Impacted graft incorporation after cemented acetabular revision: Histological evaluation in 8 patients

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Abstract
We took core biopsies from the acetabulum in 8 patients (at reoperation) after a previous revision with impacted cancellous allograft chips in combination with cement. Except for one biopsy specimen, the graft showed different stages of incorporation. In the specimens taken at 4 months, revascularization of the graft was found. Osteoclasts had removed parts of the graft, while woven bone had formed on the remnants of the graft and in the stroma that was invading the graft. Subsequent specimens showed that this mixture of graft and new bone was in due time remodeled into a normal trabecular bony structure with viable bone marrow that contained little or no remnants of the original graft. The graft-cement interface was present in 4 biopsies taken at 1, 22, 28, and 72 months. The specimen obtained 28 months after revision showed vital bone locally in direct contact with the cement layer; however, a soft tissue interface predominated.