de la Caffinière J Y, Postel J M
Rev Chir Orthop Reparatrice Appar Mot. 1985;71(6):369-76.
Eighteen total hip prostheses required reoperation after loosening of the acetabular component. The authors used autografts (8 cases) or allografts (9 cases) or both (1 case) to reinforce the acetabulum. The fate of the grafts was analysed using Technetium 99 scintigraphy. There were 8 shelf operations and 10 massive grafts replacing either the anterior or posterior wall of the acetabulum. The scintigraphic study came to the conclusion that autografts resulted in intense reaction with fixation after two to sixteen months. From this it can be assumed that their rehabilitation was satisfactory. In contrast, allografts were poorly incorporated. Scintigraphy in these cases was of low intensity, scattered and was not long-lasting. The authors consider that this type of graft has little chance of producing a solid and homogeneous mass of bone in the long term. They consider that, when necessary, a mixture of autograft and allograft should be used.
18个全髋关节假体在髋臼部件松动后需要再次手术。作者使用自体骨移植（8例）或异体骨移植（9例）或两者联合使用（1例）来加固髋臼。使用锝99闪烁扫描术分析移植骨的转归情况。有8例进行了髋臼加盖术，10例使用大块移植骨替代髋臼前壁或后壁。闪烁扫描研究得出结论，自体骨移植在2至16个月后会引起强烈反应并实现固定。由此可以推测其修复效果令人满意。相比之下，异体骨移植的整合情况较差。这些病例的闪烁扫描显示强度较低、分布分散且持续时间不长。作者认为，这种类型的移植骨从长期来看很难形成坚实且均匀的骨块。他们认为，必要时应使用自体骨和异体骨的混合移植。
