Migration of the acetabular component after revision with impacted morselized allografts: A radiostereometric 2-year follow-up analysis of 21 cases

Abstract

In a consecutive series of hip revisions due to mechanical loosening, using impacted morselized allografts and cement, we followed 21 acetabular components by radiostereometric analysis (RSA) during 2 years. All but 1 acetabular component migrated in the proximal direction (median 2.1 (0.5–6.4) mm). 6 components migrated in the medial direction (median 0.8 (0.4–1.2) mm) and 6 in the lateral (median 0.8 (0.4–2.0) mm). 14 components migrated in the posterior direction (median 0.8 (0.3–2.3) mm) and 1 in the anterior 0.6 mm. The migration rate gradually decreased in all directions, but 7 acetabular components still migrated in at least 1 direction (median 0.3–0.6 mm) between 1.5 and 2 years postoperatively.