Impacted corticocancellous allografts and cement for femoral revision of total hip arthroplasty using Lubinus and Charnley prostheses

Femoral revision of total hip arthroplasty using impacted morcellized allografts and a cemented Lubinus SP-II prosthesis (Waldemar Link GmbH & Co, Hamburg, Germany) or Charnley standard prosthesis (De Puy, Leeds, UK) was performed in patients with loss of bone stock grade II–IV according to the Endoclinic classification from first to eighth revision. We report the results from 57 hips in 56 patients, with a median of 64 months’ follow-up. Modified Merle d’Aubigné–Postel postoperative scores increased significantly from preoperative to postoperative values for the Lubinus group and for the Charnley group. Few complications were seen in this follow-up period. Five stems had minor subsidence. Mechanical failures were 4% for both groups. Radiologic examinations provided evidence of frequent trabecular remodeling of the graft, especially for the Lubinus prosthesis.