The calcar bone graft

W. L. Bargar, H. A. Paul, K. Merritt, N. Sharkey

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

A canine model was developed to investigate the use of an autogenic iliac bone graft to treat the calcar deficiency commonly found at the time of revision surgery for femoral component loosening. Five large male mixed-breed dogs had bilateral total hip arthroplasty staged at three-month intervals, and were sacrificed at six months. Prior to cementing the femoral component, an experimental calcar defect was made, and a bicortical iliac bone graft was fashioned to fill the defect. Serial roentgenograms showed the grafts had united with no resorption. Technetium-99 bone scans showed more uptake at three months than at six months in the graft region. Disulfine blue injection indicated all grafts were perfused at both three and six months. Thin section histology, fluorochromes, and microradiographs confirmed graft viability in all dogs. Semiquantitative grading of the fluorochromes indicated new bone deposition in 20%-50% of each graft at three months and 50%-80% at six months. Although the calcar bone graft was uniformly successful in this canine study, the clinical application of this technique should be evaluated by long-term results in humans.

Original languageEnglish (US)
Pages (from-to)269-277
Number of pages9
JournalClinical orthopaedics and related research
VolumeNO. 202
StatePublished - Jan 1 1986

Fingerprint

Transplants
Bone and Bones
Thigh
Fluorescent Dyes
Canidae
Dogs
Technetium
Reoperation
Arthroplasty
Hip
Histology
Injections

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Bargar, W. L., Paul, H. A., Merritt, K., & Sharkey, N. (1986). The calcar bone graft. Clinical orthopaedics and related research, NO. 202, 269-277.
Bargar, W. L. ; Paul, H. A. ; Merritt, K. ; Sharkey, N. / The calcar bone graft. In: Clinical orthopaedics and related research. 1986 ; Vol. NO. 202. pp. 269-277.
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Bargar, WL, Paul, HA, Merritt, K & Sharkey, N 1986, 'The calcar bone graft', Clinical orthopaedics and related research, vol. NO. 202, pp. 269-277.

The calcar bone graft. / Bargar, W. L.; Paul, H. A.; Merritt, K.; Sharkey, N.

In: Clinical orthopaedics and related research, Vol. NO. 202, 01.01.1986, p. 269-277.

Research output: Contribution to journalArticle

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Bargar WL, Paul HA, Merritt K, Sharkey N. The calcar bone graft. Clinical orthopaedics and related research. 1986 Jan 1;NO. 202:269-277.