Femoral impaction grafting

Femoral impaction grafting is a utilitarian technique for femoral defects. With modern implants, its role may be limited to Paprosky 3B and 4 type femoral deficiencies, especially in the younger patient. With appropriate technique, mid- and long-term results have proven this technique to be globally reliable. Periprosthetic fracture is not uncommon with this technique; however, strategies to mitigate the risk have been developed. A thorough understanding of the history, technique, results and complications of this technique is essential for the revision hip surgeon in order to obtain successful results in the most complex femoral reconstruction cases.