reducing the Risk....Pages 11-28 Biomechanics of Allografts....Pages 29-37 Preserved, Allogeneic Bone Grafts in Orthopaedic Reconstructions....Pages 39-44 Allogeneic Bone Grafts: Study of Radiation Sterilized Bone Tissue by Electron Paramagnetic Resonance Spectrometry and a New Model of Periosteal Induction of Osteogenesis....Pages 45-52 Bone Replacement Studies Using Titanium Chamber Models in Small Animals....Pages 53-60 Histological Observations on Retrieved Human Allografts....Pages 61-66 Repair of Massive Allografts: Histological, Nuclear Medicine and CT-Studies....Pages 67-73 Front Matter....Pages 75-75 Bone Allograft Reconstruction in Revision Hip Replacement....Pages 77-82 The Use of Allografts in Revision Hip Alloarthroplasty....Pages 83-89 Revision Joint Replacement: Proximal Femoral Replacement....Pages 91-100 Revision Arthroplasty of the Acetabulum with Restoration of Bone Stock....Pages 101-111 Major Loss of Acetabular Bone Stock at Revision Total Hip Arthroplasty....Pages 113-117 Allograft Reconstruction of Acetabular Bone Defects Combined with Reinforcement Ring in Revision Total Hip Arthroplasty....Pages 119-123 Impaction Grafting and Cement in Acetabular Revision Arthroplasty....Pages 125-133 Acetabular Reconstruction Technique....Pages 135-145 Front Matter....Pages 147-147 Indications for Combined Grafts (Allografts + Vascularized Fibula) after Intercalary Resections for Bone Tumor....Pages 149-155 Allografts in Malignant Bone Tumors....Pages 157-163 Allograft Prosthetic Reconstruction: Review of 120 Composite Prostheses (1984–1992), A Monocentric Study....Pages 165-174 The Importance of Allograft with Patellar Tendon in Prosthetic Reconstruction of the Upper Tibia after en bloc Resection for Bone Tumors....Pages 175-180 Front Matter....Pages 147-147 Intercalary Allograft Reconstruction....Pages 181-189 Front Matter....Pages 191-191 Arthrodesis of the Spine with Bone Allografts....Pages 193-202 Allografts for Spinal Surgery....Pages 203-210 The Use of Bone Allografts in Spine Surgery Indications and Results....Pages 211-218 The Role of Massive Bone Allografts in Traumatic Bone Loss....Pages 219-223 Front Matter....Pages 225-225 Clinical Applications of Tendon Allografts....Pages 227-233 The Use of Fresh Frozen Soft Tissue Allografts in Knee Ligament Surgery....Pages 235-242 Meniscal Allografts....Pages 243-252 Meniscal Transplantation: The Hannover Experience....Pages 253-259 Viable Meniscal Transplantation....Pages 261-267 Articular Cartilage Cryopreservation and Transplantation....Pages 269-273 Surface Repair of Osteochondral Defects: Allografts Versus Substitute Materials....Pages 275-280 The Use of Fresh Osteochondral Allografts to Replace Traumatic Joint Defects....Pages 281-292 Back Matter....Pages 293-295 This compendium includes current developments in orthopaedic allograft surgery. Internationally well known experts in orthopaedic subspecialties present their surgical techniques and results in the area of orthopaedic reconstruction after failed joint replacement, spinal surgery, tumor surgery, sports injuries and ligament/tendon reconstruction. Current knowledge of biology and biomechanics of allografts is presented. Each chapter reviews current developments and future trends in orthopaedic allograft surgery. The book is of great interest to orthopaedic residents and orthopaedic surgeons in clinical practice. The text is also of interest to researchers in the tissue banking community. "This beautifully produced and authoritatively written multiauthor text covers all spects of allograft surgery in orthopaedics ... The important shortcommings and risks in allograft tissue transplantation ... are all well covered in this book ... is essential reading for orthopaedic surgeons engaged in this and other fields of tissue transplantation". Journal of Bone and Joint Surgery