ABSTRACT
Femoral impaction grafting may be indicated in any patient with pain and functional disability or asymptomatic bone loss secondary to a loose total hip arthroplasty. The technique is most useful in the younger patient, especially in those cases where bone stock is significantly compromised or where the host bone sUlface interface will not allow satisfactory mechanical fixation of an implant. It may not be indicated in the very old or in medically unfit patients where it is possible to achieve distal fixation, especially if extensive proximal reconstruction of the femur would be required for the impaction grafting technique.
